Hypoglossal nerve stimulation explantation in patients with obstructive sleep apnoea: a systematic review.

IF 0.8 4区医学 Q3 OTORHINOLARYNGOLOGY

Journal of Laryngology and Otology Pub Date : 2025-08-01 DOI:10.1017/S0022215124001646

Zachary Chu, Chen Zhang, Enoch Kwok, Yaoyi Ng, Tony Tang, Song Tar Toh, Shaun Loh, John Loh

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引用次数: 0

Abstract

Objective: Hypoglossal nerve stimulation has emerged as a promising therapeutic approach for obstructive sleep apnoea patients who are intolerant to continuous positive airway pressure therapy. This paper aimed to explore reasons for hypoglossal nerve stimulation device explantation and associated complications.

Methods: Following Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines, a systematic search across Embase Ovid, PubMed, Scopus, and the Cochrane library yielded 14 articles that met the inclusion criteria. Exclusion criteria were (1) systematic reviews and meta-analyses, conference posters and editorials; (2) non-English studies; and (3) studies published before 2010.

Results: Of the 121 patients identified as having undergone hypoglossal nerve stimulation device explantation, 126 reasons were identified for the procedure. The primary reasons included device malfunction (19.8 per cent), infection (19.0 per cent) and device migration (18.3 per cent). Other reasons included discomfort (9.5 per cent), improper placement (6.3 per cent) and ineffective devices (6.3 per cent). Complications were infrequent (2.48 per cent).

Conclusion: Device malfunction, infection and device migration were prominent reasons for hypoglossal nerve stimulation device explantation. Complications post-explantation were rare but included temporary hypoglossal paresis.

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阻塞性睡眠呼吸暂停患者舌下神经刺激切除术--系统综述。

目的：舌下神经刺激已成为对持续气道正压治疗不耐受的阻塞性睡眠呼吸暂停患者的一种有前景的治疗方法。本文旨在探讨舌下神经刺激装置外植的原因及相关并发症。方法：根据系统评价和荟萃分析指南的首选报告项目，在Embase Ovid、PubMed、Scopus和Cochrane图书馆进行系统搜索，获得14篇符合纳入标准的文章。排除标准为：(1)系统评价和荟萃分析、会议海报和社论；(2)非英语学习；(3) 2010年以前发表的研究。结果：121例接受舌下神经刺激装置移植的患者中，有126例原因被确定为该手术。主要原因包括设备故障（19.8%）、感染（19.0%）和设备迁移（18.3%）。其他原因包括不适（9.5%）、放置不当（6.3%）和器械无效（6.3%）。并发症少见（2.48%）。结论：装置故障、感染和装置移位是舌下神经刺激装置外植的主要原因。术后并发症少见，但包括暂时性舌下麻痹。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Laryngology and Otology 医学-耳鼻喉科学

CiteScore

3.20

自引率

11.80%

发文量

593

审稿时长

3-6 weeks

期刊介绍： The Journal of Laryngology & Otology (JLO) is a leading, monthly journal containing original scientific articles and clinical records in otology, rhinology, laryngology and related specialties. Founded in 1887, JLO is absorbing reading for ENT specialists and trainees. The journal has an international outlook with contributions from around the world, relevant to all specialists in this area regardless of the country in which they practise. JLO contains main articles (original, review and historical), case reports and short reports as well as radiology, pathology or oncology in focus, a selection of abstracts, book reviews, letters to the editor, general notes and calendar, operative surgery techniques, and occasional supplements. It is fully illustrated and has become a definitive reference source in this fast-moving subject area. Published monthly an annual subscription is excellent value for money. Included in the subscription is access to the JLO interactive web site with searchable abstract database of the journal archive back to 1887.