Hypoglossal Nerve Stimulation Therapy: Techniques to Simplify Surgery and Improve Results

PROGRAM DESCRIPTION: The lecture will help new Hypoglossal Nerve Stimulation (HGNS) surgeons improve their technique and achieve consistent results. The seminar will review the surgical procedure from beginning to end with the experts explaining their approach to each step. The presenters will share lessons learned after hundreds of procedures. Complications will be discussed and will focus on corrections and avoidance measures. The key steps would be presented with video, illustrations and comments. The following steps will be included:
• Suggested instrumentation
• Identifying the marginal mandibular nerve
• Early identification of the submandibular gland and the digastric tendon
• Retraction of the mylohyoid
• Anatomy of the lingual nerve
• Management of the ranine veins
• Technique for nerve dissection
• Dealing with C1
• Simplified pectoral dissection
• External intercostal identification with sensor placement
• Tunneling
The following problems will be discussed:
• NIMS Noise: causes and corrections
• Tunnel bleeding
• The Invisible external intercostals
• The unhappy tongue
• Poor respiratory waveform
• Neuropraxia.