CC BY-NC-ND 4.0 · Laryngorhinootologie 2019; 98(S 02): S191-S192
DOI: 10.1055/s-0039-1686806
Abstracts
Sleeping Disorders

The tongue force and endurance of patients with obstructive sleep apnea with CPAP therapy and patients with upper airway stimulation

F von Meyer
1   Klinikum rechts der Isar, München
,
C Heiser
1   Klinikum rechts der Isar, München
,
D Unterhuber
1   Klinikum rechts der Isar, München
,
B Hofauer
1   Klinikum rechts der Isar, München
,
Z Zhu
1   Klinikum rechts der Isar, München
,
M Wirth
1   Klinikum rechts der Isar, München
› Author Affiliations
 

Introduction:

The upper airway stimulation (UAS) represents an effective alternative therapy for patients suffering from obstructive sleep apnea (OSA) who are unable to use CPAP therapy. The aim was to analyze whether the implantation of the UAS has an impact on the tongue force and endurance of OSA patients.

Methods:

The measurement of the tongue force (in kPa) and tongue endurance (in s) was performed using the Iowa Oral Performance Instrument (Washington, USA). The study was performed in OSA patients with CPAP therapy and OSA patients after implantation of a UAS (Inspire Medical Systems, Maple Grove, USA). The measurement was carried out 1 – 6 months (≤M6), 12 months (M12) or more than 24 months (≥M24) after implantation. Nine patients received a measurement of the tongue force and endurance before as well as after activation of the UAS.

Results:

The mean tongue force of OSA patients with CPAP therapy (n = 46) was 54,5 ± 13,6 kPa, those of patients 1 – 6 months after implantation (n = 12) 54,4 ± 8,9 kPa, those at M12 (n = 8) 52,9 ± 12,2 kPa and at ≥M24 (n = 11) 55,6 ± 12,8 kPa. The average tongue endurance of OSA patients with CPAP therapy was 22,3 ± 7,9 s. The mean tongue endurance after implantation was 20,3 ± 6,7 s at ≤M6, 21,9 ± 9,9 s at M12 and 20,3 ± 5,9 s at ≥M24. After activation of the UAS (n = 9) an increase of the tongue endurance from 19,8 s (+/- SD 9,2) to 21,2 s (+/-SD 3,7) could be measured.

Conclusions:

The tongue force and tongue endurance do not differ between OSA patients with CPAP therapy and patients with an UAS.



Publication History

Publication Date:
23 April 2019 (online)

© 2019. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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