Hypoglossal Nerve Stimulator Implantation via a Two-Incision Technique

A hypoglossal nerve stimulator currently available for clinical use requires three incisions to implant three separate components. A substantial modification to operative technique described herein moves the device's respiratory sensing lead from the fifth to the second intercostal space, now inserting it transpectorally through the same incision used for the implantable pulse generator. Elimination of a third incision and second lead tunneling procedure minimizes the risk of breast and chest wall injury, reduces operative time, and decreases postoperative pain.

Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - July 2, 2020 Category: ENT & OMF Authors: David T. Kent, Jordan S. Weiner, Eugene G. Chio, Mark Weidenbecher Source Type: research