Warning: This video contains actual surgical footage which may not be suitable for all viewers.
Alan Kominsky, MD discusses The Inspire® Upper Airway Stimulation (UAS) system that has become a common therapeutic option for patients with obstructive sleep apnea (OSA) but intolerant of continuous positive airway pressure (CPAP). He also discusses the recent FDA approval of the two incision method which makes recovery easier and less painful for patients.
Chapters:
0:00 Introduction
0:07 Cleveland Clinic
1:28 Disclosures
2:26 CPAP Adherence and Acceptance
4:22 Why Surgery?
5:27 Physical Exam
7:01 Outline
7:06 Surgical Intervention
8:30 Traditional UPPP
10:09 Surgical Treatment
17:13 Hypoglossal Nerve Stimulaton
19:17 Inspire Upper Airway Stimulation TM System
22:33 Drug Induced Sleep Endoscopy DISE
28:26 Nerve Identification
29:24 Cuff Placement
30:35 Inspire Upper Airway Stimulation System
30:49 Post Operative Course
34:40 Troubleshooting
36:08 Complications
42:21 5 Year Outcomes-STAR Trial
44:16 ADHERE Registry
47:14 Outcome Predictors
50:10 Future Options for Inspire
51:03 Current Options for Inspire
51:18 2 Incision Technique
53:17 Wish List
54:42 Alternate Device
56:25 Future Direction
57:40 Takeaways
Dr. Kominksy is an otolaryngologist and sleep specialist as well as the section director of the Head & Neck Institute's surgical sleep and snoring program at Cleveland Clinic. To learn more about him, please visit [ Ссылка ]
Moderated by Jamie Ku, MD, Director of the Head and Neck Robotic Surgery Program at Cleveland Clinic. To learn more about her, please visit [ Ссылка ]
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Hypoglossal Nerve Stimulation: Current Concepts (Graphic)
Теги
head and neck surgeryotolaryngologycleveland clinichead and neck live from cleveland clinicmedical professional educationprofessional education for doctorscleveland clinic professional educationmedical educationjamie ku mdalan kominsky mdInspire Upper Airway Stimulation (UAS) systemUAS systemthe inspireobstructive sleep apneahypoglossal nerve stimulationinspire upper airway stimulationsleep medicinedrug induced sleep endoscopysnoring