{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T12:15:45Z","timestamp":1788437745610,"version":"build-2803163510"},"reference-count":23,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T00:00:00Z","timestamp":1788393600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T00:00:00Z","timestamp":1788393600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Laryngoscope Investig Oto"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective(s)<\/jats:title>\n                    <jats:p>Hypoglossal nerve stimulation (HNS) is an effective therapy for obstructive sleep apnea (OSA), but its potential auditory side effects are not well studied. This study aims to determine the baseline prevalence of tinnitus in Inspire recipients and assess and characterize new auditory perceptions occurring specifically during device activation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cohort study was conducted using a scripted telephone survey to collect patient\u2010reported outcomes from individuals who received HNS therapy for OSA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 70 HNS recipients surveyed, 17.1% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200912) reported auditory perceptions occurring specifically during device activation. Patients with preexisting tinnitus were not more likely to report device\u2010related auditory perceptions compared with patients with no history (22.2% vs. 15.4%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.53), suggesting that preexisting tinnitus does not predispose patients to perceive device activation. No significant associations were found between device\u2010related auditory perceptions and age (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.387), BMI (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.876), device amplitude (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.427), or stimulation frequency (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20091).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In this population, patient demographics and device settings were not predictive of auditory perception onset. A notable percentage of HNS patients reported new stimulation\u2010related auditory sensations unrelated to demographic or device factors. These findings highlight an underrecognized outcome and support increased surveillance and counseling regarding auditory symptoms after HNS implantation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lio2.70550","type":"journal-article","created":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T11:33:19Z","timestamp":1788435199000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Auditory Perceptions Associated With Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6059-2146","authenticated-orcid":false,"given":"Andrew","family":"Belilos","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Virginia Commonwealth University Medical Center  Richmond Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-6746-4824","authenticated-orcid":false,"given":"Iman","family":"Adibi","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Virginia Commonwealth University Medical Center  Richmond Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aaron","family":"Tucker","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Virginia Commonwealth University Medical Center  Richmond Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3396-0115","authenticated-orcid":false,"given":"Arman","family":"Saeedi","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Virginia Commonwealth University Medical Center  Richmond Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alyssa","family":"Calder","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Virginia Commonwealth University Medical Center  Richmond Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9408-3799","authenticated-orcid":false,"given":"Lawrance","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Virginia Commonwealth University Medical Center  Richmond Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6415-8948","authenticated-orcid":false,"given":"Ryan","family":"Nord","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Virginia Commonwealth University Medical Center  Richmond Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,3]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"crossref","first-page":"2","DOI":"10.3949\/ccjm.86.s1.02","article-title":"Obstructive Sleep Apnea Basics","volume":"86","author":"Rundo J. 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