{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T20:40:16Z","timestamp":1768423216984,"version":"3.49.0"},"reference-count":37,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Laryngorhinootologie"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Die Stimulation des Nervus hypoglossus (HNS) zur Behandlung der obstruktiven Schlafapnoe (OSA) hat seit der ersten Stellungnahme der Arbeitsgemeinschaft Schlafmedizin der Deutschen Gesellschaft f\u00fcr Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie (DGHNO) einen festen Stellenwert erhalten. Die vorhandenen 3 Systeme unterscheiden sich in der technischen Ausgestaltung des \u00e4hnlichen Grundprinzips. F\u00fcr die unilaterale atmungsgesteuerte HNS existieren hier mehrere Vergleichsstudien, Registeranalysen mit 4-stelligen Patientenzahlen und mehrj\u00e4hrigen Nachsorgeergebnissen. Die kontinuierliche HNS verzichtet auf die Atmungserkennung, und im Gegensatz zum atmungsgesteuerten HNS ist eine Schlafendoskopie zur Indikationsstellung nicht notwendig. Die bilaterale kontinuierliche HNS ist als einziges Verfahren teilimplantierbar; hierzu liegen erste Machbarkeitsstudien vor. Wesentlich f\u00fcr die Indikation ist die mit schlafmedizinischer Expertise beurteilte Non-Adh\u00e4renz der \u00dcberdrucktherapie bei einer mindestens mittelgradigen OSA in individueller Abw\u00e4gung von weiteren Therapieoptionen. Die implantierende Klinik steht im Mittelpunkt der interdisziplin\u00e4ren Therapieverantwortung und ist bei Therapieproblemen Hauptansprechpartner. Dies erkl\u00e4rt die strukturellen Anforderungen zur Sicherung der Ergebnisqualit\u00e4t und Minimierung von Komplikationen. Die Nachsorge der HNS-versorgten Patienten kann sehr gut sektoren- und fachdisziplin\u00fcbergreifend erfolgen, wobei Mindestangaben zur Behandlungswirkung und Nutzung dokumentiert werden sollten.<\/jats:p>","DOI":"10.1055\/a-1327-1343","type":"journal-article","created":{"date-parts":[[2020,12,14]],"date-time":"2020-12-14T23:59:12Z","timestamp":1607990352000},"page":"15-20","source":"Crossref","is-referenced-by-count":15,"title":["Die Stimulation des Nervus hypoglossus in der Behandlung der\u00a0obstruktiven Schlafapnoe \u2013 Aktualisiertes Positionspapier der Arbeitsgemeinschaft Schlafmedizin der DGHNO-KHC"],"prefix":"10.1055","volume":"100","author":[{"given":"Armin","family":"Steffen","sequence":"additional","affiliation":[{"name":"F\u00fcr die Arbeitsgemeinschaft Schlafmedizin der Deutschen Gesellschaft f\u00fcr Hals-Nasen-Ohrenheilkunde, Kopf-\u00a0und\u00a0Hals-Chirurgie e.\u200aV. (DGHNO), Bonn"},{"name":"Klinik f\u00fcr Hals-, Nasen- und Ohrenheilkunde, Phoniatrie und P\u00e4daudiologie, UKSH Campus L\u00fcbeck"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clemens","family":"Heiser","sequence":"additional","affiliation":[{"name":"F\u00fcr die Arbeitsgruppe Chirurgische Therapieverfahren der\u00a0Deutschen Gesellschaft f\u00fcr Schlafforschung und Schlafmedizin e.\u200aV. (DGSM), Schwalmstadt-Treysa"},{"name":"Klinik und Poliklinik f\u00fcr Hals-, Nasen- und Ohrenheilkunde, Klinikum rechts der Isar der Technischen Universit\u00e4t M\u00fcnchen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wolfgang","family":"Galetke","sequence":"additional","affiliation":[{"name":"F\u00fcr die Arbeitsgruppe Apnoe der Deutschen Gesellschaft f\u00fcr Schlafforschung und Schlafmedizin e.\u200aV. (DGSM), Schwalmstadt-Treysa"},{"name":"Klinik f\u00fcr Pneumologie, VAMED Klinik Hagen-Ambrock"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon-Dominik","family":"Herkenrath","sequence":"additional","affiliation":[{"name":"F\u00fcr die Arbeitsgruppe Apnoe der Deutschen Gesellschaft f\u00fcr Schlafforschung und Schlafmedizin e.\u200aV. (DGSM), Schwalmstadt-Treysa"},{"name":"Klinik f\u00fcr Pneumologie, Krankenhaus Bethanien gGmbH, Solingen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joachim T.","family":"Maurer","sequence":"additional","affiliation":[{"name":"F\u00fcr die Arbeitsgemeinschaft Schlafmedizin der Deutschen Gesellschaft f\u00fcr Hals-Nasen-Ohrenheilkunde, Kopf-\u00a0und\u00a0Hals-Chirurgie e.\u200aV. (DGHNO), Bonn"},{"name":"Klinik f\u00fcr Hals-Nasen-Ohrenheilkunde, Kopf- und Hals-Chirurgie, Universit\u00e4tsmedizin Mannheim"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00fcnther","family":"Eck","sequence":"additional","affiliation":[{"name":"F\u00fcr die Arbeitsgruppe Chirurgische Therapieverfahren der\u00a0Deutschen Gesellschaft f\u00fcr Schlafforschung und Schlafmedizin e.\u200aV. (DGSM), Schwalmstadt-Treysa"},{"name":"Praxis f\u00fcr HNO-Heilkunde, Stuttgart"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Holger","family":"Woehrle","sequence":"additional","affiliation":[{"name":"F\u00fcr die Sektion 8 Schlafmedizin der Deutschen Gesellschaft f\u00fcr Pneumologie e.\u200aV. (DGP), Berlin"},{"name":"F\u00fcr den Bundesverband der Pneumologen, Schlaf- und\u00a0Beatmungsmediziner e.\u200aV. (BdP), Heidenheim"},{"name":"Schlaf- und Beatmungszentrum, Lungenzentrum Ulm"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"L\u00f6hler","sequence":"additional","affiliation":[{"name":"F\u00fcr den Deutschen Berufsverband der Hals-Nasen-Ohren\u00e4rzte e.\u200aV. (BVHNO), Neum\u00fcnster"},{"name":"Wissenschaftliches Institut f\u00fcr angewandte HNO-Heilkunde (WIAHNO), Bad Bramstedt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Winfried","family":"Randerath","sequence":"additional","affiliation":[{"name":"F\u00fcr die Arbeitsgruppe Apnoe der Deutschen Gesellschaft f\u00fcr Schlafforschung und Schlafmedizin e.\u200aV. 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