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Paul Trethewey
Unread post  Post subject: Targeted Hypoglossal Neurostimulation (THN)  |  Posted: Sat Mar 30, 2013 7:51 pm

Joined: Tue Aug 30, 2011 8:17 pm
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Targeted Hypoglossal Neurostimulation (THN) is a rather high tech and obviously high cost alternative to CPAP. It is an implant, similar to a heart pacemaker, that makes a little electrical signal to the hypoglossal nerve and the muscle that keeps the tongue from collapsing and closing off the throat. There is a company in Belgium, ImThera, that is claiming great success with this. There are also two companies in the US, in Minnesota, who are working on getting FDA approval for a similar device. I think the idea is that the electronic control unit for this only activates when needed, according to some sort of respiration monitor. I think the Belgian unit just stimulates the tongue muscle continually -- the shotgun approach. ImThera seemed farther along in the development of the product, so I contacted them to ask what the cost would be: About $30,000, and not approved for sale in the USA. That slowed me down quite a bit. The positive side of the ledger would be that it is unobtrusive, silent, and ostensibly effective. Might be worth the cost of a trip to Belgium, but they said, in effect, "This doesn't work for everybody. Your mileage may vary."

So, technically, this is surgery; they cut you open; but it's not to carve away part of your throat, and there is not the same degree of pain and suffering associated with some of the other more barbaric techniques.


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TheLankyLefty
Unread post  Post subject: Re: Targeted Hypoglossal Neurostimulation (THN)  |  Posted: Sat Mar 30, 2013 11:02 pm
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Joined: Mon Aug 15, 2011 10:22 am
Posts: 4584
PAP Mask: Practically tried them all.
PAP Machine: Use Phillips Respironics System One APAP with Aflex for mask testing
Humidifier: None
Pressure Setting: When testing, I use APAP with a range of 5-10

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This method is rough. It still requires titration. Need enough nerve zapping to hold the airway open, but not too much that it keeps you awake. I would hold off on this one. The most successful surgery for sleep apnea is mandibular advancement. (with regards to lowering AHI and RDI) Correcting a deviated septum as well.

Those may be worth exploring if you are set against using CPAP.

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