Treatment of obstructive sleep apnea after chemoradiation therapy for advanced head and neck cancer.

Autor: Paquin R; Department of Otolaryngology, Head and Neck Surgery, Augusta University, Augusta, Georgia, USA., Lee KT; Emory University, Atlanta, Georgia, USA. Electronic address: kulee@augusta.edu., Reyes C; Department of Otolaryngology, Head and Neck Surgery, Augusta University, Augusta, Georgia, USA., Byrd JK; Department of Otolaryngology, Head and Neck Surgery, Augusta University, Augusta, Georgia, USA.
Jazyk: angličtina
Zdroj: International journal of oral and maxillofacial surgery [Int J Oral Maxillofac Surg] 2024 May; Vol. 53 (5), pp. 364-367. Date of Electronic Publication: 2023 Mar 27.
DOI: 10.1016/j.ijom.2023.03.004
Abstrakt: This report presents a case of worsening obstructive sleep apnea (OSA) post-chemoradiation therapy that improved significantly after placement of a hypoglossal nerve stimulator. The patient was a 66-year-old male, diagnosed with head and neck cancer, who experienced exacerbation of OSA after receiving chemoradiation. A hypoglossal nerve stimulator was placed, with minimal complications. The patient showed a significant improvement in OSA as exhibited by the reduction in apnea-hypopnea index. Hypoglossal nerve stimulator placement appears to be a potential treatment option for induced or worsened OSA, which is a known complication of head and neck cancer treatment. When considering treatment options, upper airway stimulation is indeed a possible method in patients who meet the recommended guideline criteria.
(Copyright © 2023 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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