Department of Otolaryngology, Phoenix, Arizona, U.S.A.
Department of Pulmonary & Sleep Medicine, Mayo Clinic, Phoenix, Arizona, U.S.A.
Laryngoscope. 2019 Oct;129(10):2420-2423. doi: 10.1002/lary.27647. Epub 2018 Dec 27.
Upper airway stimulation is now a well-established treatment option for selected patients with obstructive sleep apnea. The implanted pulse generator of this system activates the hypoglossal nerve and is routinely placed in a subcutaneous pocket overlying the pectoralis muscle. This case report describes a patient with a history of bilateral mastectomy and radiation for breast cancer who required explantation due to device exposure and infection. The patient was successfully reimplanted by placing the implantable pulse generator deep to the pectoralis major muscle. Clinical circumstances involving the chest wall may warrant subpectoral placement of the implanted pulse generator. Laryngoscope, 129:2420-2423, 2019.
上气道刺激现在是一种经过充分验证的治疗选择，适用于特定的阻塞性睡眠呼吸暂停患者。该系统的植入式脉冲发生器可激活舌下神经，并常规放置在胸肌上方的皮下袋中。本病例报告描述了一位患有双侧乳腺癌病史并接受乳房切除术和放疗的患者，由于设备暴露和感染需要进行取出。通过将可植入脉冲发生器置于胸大肌下方，患者成功地重新植入了该设备。涉及胸壁的临床情况可能需要将可植入脉冲发生器置于胸肌下方。《喉镜》，129：2420-2423，2019。
