A study of the new generation of the advance system tongue implants: Three‐ and six‐month effects of tongue to mandible tethering for obstructive sleep apnea

Pavelec, Vaclav; Hamans, Evert; Stuck, Boris A.

doi:10.1002/lary.22173

Cited by 14 publications

(12 citation statements)

References 16 publications

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“…There are also implantable systems. One of these systems is a tongue advancing device incorporated into the tongue base, which can be adjusted postoperatively [17,41,58]. Again, the system was successful in some patients, but other patients experienced mechanical side effects or damages of the implanted system.…”

Section: Introductionmentioning

confidence: 99%

“…Again, the system was successful in some patients, but other patients experienced mechanical side effects or damages of the implanted system. These damages were probably due to the high mechanical stress caused by the tongue movements and forces [41,58]. Tongue retention systems have also been brought up with different anchor, suture or ligament techniques.…”

Section: Introductionmentioning

confidence: 99%

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Maximum isometric tongue force in patients with obstructive sleep apnoea

Birk

Stuck

Maurer

et al. 2020

Eur Arch Otorhinolaryngol

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Background Obstructive sleep apnea (OSA) is a sleep disorder with a prevalence of 9–38%. The underlying pathology in OSA is a collapse of the upper airway. Especially in more severely affected patients, this collapse is often located at the level of the tongue base. Therefore, various implantable systems (anchors and ligament techniques) were developed to prevent or overcome this collapse. These systems are exposed to various forces. Different models have been developed to measure these forces and data comparing forces in healthy individuals with OSA patients are rare. Purpose Purpose of the study was to evaluate possible differences in tongue forces between healthy individuals and patients with OSA. Method To evaluate maximum isometric tongue forces, we conducted a matched pair design study including 20 healthy individuals and 20 patients suffering from OSA. Maximum isometric tongue forces were measured in an anterior/posterior direction with the help of self-designed new device that clamps the tongue. Results We could show that the maximum isometric force does not differ significantly in healthy individuals (10.7 ± 5.2N) from patients with OSA (14.4 ± 6.3N). Conclusion Currently there are no indications that maximum isometric tongue force does differ in healthy individuals and patients with OSA. Higher, as well as lower, tongue forces in patients with OSA seem not to differ from healthy subjects and therefore may not be needed to consider, in the development of tongue management devices, for OSA patients.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Maximum isometric tongue force in patients with obstructive sleep apnoea

Birk

Stuck

Maurer

et al. 2020

Eur Arch Otorhinolaryngol

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“…This device was reviewed in three trials conducted by Hamas et al, 58 Woodson et al, 59 and Pavelec. 60 This device is not currently available for use due to breakage of the anchor over time. The Encore System (Siesta Medical) is a newer adjustable and multilevel tongue suspension device.…”

Section: Discussionmentioning

confidence: 99%

Tongue suspension

et al. 2013

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“…Unfortunately, the initial Advance system had an issue with delayed breakage of the tongue tissue anchor and is not available for use in the United States. A new improved tongue tissue anchor Advance II system appears to have solved the breakage problem (8) and may become clinically available in the future.…”

Section: Patient Selectionmentioning

confidence: 99%