Managing wound complications in hypoglossal nerve stimulation: Prevention strategies and criteria for avoiding device explantation
Hypoglossal nerve stimulation is a proven treatment for obstructive sleep apnea, yet its invasive nature raises concerns about wound complications. This case series examines three distinct postoperative scenarios: (1) early infection in a patient with poor glycemic control and inadequate self-care,...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-06-01
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| Series: | Oral and Maxillofacial Surgery Cases |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214541925000136 |
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| author | Kai-Yuan Hsiao Martha Lucía Gutiérrez Pérez Patrícia S. Cé Thomaz Fleury Curado |
| author_facet | Kai-Yuan Hsiao Martha Lucía Gutiérrez Pérez Patrícia S. Cé Thomaz Fleury Curado |
| author_sort | Kai-Yuan Hsiao |
| collection | DOAJ |
| description | Hypoglossal nerve stimulation is a proven treatment for obstructive sleep apnea, yet its invasive nature raises concerns about wound complications. This case series examines three distinct postoperative scenarios: (1) early infection in a patient with poor glycemic control and inadequate self-care, (2) late-stage infection in a patient with prolonged device non-use, and (3) early wound dehiscence caused by nonadherence to postoperative restrictions, successfully managed with a novel wound management protocol that preserved the device. These cases highlight the importance of comprehensive risk assessment, adherence to postoperative guidelines, the control of metabolic diseases and individualized management strategies to preserve device functionality while reducing healthcare costs. Notably, this is the first report demonstrating successful device retention in hypoglossal nerve stimulation despite wound dehiscence. Further studies are essential to refine risk stratification and establish evidence-based treatment protocols for this innovative and increasingly utilized therapy. |
| format | Article |
| id | doaj-art-5319c491d86a4c0d93ebbd627d10bc8b |
| institution | DOAJ |
| issn | 2214-5419 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Oral and Maxillofacial Surgery Cases |
| spelling | doaj-art-5319c491d86a4c0d93ebbd627d10bc8b2025-08-20T03:12:39ZengElsevierOral and Maxillofacial Surgery Cases2214-54192025-06-0111210039810.1016/j.omsc.2025.100398Managing wound complications in hypoglossal nerve stimulation: Prevention strategies and criteria for avoiding device explantationKai-Yuan Hsiao0Martha Lucía Gutiérrez Pérez1Patrícia S. Cé2Thomaz Fleury Curado3Division of Oral and Maxillofacial Surgery, Department of Stomatology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Department of Otolaryngology – Head and Neck Surgery, University Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USAUniversidad El Bosque, Colombian School of Medicine, Otorhinolaryngology Interest Group UEB, Bogotá, ColombiaDivision of Oral and Maxillofacial Surgery, Department of Dentistry, University Hospital, Federal University of Santa Catarina, Brazil; Corresponding author. University Hospital Polydoro Ernani de São Tiago, Delfino Conti Street, Florianópolis / SC 88040-370, Trindade, Brazil.Department of Otolaryngology – Head and Neck Surgery, University Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USAHypoglossal nerve stimulation is a proven treatment for obstructive sleep apnea, yet its invasive nature raises concerns about wound complications. This case series examines three distinct postoperative scenarios: (1) early infection in a patient with poor glycemic control and inadequate self-care, (2) late-stage infection in a patient with prolonged device non-use, and (3) early wound dehiscence caused by nonadherence to postoperative restrictions, successfully managed with a novel wound management protocol that preserved the device. These cases highlight the importance of comprehensive risk assessment, adherence to postoperative guidelines, the control of metabolic diseases and individualized management strategies to preserve device functionality while reducing healthcare costs. Notably, this is the first report demonstrating successful device retention in hypoglossal nerve stimulation despite wound dehiscence. Further studies are essential to refine risk stratification and establish evidence-based treatment protocols for this innovative and increasingly utilized therapy.http://www.sciencedirect.com/science/article/pii/S2214541925000136Device explantationHyperglycemiaHypoglossal nerve stimulationObstructive sleep apneaWound complication |
| spellingShingle | Kai-Yuan Hsiao Martha Lucía Gutiérrez Pérez Patrícia S. Cé Thomaz Fleury Curado Managing wound complications in hypoglossal nerve stimulation: Prevention strategies and criteria for avoiding device explantation Oral and Maxillofacial Surgery Cases Device explantation Hyperglycemia Hypoglossal nerve stimulation Obstructive sleep apnea Wound complication |
| title | Managing wound complications in hypoglossal nerve stimulation: Prevention strategies and criteria for avoiding device explantation |
| title_full | Managing wound complications in hypoglossal nerve stimulation: Prevention strategies and criteria for avoiding device explantation |
| title_fullStr | Managing wound complications in hypoglossal nerve stimulation: Prevention strategies and criteria for avoiding device explantation |
| title_full_unstemmed | Managing wound complications in hypoglossal nerve stimulation: Prevention strategies and criteria for avoiding device explantation |
| title_short | Managing wound complications in hypoglossal nerve stimulation: Prevention strategies and criteria for avoiding device explantation |
| title_sort | managing wound complications in hypoglossal nerve stimulation prevention strategies and criteria for avoiding device explantation |
| topic | Device explantation Hyperglycemia Hypoglossal nerve stimulation Obstructive sleep apnea Wound complication |
| url | http://www.sciencedirect.com/science/article/pii/S2214541925000136 |
| work_keys_str_mv | AT kaiyuanhsiao managingwoundcomplicationsinhypoglossalnervestimulationpreventionstrategiesandcriteriaforavoidingdeviceexplantation AT marthaluciagutierrezperez managingwoundcomplicationsinhypoglossalnervestimulationpreventionstrategiesandcriteriaforavoidingdeviceexplantation AT patriciasce managingwoundcomplicationsinhypoglossalnervestimulationpreventionstrategiesandcriteriaforavoidingdeviceexplantation AT thomazfleurycurado managingwoundcomplicationsinhypoglossalnervestimulationpreventionstrategiesandcriteriaforavoidingdeviceexplantation |