{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T10:39:57Z","timestamp":1761302397916,"version":"build-2065373602"},"reference-count":28,"publisher":"Springer Science and Business Media LLC","issue":"11","license":[{"start":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:00:00Z","timestamp":1756339200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"},{"start":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:00:00Z","timestamp":1756339200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"}],"funder":[{"name":"Universit\u00e4tsklinikum Hamburg-Eppendorf (UKE)"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["HNO"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Einleitung<\/jats:title>\n                    <jats:p>Die Implantation des atmungsabh\u00e4ngigen unilateralen Zungenschrittmachers erfordert bislang den pr\u00e4operativen Ausschluss eines komplett konzentrischen Velopharynxkollaps (CCC) in der Schlafendoskopie (\u201edrug-induced sleep endoscopy\u201c, DISE). Dies stellt das durchf\u00fchrende Implantationsteam vor gewisse logistische und betriebswirtschaftliche Herausforderungen. Um hier einen patientenfreundlichen sowie kosten- und zeiteffizienten Ablauf zu generieren, wurde das Eppendorfer DISE-Konzept entwickelt.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material und Methoden<\/jats:title>\n                    <jats:p>Wir f\u00fchrten eine retrospektive Analyse von Patienten mit Zungenschrittmachern durch, die pr\u00e4operativ mittels M\u00fcller-Man\u00f6vers und simulierten Schnarchens im Liegen transnasal flexibelendoskopisch hinsichtlich eines CCC untersucht wurden. Bei unauff\u00e4lligem Befund ohne Hinweise auf einen CCC wurde die DISE unmittelbar vor der Implantation des Zungenschrittmachers im selben Eingriff durchgef\u00fchrt.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>\n                      Es wurden insgesamt\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u200928\u00a0Patienten untersucht. Hierbei zeigte sich bei 7,9\u202f% ein auff\u00e4lliger Befund im M\u00fcller-Man\u00f6ver bzw. beim simulierten Schnarchen. Diese Patienten zeigten in der DISE einen CCC. Bei unauff\u00e4lligem M\u00fcller-Man\u00f6ver zeigte sich auch in der DISE kein Anhalt f\u00fcr einen CCC. Somit lagen eine Sensitivit\u00e4t und eine Spezifit\u00e4t von jeweils 100\u202f% vor. Gleiches gilt f\u00fcr den positiven bzw. negativen pr\u00e4diktiven Wert. Somit kann eine direkte Abh\u00e4ngigkeit des M\u00fcller-Man\u00f6vers vom velopharyngealen DISE-Befund gesehen werden (exakter Test nach Fisher: 0,0026;\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&lt;\u20090,05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Schlussfolgerung<\/jats:title>\n                    <jats:p>Das Eppendorfer DISE-Konzept erweist sich als zuverl\u00e4ssige Methode, um einen CCC patientenorientiert sowie kosten- und zeiteffizient auszuschlie\u00dfen. Ob der CCC weiterhin ein Ausschlusskriterium f\u00fcr die unilaterale atmungsabh\u00e4ngige Zungenschrittmacherimplantation bleibt, bleibt abzuwarten.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00106-025-01655-8","type":"journal-article","created":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T13:42:00Z","timestamp":1756388520000},"page":"787-792","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effiziente Planung der Schlafendoskopie vor atmungsabh\u00e4ngiger unilateraler Zungenschrittmacherimplantation","Efficient sleep endoscopy planning prior to breathing-dependent unilateral hypoglossal nerve stimulation"],"prefix":"10.1007","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8996-978X","authenticated-orcid":false,"given":"Arne","family":"B\u00f6ttcher","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Schmitz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda J.","family":"Vo\u00df","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian S.","family":"Betz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacob F.","family":"Clausen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,8,28]]},"reference":[{"issue":"1","key":"1655_CR1","doi-asserted-by":"publisher","first-page":"194","DOI":"10.1177\/0194599818762383","volume":"159","author":"BT Woodson","year":"2018","unstructured":"Woodson\u00a0BT, Strohl\u00a0KP, Soose\u00a0RJ, Gillespie\u00a0MB, Maurer\u00a0JT, de Vries\u00a0N, Padhya\u00a0TA, Badr\u00a0MS, Lin\u00a0HS, Vanderveken\u00a0OM, Mickelson\u00a0S, Strollo\u00a0PJ Jr (2018) Upper airway stimulation for obstructive sleep apnea: 5\u2011year outcomes. 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