耳鼻喉科训练的舌下神经刺激器外科医生的特点

IF 1.7 4区医学 Q2 OTORHINOLARYNGOLOGY

Laryngoscope Investigative Otolaryngology Pub Date : 2025-06-10 DOI:10.1002/lio2.70174

Emily Clementi, Jack Dowd, Amir Hakimi, Sami Alahmadi, Mark Russo, Maria V. Suurna, Michael Hoa, Sarah K. Rapoport

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引用次数: 0

摘要

背景舌下神经刺激器（HNS）植入治疗无法耐受正压治疗的阻塞性睡眠呼吸暂停（OSA）患者越来越普遍。鉴于这种手术的新颖性，植入外科医生的培训背景也存在差异。本研究的目的是描述美国种植外科医生的外科培训背景和地理位置。方法由Inspire Medical Systems提供截至2024年3月获得HNS植入认证的医生名单、他们的地理位置和奖学金培训背景，以及2019年至2022年植入HNS装置的总数。记录一般人口统计信息和外科医生执业类型（学术与非学术）。结果共鉴定种植医师1345名。共有210名（16%）提供者不是耳鼻喉科医生，因此被排除在外。其中，1058人（93%）拥有医学博士学位，948人（84%）为男性，248人（22%）从事学术实践，325人（29%）接受过奖学金培训。最常见的亚专科培训背景包括头颈外科肿瘤学（39%）、面部整形和重建外科（15%）和睡眠外科（12%）。每10万人中HNS外科医生的密度最高的是怀俄明州（1.2）和哥伦比亚特区（0.88），最低的是夏威夷（0.07）和新墨西哥州（0.09）。结论：美国耳鼻喉科医师对hns植入术的选择存在较大差异。大多数外科医生都是私人执业的普通耳鼻喉科医生。鉴于与其他OSA治疗方法相比，HNS植入的需求增加，睡眠外科培训的作用可能会扩大。证据水平：无

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Characterizing the Landscape of Otolaryngology Trained Hypoglossal Nerve Stimulator Surgeons

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Characterizing the Landscape of Otolaryngology Trained Hypoglossal Nerve Stimulator Surgeons

Background

Hypoglossal nerve stimulator (HNS) implantation has become increasingly common to treat obstructive sleep apnea (OSA) among patients unable to tolerate positive pressure therapy. Given the novelty of this surgery, there is variability in the training backgrounds of implanting surgeons. The objective of this study is to characterize the surgical training backgrounds and geographic locations of implanting surgeons in the United States.

Methods

A list of physicians certified to perform HNS implantations as of March 2024, their geographic location, and fellowship training background was provided by Inspire Medical Systems along with the total number of HNS devices implanted from 2019 to 2022. General demographic information and surgeon practice type (academic versus non-academic) were recorded.

Results

A total of 1345 implanting physicians were identified. A total of 210 (16%) providers were not otolaryngologists and therefore excluded. Among those included, 1058 (93%) had an MD degree, 948 (84%) were male, 248 (22%) were in academic practice, and 325 (29%) were fellowship trained. The most common subspecialty training backgrounds included head and neck surgical oncology (39%), facial plastic and reconstructive surgery (15%), and sleep surgery (12%). Wyoming (1.2) and the District of Columbia (0.88) had the highest density of HNS surgeons per 100,000 persons, while Hawaii (0.07) and New Mexico (0.09) had the lowest density.

Conclusions

There is wide variability of HNS-implanting otolaryngologists in the United States. Most surgeons are general otolaryngologists in private practice. Given the increased demand for HNS implantation compared to other treatments for OSA, there may be an expanding role for sleep surgery training.