Predicting Candidacy for Unilateral Hypoglossal Nerve Stimulation Without Drug-Induced Sleep Endoscopy.

ABSTRACT:

Objective

Patients undergo a drug-induced sleep endoscopy before unilateral hypoglossal nerve stimulation. This study aims to reduce the need for preoperative drug-induced sleep endoscopy by predicting favorable collapse patterns at the velum based on clinical examination and sleep study data.

Study design

A retrospective cohort study.

Setting

A single-center trial.

Methods

Drug-induced sleep endoscopy recordings were scored by a blinded rater, and the palatal collapse pattern was classified as favorable (no or anterior-posterior) or unfavorable (lateral or concentric), irrespective of collapse degree. Logistic regression models were constructed using clinical examination and sleep data to predict palatal collapse patterns. Model performance was assessed using

SUBMITTER: Tschopp S 

PROVIDER: S-EPMC11924808 | biostudies-literature | 2025 Jan-Mar

REPOSITORIES: biostudies-literature