Evidence map›Paper›PMID 34151387›Full record

ReviewEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2022

Hypoglossal nerve stimulation for obstructive sleep apnea: updated position paper of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery.

Armin Steffen, Clemens Heiser, Wolfgang Galetke, Simon-Dominik Herkenrath, Joachim T Maurer, Eck Günther, Boris A Stuck, Holger Woehrle, Jan Löhler, Winfried Randerath

Open access · hybridAbstract readReviewConsensus Statement
In one paragraph

Review in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Effects of Soft Cervical Collar on Apnea-Hypopnea Index in Patients with Obstructive Sleep Apnea.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Article
  5. Review
  6. Review
  7. Article
  8. Treatment options in obstructive sleep apnea.Internal and emergency medicine · 2022
    Review
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 7 institutions in 1 country.

Armin SteffenDepartment for Otorhinolaryngology, University of Lübeck, Ratzeburger Allee 120, 23538, Lübeck, Germany. armin.steffen@uksh.de.ORCID http://orcid.org/0000-0002-1044-492X
Clemens HeiserWork Group Sleep Surgery of the German Society for Sleep Research and Medicine (DGSM), Schwalmstadt-Treysa, Germany.
Wolfgang GaletkeWork Group Apnea of the German Society for Sleep Research and Medicine (DGSM) (DGSM), Schwalmstadt-Treysa, Germany.
Simon-Dominik HerkenrathWork Group Apnea of the German Society for Sleep Research and Medicine (DGSM) (DGSM), Schwalmstadt-Treysa, Germany.
Joachim T MaurerSleep Medicine Work Group of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery (DGHNO), Bonn, Germany.
Eck GüntherWork Group Sleep Surgery of the German Society for Sleep Research and Medicine (DGSM), Schwalmstadt-Treysa, Germany.
Boris A StuckWork Group Sleep Surgery of the German Society for Sleep Research and Medicine (DGSM), Schwalmstadt-Treysa, Germany.
Holger WoehrleSection 8 Sleep Medicine of the German Respiratory Society (DGP), Berlin, Germany.
Jan LöhlerGerman Professional Association of Ear, Nose, Throat-Physicians (BVHNO), Neumünster, Germany.
Winfried RanderathWork Group Apnea of the German Society for Sleep Research and Medicine (DGSM) (DGSM), Schwalmstadt-Treysa, Germany.
German Respiratory Society · DEUniversity of Cologne · DEHeidelberg University · DEHNO Bad Bramstedt · DEPhilipps University of Marburg · DEStuttgart Observatory · DETechnical University of Munich · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Since the first statement of the German Society of Oto-Rhino-Laryngology, hypoglossal nerve stimulation (HNS) is meanwhile an established treatment option for obstructive sleep apnea (OSA). There are three HNS systems available in Germany which differ in their technical details of the underlying comparable basic principle. For the unilateral HNS with respiratory sensing, several comparative studies, high-volume register analysis and long-term reports exist. The continuous HNS without respiratory sensing does not require a sleep endoscopy for indication. For the bilateral continuous HNS as the single partially implantable device, a feasibility study exists. For indication, the assessment of positive airway pressure failure by sleep medicine is crucial, and the decision for HNS should be made in discussion of other treatment options for at least moderate OSA. The implantation center holds primarily responsibility among the interdisciplinary sleep team and is primary contact for the patient in problems. This depicts why structural processes are required to secure outcome quality and minimize the complications. The aftercare of HNS patients can be provided interdisciplinary and by different medical institutions, whereat, minimal reporting standards to document outcome and usage are recommended.

Indexed as

Electric Stimulation TherapySleep Apnea, ObstructiveEndoscopyHumansHypoglossal NerveSleepCPAP failureDISEHypoglossal nerve stimulationNeurostimulationObstructive sleep apneaSleep endoscopy

Identifiers

PMID34151387
PMCPMC8738404
OpenAlexW3173340353

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.