Oropharyngeal Lateral Wall Collapse on Drug-Induced Sleep Endoscopy as a Predictor of Hypoglossal Nerve Stimulation Response in Obstructive Sleep Apnoea-A Systematic Review
So, what does this systematic review mean for our clinical practice? In terms of an explicit call: watch. There is no change to our implant candidacy gate, but we must maintain a close watch on emerging trials of concurrent pharyngeal reconstruction. Let us break down the exact decisions affected in clinic and the operating room. First, candidate counseling. When I perform drug-induced sleep endoscopy on an Inspire candidate and observe complete oropharyngeal lateral wall collapse, I do not deny them surgery. Complete concentric collapse at the soft palate remains our only absolute anatomical…
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