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Panel Presentations

Sleep Medicine

The Surgeon's Role for Nonresponders to Hypoglossal Nerve Stimulation

Saturday, September 28, 2024
2:30 PM – 3:30 PM EDT
Location: MBCC, 238-239
CME/MOC Credit: 1
Disclosure(s):
Eric J. Kezirian, MD MPH:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

Raj C. Dedhia, MD, MSCR:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

Clemens Heiser, MD, PhD:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

Maria V. Suurna, MD:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

PROGRAM DESCRIPTION: Hypoglossal nerve stimulation is an important treatment option for obstructive sleep apnea, and its use is growing wordwide. Treatment success occurs in 60-70% of implanted patients, but this still leaves many patients classified as nonresponders. While sleep medicine providers often assume a primary role in the initial care of patients treated with hypoglossal nerve stimulation, surgeons can play a key role in evaluation and additional treatment for nonresponders.
This interactive session will utilize cases and the audience response system, discussing the underlying anatomic and non-anatomic mechanisms for nonresponse as the basis for guiding treatment. The session will combine existing research with expert opinion and experience to provide attendees with a framework for making treatment decisions. The session will specifically address strategies to guide identification of more- and less-favorables candidates prior to surgery (to reduce the likelihood of nonresponders) and the therapeutic role of changes in hypoglossal nerve stimulation system system settings, additional pharyngeal surgery, and other conservative options (including medications, positional therapy, and weight loss).

Learning Objectives:

  1. Recognize the most common anatomic and non-anatomic mechanisms for nonresponse to hypoglossal nerve stimulation.
  2. Understand the potential treatment options for nonresponse.
  3. Implement a framework that incorporates identification of the mechanism of nonresponse and treatment options.

    Moderator(s)

  • EK

    Eric J. Kezirian, MD, MPH

    Professor-in-Residence
    UCLA Head and Neck Surgery
    Los Angeles, California, United States

    Disclosure(s):

    faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

    • Panelist(s)

  • RD

    Raj C. Dedhia, MD, MSCR

    Associate Professor of Otorhinolaryngology & Medicine
    University of Pennsylvania
    Philadelphia, PA, United States

    Disclosure(s):

    faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

  • Clemens Heiser, MD, PhD

    Professor and ENT, Head and Neck Surgeon
    Technical University of Munich
    Munich, Bayern, Germany

    Disclosure(s):

    faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

  • Maria V. Suurna, MD

    Professor
    University of Miami
    Miami, FL, United States

    Disclosure(s):

    faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.