Identifying Stimulation Lead Malfunction After Hypoglossal Nerve Stimulation Implantion.
Pearl Doan, Megan L Durr, Jolie L Chang
✦ AI-curated · Sources linked
Case in brief
Four patients with obstructive sleep apnea who had undergone hypoglossal nerve stimulation implantation experienced a return of symptoms, including increased snoring and reduced tongue sensation during device activation. Diagnostic impedance testing revealed elevated values on bipolar electrode settings. Following electrode reprogramming, the patients regained therapeutic benefits from the device.
Diagnostic / clinical pearl
Clinicians should consider electrode malfunction in patients with hypoglossal nerve stimulation who report a resurgence of obstructive sleep apnea symptoms after initial improvement.