Improving surgical results in complex nerve anatomy during implantation of selective upper airway stimulation

Zhaojun Zhu; Benedikt Hofauer; Clemens Heiser

doi:10.1016/j.anl.2017.10.005

Improving surgical results in complex nerve anatomy during implantation of selective upper airway stimulation

Auris Nasus Larynx. 2018 Jun;45(3):653-656. doi: 10.1016/j.anl.2017.10.005. Epub 2017 Nov 15.

Authors

Zhaojun Zhu¹, Benedikt Hofauer², Clemens Heiser²

Affiliations

¹ Department of Otorhinolaryngology, Head and Neck Surgery, Klinikum rechts der Isar, Munich, Germany. Electronic address: zhaojun.zhu@mri.tum.de.
² Department of Otorhinolaryngology, Head and Neck Surgery, Klinikum rechts der Isar, Munich, Germany.

PMID: 29153261
DOI: 10.1016/j.anl.2017.10.005

Abstract

The following report presents a case of two late embedded hypoglossus branches during implantation of an upper airway stimulation device that caused a mixed activation of the tongue when included in the stimulation cuff. In the end, correct cuff placement could be achieved by careful examination of the hypoglossal nerve anatomy, precise nerve dissection, tongue motion analysis and intraoperative nerve monitoring.

Keywords: Hypoglossal nerve anatomy; OSA; Selective upper airway stimulation.

Publication types

Case Reports

MeSH terms

Electric Stimulation Therapy / methods*
Electromyography
Humans
Hypoglossal Nerve / abnormalities*
Intraoperative Neurophysiological Monitoring
Male
Middle Aged
Pharynx*
Prosthesis Implantation / methods*
Sleep Apnea, Obstructive / therapy*
Tongue / innervation*