Treating Obstructive Sleep Apnea With Hypoglossal Nerve Stimulation

Upper Airway Stimulation for Obstructive Sleep Apnea OSUWMC

DR. EUGENE CHIO: The hypoglossal nerve stimulatoris basically a pacemaker for the nerve to your tongue. Like any pacemaker, there's animplantable device, so that goes in the right upper chest. There's another incision that'smade underneath the chin where the electrode is wrapped around the nerve that goes to thetongue, and that electrode is tunneled underneath the skin and hooked up to the pacemaker that'sin the chest. And then, a third and separate incision is made underneath the armpit inthe right rib area. There's a separate sensing electrode that goes between the ribs thatsenses your respiratory effort, or drive. So, once you're asleep, the pacemaker is turnedon by an external device so you have a

remote control that you can basically holdover the pacemaker to turn it on. You can adjust the time that it takes for the pacemakerto turn on, anywhere between, say 30 minutes and 45 minutes, to allow you to fall asleep.And that's adjustable once you're asleep, the pacemaker then kicks on, it measures yourrespiratory effort through the electrode in the ribs and then it sends a small burst ofelectricity to the nerve that goes to your tongue that tenses up the tongue and preventsthe airway from collapsing at nighttime.

Freda talks about upper airway stimulation for sleep apnea

FREDA: It caused you to snore really loud,it disturbs everybody in your family, plus you wake up like you've never even been tosleep. It will affect you when you first get up in the morning and especially because youfeel so tired, and once you get to work it's just like, quot;Oh, get me a cup of coffee,quot; orsomething. You think that will help. I tried the mask, different types of mask, I triedthe half mask, I tried the fullfaced mask. They would I would put it on at night andit would last maybe five minutes, and then it would start leaking, making a lot of noiseso you didn't get no rest for the noise being so loud on them. I also bought differentthings trying to, you know, to stop the leakage

around your face and everything. Nothing didwork. The s had told me if I don't do something, I'm gonna have a stroke or heartattack out of it. It is that bad. I had it that bad. And, you know, after a while youget scared, it's really scary. At night, you wake up and you're fighting to breathe, andI mean I had even got up and ran outside, thinking, you know, trying to get air andthings. And I've been into, like, probably six or eight different sleeping tests, andthey tell me how bad I would scare the nurses at night. I was willing to try anything. Chu, when I came to him, he said, quot;I think I can help you.quot; Chu told me I was a goodcandidate for this type of surgery, for the

pacemaker, because of the way I could not usethe mask. Also, I had a chronic cough just as soon as I put the mask on, I would startcoughing also. And then you gotta take it off. But with the pacemaker, you don't haveto do nothing like that. It is just so awesome. If a person has dealt as many years as I dealtwith this, it really makes a gigantic difference. It's just hard to believe what, what can happenout of this in a very short time. The first day I had it, when I woke up I thought, man,I just felt so much energy, cause I always woke up kind of kind of dopey like youknow, before, but this, when you wake up, you're clear headed. It is really differentfeeling. I have got response from the people

in my house, that stays in my house, causeI snored so loud before they couldn't stand it. They would say, quot;Get in there, go to bed,close your door. Please close your door,quot; cause I snored so loud. Now they do not hearme at all. At work, they say I seem more alert in the mornings when I come in. My boss saidit made a big difference. Since I went with a pacemaker, I mean I just rest. 15 minutesafter I turn it on I am out of it, I am just as peaceful as it could be. It is great. Thisis a dream come true, it's a miracle that they come up with something like this. I wouldsuggest this to everybody, and they'd be saying the same thing.

Implantable Device for Obstructive Sleep Apnea Thousand Oaks Malibu Westlake Village

The “implantable device� for treatingobstructive sleep apnea syndrome is called the “Inspire�. This is a pacemakerlike device that is placed under the skin in the upper chest wall. Electrodes are then tunneled through the skin and inserted into the muscles that keep your airway open. Once in place, a low level electricalcurrent stimulates these muscles to help keep your airway open.

It is significantly more expensive than CPAP, and is less effective as well. Its primary usefulness is in patientswho either refuse to try CPAP, are intolerant to CPAP, or have found other treatments to be ineffective. Hello, I'm Ronald Popper. Thank you for watching. If you or a loved one needs moreinformation on sleep disorders,

please visit our web site at sleepmd4u where you'll find more tutorials in this series as well as our white paper on obstructive sleep apnea that is free for you to download. For a direct consultation youcan reach us through our web site or by calling the number on your screen. Always remember, sleep well tonight for a better day tomorrow.

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