Ultrasonographic Tongue Base Motion Does Not Correlate With Hypoglossal Nerve Stimulation Outcomes
The call for Dr. Nord's practice is no change, with a watch on ultrasound as a research tool. The decision this paper touches is what to make of tongue motion after implantation. Three pieces. First, counseling. I won't tell a patient that a strong forward tongue at activation predicts a great sleep study, or that a modest one predicts failure. This paper gives no basis for either, and the Emory data say the same. Second, titration. There's no support here for using visible or ultrasound motion as a titration target, or for raising amplitude just to make the tongue move more. Motion wasn't…
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