Sleep Easy. There's new hope for patients suffering from sleep apnea.

Ohio State’s Wexner Medical Center is the only health center in central Ohio offering upper airway stimulation, a new surgical treatment option for patients with obstructive sleep apnea

Initial studies show upper airway stimulation patients have experienced:

  • a significant 78 percent reduction in sleep apnea events
  • reduced snoring, with 85% of bed partners reporting no or soft snoring
  • improved quality of life and daytime functioning

This is an option that works inside your body and with your natural breathing process. It goes where you go, is easy to use and operates silently. It’s ideal for patients who have not responded to or cannot tolerate other sleep apnea treatments, such as CPAP.

How does upper airway stimulation work?
With obstructive sleep apnea, the tongue or other soft tissue may block the airway, creating dangerous breathing problems during sleep. Upper airway stimulation uses an FDA-approved implantable device similar to a pacemaker to deliver mild stimulation to the hypoglossal nerve to prevent the tongue from blocking the airway.

  • During an outpatient surgical procedure that typically lasts 2-3 hours, three small incisions are made:
    • One under the chin to connect a wire (called a lead) to the nerve that controls the tongue
    • One below the collarbone to place the battery
    • One on the patient’s side, between the 4th and 5th rib, to place the sensor wire that monitors breathing
  • The device is not activated for the first month to allow full recovery. Patients may experience mild discomfort the first few days and some scarring, but most report little pain.
  • After one month, the patient returns to their Ohio State Sleep Medicine physician to have the device activated and to set initial stimulation parameters.
  • The patient is then able to turn the device on and off based on their own sleep schedules using a handheld remote. The device can be set to start at a set interval after going to bed (typically 30 minutes), allowing adequate time for the patient to fall asleep naturally.
  • Throughout the night, the device continually monitors the patient’s own unique breathing patterns, issuing stimulation only when the patient inhales which is when sleep apnea events occur.
  • Upon rising, the patient simply turns off the device using the remote.
  • Some patients report mild twitching of the tongue during use, but this can be minimized by adjusting the stimulation settings.
  • A follow-up sleep study helps each patient maximize the device effectiveness and appropriate stimulation levels.
  • The device battery lasts about 11 years and can be replaced when necessary.

Why Choose Ohio State

Ohio State’s Wexner Medical Center ear, nose and throat physicians specialize in surgical and non-surgical treatments for sleep apnea.  We evaluate each patient’s condition and recommend the best treatment option for you. Because Ohio State is an academic medical center, we research and offer new treatments to our patients sooner than other hospitals. Ohio State is recognized by U.S.News & World Report as one of the nation’s best hospitals for treatment of patients with ear, nose and throat disorders, such as sleep apnea.

Frequently Asked Questions

Q: How does the device work?

A: Upper airway stimulation works like a pacemaker treatment for sleep apnea. The surgically implanted device, which consists of three small implanted parts, stimulates key muscles at the base of the tongue to maintain an open airway.  You will feel a mild contraction or tingling sensation when your tongue muscles are stimulated. Through a remote control device, you turn on/off the device before going to/awaking from sleep.

Q: What results have patients experienced after the device is implanted?

A: Clinical trials with the device show that most patients sleep better, snore less and experience improved overall quality of life.

Q: Is the treatment covered by insurance?

A: An FDA approved treatment, the upper airway stimulation procedure is reviewed by insurance companies on a patient by patient basis. You can discuss coverage with your doctor at your consultation appointment.

Q: What is involved in the surgical procedure?

A: The implant procedure is done under general anesthesia. The small generator is surgically inserted into the chest, which is connected with a breathing sensor and stimulation lead in the neck. There will be some swelling at the incision sites for a few days after surgery. You should be able to return to normal non-strenuous activities after surgery.

Q: What monitoring and maintenance of the device is needed after surgery?

A: Following your procedure your Sleep Medicine doctor will work with you to monitor the effects of the implant device to ensure you are getting the maximum benefits.

How the upper airway stimulation therapy works

Image of patient with normal breathing airway

Patient without sleep apnea

If you are breathing normally, your airway remains open while you are sleeping at nighttime.

Image of patient with obstructed breathing airway

Patient with sleep apnea

For patients with sleep apnea, your airway is obstructed at the soft palate, tongue base, or in both locations. This results in lower oxygen levels in the blood, which arouses your brain and body to open the airway. Consequently, your sleep cycle is disrupted many times during the night.

Image of patient with hypoglossal nerve stimulator implanted

Patient with upper airway stimulation

Similar to a pacemaker, the upper airway stimulator is surgically implanted to deliver mild stimulation to key airway muscles to prevent blocked airways during sleep. The device consists of three implanted components including a small generator, breathing sensor lead, and stimulation lead, all controlled with the small handheld sleep remote.

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