Hypoglossal Nerve Stimulator: A Novel Treatment Approach for OSA - Overview of Treatment, Including Diagnostic and Patient Criteria and Procedural Terminology Codes
Unilateral stimulation of the hypoglossal nerve may result in clinically valuable patency of the upper airway in well-selected patients for treatment of OSA. The Food and Drug Administration has established stringent criteria for the placement of this medical device. The treatment is a consideration...
Gespeichert in:
| Veröffentlicht in: | Chest 2021-10, Vol.160 (4), p.1406-1412 |
|---|---|
| Hauptverfasser: | , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1412 |
|---|---|
| container_issue | 4 |
| container_start_page | 1406 |
| container_title | Chest |
| container_volume | 160 |
| creator | Hassan, Fauziya Kaplish, Neeraj |
| description | Unilateral stimulation of the hypoglossal nerve may result in clinically valuable patency of the upper airway in well-selected patients for treatment of OSA. The Food and Drug Administration has established stringent criteria for the placement of this medical device. The treatment is a consideration among patients who have been nonadherent or intolerant of positive airway pressure therapy, with moderate to severe OSA, and a BMI of ≤ 32 kg/m
. Some of the insurance providers have lowered BMI guidelines to allow implantation in patients with a BMI of |
| doi_str_mv | 10.1016/j.chest.2021.05.039 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_2536468795</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2536468795</sourcerecordid><originalsourceid>FETCH-LOGICAL-p126t-2b358e8aa9182bf5e5a3142c4964835912dbb0aaa7418297a1dc2d2f88cce6b23</originalsourceid><addsrcrecordid>eNpFkM1Kw0AUhQdBrFafQJBZujBxfpI0cVfqL5RWsK7LzeSmjkwycWZS6fv4oEaquLpw-M7h3EPIOWcxZzy7fo_VG_oQCyZ4zNKYyeKAHPNC8kimiRyRE-_fGWOcF9kRGcmEZYLz5Jh8Pe46uzHWezB0gW6L9CXopjcQrLuhU7qwWzR05RBCg22g065zFtQbra2jy5cpjehyO_g0flJb_4NX9KlVpq90u6G3Gjat9UErCm1FnyHon6iZ0wGdhr3orMKqd0ONFbpGt9bYzY7ObIX-lBzWYDye_d4xeb2_W80eo_ny4Wk2nUcdF1mIRCnTHHOAgueirFNMQfJEqKTIklymBRdVWTIAmCQDUEyAV0pUos5zpTArhRyTy33u8OJHP-y5brRXaAy0aHu_FqnMkiyfFOmAXvyifdlgte6cbsDt1n_Lym-8k3yg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2536468795</pqid></control><display><type>article</type><title>Hypoglossal Nerve Stimulator: A Novel Treatment Approach for OSA - Overview of Treatment, Including Diagnostic and Patient Criteria and Procedural Terminology Codes</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Hassan, Fauziya ; Kaplish, Neeraj</creator><creatorcontrib>Hassan, Fauziya ; Kaplish, Neeraj</creatorcontrib><description>Unilateral stimulation of the hypoglossal nerve may result in clinically valuable patency of the upper airway in well-selected patients for treatment of OSA. The Food and Drug Administration has established stringent criteria for the placement of this medical device. The treatment is a consideration among patients who have been nonadherent or intolerant of positive airway pressure therapy, with moderate to severe OSA, and a BMI of ≤ 32 kg/m
. Some of the insurance providers have lowered BMI guidelines to allow implantation in patients with a BMI of < 35 kg/m
. Further, a clinical assessment with sleep endoscopy is available to define proper anatomic features and to determine, based on the results, if the patients are appropriate surgical candidates. Current Procedural Terminology codes that are specific to the placement as well as removal or replacement of the device, or both, are discussed, as well as sleep medicine-related evaluation and management.</description><identifier>EISSN: 1931-3543</identifier><identifier>DOI: 10.1016/j.chest.2021.05.039</identifier><identifier>PMID: 34062114</identifier><language>eng</language><publisher>United States</publisher><subject>Age Factors ; Body Mass Index ; Continuous Positive Airway Pressure ; Current Procedural Terminology ; Electric Stimulation Therapy - methods ; Humans ; Hypoglossal Nerve ; Implantable Neurostimulators ; Laryngoscopy ; Patient Selection ; Severity of Illness Index ; Sleep Apnea, Obstructive - therapy</subject><ispartof>Chest, 2021-10, Vol.160 (4), p.1406-1412</ispartof><rights>Copyright © 2021 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34062114$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hassan, Fauziya</creatorcontrib><creatorcontrib>Kaplish, Neeraj</creatorcontrib><title>Hypoglossal Nerve Stimulator: A Novel Treatment Approach for OSA - Overview of Treatment, Including Diagnostic and Patient Criteria and Procedural Terminology Codes</title><title>Chest</title><addtitle>Chest</addtitle><description>Unilateral stimulation of the hypoglossal nerve may result in clinically valuable patency of the upper airway in well-selected patients for treatment of OSA. The Food and Drug Administration has established stringent criteria for the placement of this medical device. The treatment is a consideration among patients who have been nonadherent or intolerant of positive airway pressure therapy, with moderate to severe OSA, and a BMI of ≤ 32 kg/m
. Some of the insurance providers have lowered BMI guidelines to allow implantation in patients with a BMI of < 35 kg/m
. Further, a clinical assessment with sleep endoscopy is available to define proper anatomic features and to determine, based on the results, if the patients are appropriate surgical candidates. Current Procedural Terminology codes that are specific to the placement as well as removal or replacement of the device, or both, are discussed, as well as sleep medicine-related evaluation and management.</description><subject>Age Factors</subject><subject>Body Mass Index</subject><subject>Continuous Positive Airway Pressure</subject><subject>Current Procedural Terminology</subject><subject>Electric Stimulation Therapy - methods</subject><subject>Humans</subject><subject>Hypoglossal Nerve</subject><subject>Implantable Neurostimulators</subject><subject>Laryngoscopy</subject><subject>Patient Selection</subject><subject>Severity of Illness Index</subject><subject>Sleep Apnea, Obstructive - therapy</subject><issn>1931-3543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkM1Kw0AUhQdBrFafQJBZujBxfpI0cVfqL5RWsK7LzeSmjkwycWZS6fv4oEaquLpw-M7h3EPIOWcxZzy7fo_VG_oQCyZ4zNKYyeKAHPNC8kimiRyRE-_fGWOcF9kRGcmEZYLz5Jh8Pe46uzHWezB0gW6L9CXopjcQrLuhU7qwWzR05RBCg22g065zFtQbra2jy5cpjehyO_g0flJb_4NX9KlVpq90u6G3Gjat9UErCm1FnyHon6iZ0wGdhr3orMKqd0ONFbpGt9bYzY7ObIX-lBzWYDye_d4xeb2_W80eo_ny4Wk2nUcdF1mIRCnTHHOAgueirFNMQfJEqKTIklymBRdVWTIAmCQDUEyAV0pUos5zpTArhRyTy33u8OJHP-y5brRXaAy0aHu_FqnMkiyfFOmAXvyifdlgte6cbsDt1n_Lym-8k3yg</recordid><startdate>202110</startdate><enddate>202110</enddate><creator>Hassan, Fauziya</creator><creator>Kaplish, Neeraj</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>202110</creationdate><title>Hypoglossal Nerve Stimulator: A Novel Treatment Approach for OSA - Overview of Treatment, Including Diagnostic and Patient Criteria and Procedural Terminology Codes</title><author>Hassan, Fauziya ; Kaplish, Neeraj</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p126t-2b358e8aa9182bf5e5a3142c4964835912dbb0aaa7418297a1dc2d2f88cce6b23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Age Factors</topic><topic>Body Mass Index</topic><topic>Continuous Positive Airway Pressure</topic><topic>Current Procedural Terminology</topic><topic>Electric Stimulation Therapy - methods</topic><topic>Humans</topic><topic>Hypoglossal Nerve</topic><topic>Implantable Neurostimulators</topic><topic>Laryngoscopy</topic><topic>Patient Selection</topic><topic>Severity of Illness Index</topic><topic>Sleep Apnea, Obstructive - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hassan, Fauziya</creatorcontrib><creatorcontrib>Kaplish, Neeraj</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Chest</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hassan, Fauziya</au><au>Kaplish, Neeraj</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hypoglossal Nerve Stimulator: A Novel Treatment Approach for OSA - Overview of Treatment, Including Diagnostic and Patient Criteria and Procedural Terminology Codes</atitle><jtitle>Chest</jtitle><addtitle>Chest</addtitle><date>2021-10</date><risdate>2021</risdate><volume>160</volume><issue>4</issue><spage>1406</spage><epage>1412</epage><pages>1406-1412</pages><eissn>1931-3543</eissn><abstract>Unilateral stimulation of the hypoglossal nerve may result in clinically valuable patency of the upper airway in well-selected patients for treatment of OSA. The Food and Drug Administration has established stringent criteria for the placement of this medical device. The treatment is a consideration among patients who have been nonadherent or intolerant of positive airway pressure therapy, with moderate to severe OSA, and a BMI of ≤ 32 kg/m
. Some of the insurance providers have lowered BMI guidelines to allow implantation in patients with a BMI of < 35 kg/m
. Further, a clinical assessment with sleep endoscopy is available to define proper anatomic features and to determine, based on the results, if the patients are appropriate surgical candidates. Current Procedural Terminology codes that are specific to the placement as well as removal or replacement of the device, or both, are discussed, as well as sleep medicine-related evaluation and management.</abstract><cop>United States</cop><pmid>34062114</pmid><doi>10.1016/j.chest.2021.05.039</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | EISSN: 1931-3543 |
| ispartof | Chest, 2021-10, Vol.160 (4), p.1406-1412 |
| issn | 1931-3543 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2536468795 |
| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Age Factors Body Mass Index Continuous Positive Airway Pressure Current Procedural Terminology Electric Stimulation Therapy - methods Humans Hypoglossal Nerve Implantable Neurostimulators Laryngoscopy Patient Selection Severity of Illness Index Sleep Apnea, Obstructive - therapy |
| title | Hypoglossal Nerve Stimulator: A Novel Treatment Approach for OSA - Overview of Treatment, Including Diagnostic and Patient Criteria and Procedural Terminology Codes |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-21T21%3A44%3A22IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Hypoglossal%20Nerve%20Stimulator:%20A%20Novel%20Treatment%20Approach%20for%20OSA%20-%20Overview%20of%20Treatment,%20Including%20Diagnostic%20and%20Patient%20Criteria%20and%20Procedural%20Terminology%20Codes&rft.jtitle=Chest&rft.au=Hassan,%20Fauziya&rft.date=2021-10&rft.volume=160&rft.issue=4&rft.spage=1406&rft.epage=1412&rft.pages=1406-1412&rft.eissn=1931-3543&rft_id=info:doi/10.1016/j.chest.2021.05.039&rft_dat=%3Cproquest_pubme%3E2536468795%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2536468795&rft_id=info:pmid/34062114&rfr_iscdi=true |