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Effect of hypoglossal nerve stimulation on snoring: an evaluation using objective acoustic parameters.
Fischer, René; Vielsmeier, Veronika; Kuehnel, Thomas S; Bohr, Christopher; Hintschich, Constantin A; Spoerl, Steffen; Rohrmeier, Christian.
Afiliación
  • Fischer R; Department of Otorhinolaryngology, University of Regensburg, Regensburg, Germany.
  • Vielsmeier V; Department of Otorhinolaryngology, University of Regensburg, Regensburg, Germany.
  • Kuehnel TS; Department of Otorhinolaryngology, University of Regensburg, Regensburg, Germany.
  • Bohr C; Department of Otorhinolaryngology, University of Regensburg, Regensburg, Germany.
  • Hintschich CA; Department of Otorhinolaryngology, University of Regensburg, Regensburg, Germany.
  • Spoerl S; Department of Oral and Maxillofacial Surgery, University of Regensburg, Regensburg, Germany.
  • Rohrmeier C; Faculty of Medicine, University of Regensburg, Regensburg, Germany.
J Clin Sleep Med ; 20(3): 363-370, 2024 Mar 01.
Article en En | MEDLINE | ID: mdl-38426848
ABSTRACT
STUDY

OBJECTIVES:

Hypoglossal nerve stimulation is an established therapy for sleep apnea syndrome. Whether or not this therapy on snoring and nighttime noise exposure is effective and how strong this effect may be has not been objectively investigated thus far and was the aim of this study.

METHODS:

In 15 participants (14 males; age 30-72 years; mean 51.7 years), polysomnography and acoustic measurements were performed before and after hypoglossal nerve stimulation.

RESULTS:

The therapy led to a significant improvement in sleep apnea (apnea-hypopnea index from 35.8 events/h to 11.2 events/h, P < .001). Acoustic parameters showed a highly significant reduction in the average sound pressure level (42.9 db[A] to 36.4 db[A], P < .001), averaged sound energy, A-weighted (LAeq; 33.1 db[A] to 28.7 db[A], P < .001), snoring index (1,068 to 506, P < .001), percentage snoring time (29.7-14.1%, P < .001), and psychoacoustic snore score, the latter being a measure of annoyance due to snoring (47.9 to 24.5, P < .001).

CONCLUSIONS:

This study was able to show for the first time by means of objective acoustic and psychoacoustic parameters that hypoglossal nerve stimulation can not only cause a significant improvement in sleep apnea but also has a positive effect on snoring and thus noise annoyance experienced by the bed partner. CLINICAL TRIAL REGISTRATION Registry German Clinical Trials Register; Name Effect of Hypoglossal Nerve Stimulation on Snoring An Evaluation Using Objective Acoustic Parameters; URL https//drks.de/search/de/trial/DRKS00032354; Identifier DRKS00032354. CITATION Fischer R, Vielsmeier V, Kuehnel TS, et al. Effect of hypoglossal nerve stimulation on snoring an evaluation using objective acoustic parameters. J Clin Sleep Med. 2024;20(3)363-370.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Síndromes de la Apnea del Sueño / Ronquido Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Clin Sleep Med Año: 2024 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Síndromes de la Apnea del Sueño / Ronquido Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Clin Sleep Med Año: 2024 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Estados Unidos