Citation Information :
Vardhan H, Sasidharan J, Bhargava A, Gupta A. Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea: A Novel Surgical Approach (A Review of Literature). Indian Sleep Med 2018; 13 (4):67-70.
Introduction: Obstructive sleep apnea (OSA) is associated with considerable health risks. Continuous positive airway pressure (CPAP) is the gold standard treatment, but its efficacy is reduced by inadequate adherence to treatment. Surgical treatment for OSA has evolved to neuromodulation with the advent of hypoglossal nerve stimulation.
Objectives: To evaluate the efficacy of hypoglossal nerve stimulation in the treatment of OSA syndrome.
Methods: Studies were included that evaluated the efficacy of hypoglossal nerve stimulation to treat OSA. Six prospective studies were included in this trial.
Results: Six studies with a total of 242 patients were included in this review. All the studies demonstrated a reduction in apnoea hypopnoea index (AHI), Oxygen desaturation index (ODI), and Epworth sleepiness scale (ESS). Despite using different hypoglossal nerve stimulators in each subgroup analysis, no significant difference was found in any of the comparisons, suggesting equivalent efficacy regardless of the system in use.
Conclusion: Hypoglossal nerve stimulation (HGNS) therapy has so far proved to be an effective alternative treatment of obstructive sleep apnea in CPAP intolerant selected group of patients.
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