Hypoglossal nerve stimulator on extraoral radiography and cone beam computed tomography scan: Case report.

IF 2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Cranio-The Journal of Craniomandibular & Sleep Practice Pub Date : 2025-05-01 Epub Date: 2023-03-22 DOI:10.1080/08869634.2023.2188849

John K Brooks, Azin Parsa, Jeffery B Price

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引用次数: 0

Abstract

Background: The hypoglossal nerve stimulator (HNS) device has been employed in some patients with refractory or unsatisfactory outcomes to chronic obstructive sleep apnea management. The objective of this article is to increase recognition of the radiologic appearances of this device within the head and neck region, as seen on extraoral radiographic and cone beam computed tomography (CBCT) images.

Clinical presentation: A 55-year-old man, refractory to a multitude of apneic medical therapies, underwent a series of preorthognathic radiologic studies. Notably, an implanted HNS lead and ribbon electrodes appeared as hyperdense structures on the panoramic radiograph, lateral cephalogram, and CBCT scan.

Conclusion: This article provides various radiologic views of the primary components of an HNS. Clinicians should be able to recognize the presence of neurostimulator devices used for management of chronic sleep apnea within the radiologic field of view of examinations of the head and neck.

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舌下神经刺激器在口外x线摄影和锥形束计算机断层扫描上的应用：1例报告。

背景：舌下神经刺激器（HNS）已被用于治疗一些难治性或不满意的慢性阻塞性睡眠呼吸暂停患者。本文的目的是提高对该装置在头颈部区域的放射学外观的认识，如在口外放射摄影和锥束计算机断层扫描（CBCT）图像上所见。临床表现：一名55岁男性，对多种呼吸暂停药物治疗难治性，接受了一系列的正颌前放射学研究。值得注意的是，植入的HNS导联和带状电极在全景x线片、侧位脑电图和CBCT扫描上表现为高密度结构。结论：本文提供了HNS主要组成部分的各种放射学观点。临床医生应该能够在头颈部检查的放射视野内识别用于管理慢性睡眠呼吸暂停的神经刺激装置的存在。

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

Cranio-The Journal of Craniomandibular & Sleep Practice DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

4.50

自引率

12.50%

发文量

审稿时长

>12 weeks

期刊介绍： CRANIO: The Journal of Craniomandibular & Sleep Practice is the oldest and largest journal in the world devoted to temporomandibular disorders, and now also includes articles on all aspects of sleep medicine. The Journal is multidisciplinary in its scope, with editorial board members from all areas of medicine and dentistry, including general dentists, oral surgeons, orthopaedists, radiologists, chiropractors, professors and behavioural scientists, physical therapists, acupuncturists, osteopathic and ear, nose and throat physicians. CRANIO publishes commendable works from outstanding researchers and clinicians in their respective fields. The multidisciplinary format allows individuals practicing with a TMD emphasis to stay abreast of related disciplines, as each issue presents multiple topics from overlapping areas of interest. CRANIO''s current readership (thousands) is comprised primarily of dentists; however, many physicians, physical therapists, chiropractors, osteopathic physicians and other related specialists subscribe and contribute to the Journal.