Heiser Clemens, Hofauer Benedikt
Department of Otorhinolaryngology, Head and Neck Surgery, Klinikum Rechts der Isar, Technische Universitat Munchen, Ismaninger Street. 22, Munich 81675, Germany.
Department of Otorhinolaryngology, Head and Neck Surgery, Klinikum Rechts der Isar, Technische Universitat Munchen, Ismaninger Street. 22, Munich 81675, Germany.
Sleep Med Clin. 2019 Mar;14(1):91-97. doi: 10.1016/j.jsmc.2018.10.010. Epub 2018 Dec 3.
Upper airway stimulation is a novel therapy for patients suffering from obstructive sleep apnea who are incompliant toward continuous positive airway pressure therapy. Evidence supporting the effectiveness of this therapy with regard to the treatment of disordered breathing, subjective daytime impairment, and its effect on sleep characteristics has increased. Information on the subjective sensation of the stimulation of the hypoglossal nerve could be gathered as more patients are implanted and knowledge of different aspects of the therapy is increasing. Comparisons between upper airway stimulation therapy and other surgical treatment options have been conducted. The surgical technique could be further optimized.
上气道刺激是一种针对阻塞性睡眠呼吸暂停患者的新型疗法,这些患者对持续气道正压通气疗法依从性差。支持该疗法在治疗呼吸紊乱、主观日间功能障碍及其对睡眠特征影响方面有效性的证据有所增加。随着越来越多的患者接受植入,关于舌下神经刺激主观感觉的信息得以收集,并且对该疗法不同方面的了解也在增加。已经对上气道刺激疗法与其他手术治疗方案进行了比较。手术技术可以进一步优化。