Episode #11 - Hypoglossal Nerve Stimulation

In this months episode we will be discussing all things Inspire with Dr. Paul Hoff, an ENT at Michigan Medicine.  What is Hypoglossal Nerve Stimulation? Who can get it? Does it Even work? Listen as we answer all your burning questions. 

Show Notes

3:00 get to know you questions 9:20 Favorite Book Best Advice 10:00 The Inspire Case 11:00 What type of sleep study? 18:20 AHI Cutofffs: 18:55 Goals of Care? 21:50 What is considered effective therapy? 24:30 Star Trial link: Upper-Airway Stimulation for Obstructive Sleep Apnea | NEJM Adhere Registry Link: Results of the ADHERE upper airway stimulation registry and predictors of therapy efficacy - Thaler - 2020 - The Laryngoscope - Wiley Online Library Define CPAP failure? 26:00 Nasal obstruction causing CPAP failure 28:00 Floppy Epiglottis causing Aerophagia? 28:30 Surgery for Aerophagia 29:30 Risks and medical contraindications 33:00 MRI compatibility? 33:30 Surgery description/length 34:30 ICD compatibility? 35:00 Avg Voltage ranges? 37:00 Removing devices 39:00 Recovery time 39:40 Incision size 40:45 Back to the case, parameters for referral 43:00 Drug Induced Sleep Endoscopy (DISE) 43:45 What percentage of patients fail DISE? 47:00 Management after Inspire placement 48:15 Inspire sync: 49:15 Battery life 11 years: 51:00 Explant 51:30 Surgical options other than Inspire 53:15 Does UPPP work? 56:00 What can we expect from surgery? 57:00 When to refer for large tonsils 59:00 Closing comments 1:01:00