双侧舌下神经刺激系统的术后放射学评估
Post-operative radiological evaluation of a bilateral hypoglossal nerve stimulation system.
文献信息
| PMID | 42712560 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | A Kilgue |
| 作者单位 | Department of Otolaryngology, Head and Neck Surgery, Faculty of Medicine OWL, Bielefeld University, Klinikum Bielefeld Mitte, Bielefeld, Germany. |
| 期刊 | Frontiers in surgery |
| SCI 分区 | Q2 |
| IF | 2.1 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 耳科 |
中文摘要
引言： 舌下神经刺激植入物是治疗阻塞性睡眠呼吸暂停（OSA）的二线选择。与其他植入物类似，术后位置评估可作为手术过程的质量控制措施，并作为未来调整的参考。此外，伪影对邻近结构评估的影响可能具有临床重要性。本研究旨在评估双侧舌下神经刺激装置的术后放射学位置植入控制及伪影。
材料和方法： 我们回顾性评估了11例患者在植入双侧舌下神经刺激装置后第一天的放射学影像。使用了多种放射学成像程序：8次CT扫描（矢状面和轴状面）和11次X射线检查。对放射学影像进行了关于植入物位置、解剖结构和伪影的分析。患者年龄范围为59至87岁（平均69.1岁；标准差9.1岁）。
结果： X射线图像的评估未发现影响术后位置控制诊断准确性的伪影。相比之下，CT图像在冠状面、矢状面和轴状面显示伪影，使放射学评估更加困难。我们观察到装置位置的变化，但未对功能产生任何影响。在11例中有8例发现定义的桨叶对称性。
结论： 建议对双侧舌下神经刺激器进行术后放射学监测。可发现装置位置的变化。
英文摘要
INTRODUCTION: Hypoglossus stimulation implants are a second-line option for the treatment of obstructive sleep apnea (OSA). Similar to other implants, postoperative positional evaluation serves as a quality control measure for the surgical procedure and as a reference for future adjustments. Furthermore, the impact of artifacts on the assessment of the adjacent structures might be of clinical importance. This study aimed to evaluate postoperative radiological positional implant control and artifacts of a bilateral hypoglossal nerve stimulation device.
MATERIAL AND METHODS: We retrospectively evaluated radiological imaging of 11 patients on the first day after implantation of a bilateral nervus hypoglossus stimulation device. A variety of radiological imaging procedures were utilized: 8 CT scans (in sagittal and axial planes) and 11 x-ray examinations. Radiological imaging was analyzed regarding the position of the implant, anatomy, and artifacts. The age range of patients varied from 59 to 87 years (mean 69.1 years; SD 9.1 years).
RESULTS: Evaluation of x-ray images did not reveal artifacts that affected the diagnostic accuracy of postoperative position control. In contrast, CT images showed artifacts in the coronal, sagittal, and axial planes, making radiological assessment more difficult. We observed a variation of device position without any effect on functionality. Defined paddle symmetry was found in 8 out of 11 cases.
CONCLUSION: Postoperative radiologic monitoring of a bilateral hypoglossal nerve stimulator is recommended. A variation of device position could be found.