{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T16:02:30Z","timestamp":1773331350642,"version":"3.50.1"},"reference-count":23,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T00:00:00Z","timestamp":1772841600000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"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":["Pain Practice"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Upper airway stimulation (UAS) is an emerging neuromodulatory treatment for obstructive sleep apnea (OSA). It involves stimulating the motor fibers of the hypoglossal nerve to prevent airway collapse. Patients with OSA and pain may require radiofrequency ablation (RFA) or electrocautery during surgery. Due to the proximity of UAS leads to cervical facet joints, careful procedural considerations are necessary to prevent complications. This report summarizes best practices for performing RFA or electrocautery in patients with UAS implants, guided by manufacturer safety recommendations and expert consensus statements.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>An elderly patient with OSA, successfully treated with Inspire UAS, and chronic cervical facet\u2010mediated pain presented for repeat cervical RFA. The procedure followed manufacturer safety recommendations, including turning off the UAS device prior to the intervention, positioning the grounding pad to avoid current passage through the implant, maintaining distance from the device leads, and using bipolar RFA. The RFA was performed without complications, and the patient experienced significant pain relief without adverse effects.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This case underscores the importance of thorough preprocedural planning when performing RFA in patients with implanted neuromodulation devices. Adhering to manufacturer guidelines can reduce the risk of device interference and associated complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/papr.70141","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T20:47:11Z","timestamp":1773002831000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Management of a Hypoglossal Nerve, Upper Airway Stimulator in the Pain Patient: Safety Considerations"],"prefix":"10.1111","volume":"26","author":[{"given":"Kenneth B.","family":"Chapman","sequence":"first","affiliation":[{"name":"The Spine &amp; Pain Institute of New York  New York USA"},{"name":"Department of Anesthesiology NYU Langone Health  New York USA"},{"name":"Department of Anesthesiology The Donald and Barbara Zucker School of Medicine at Hofstra\/Northwell  New York USA"},{"name":"Department of Anesthesiology, Pain, and Palliative Medicine Radboud Universiteit  Nijmegen the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven","family":"Yusufov","sequence":"additional","affiliation":[{"name":"The Spine &amp; Pain Institute of New York  New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Casey","family":"Grillo","sequence":"additional","affiliation":[{"name":"The Spine &amp; Pain Institute of New York  New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tariq A.","family":"Yousef","sequence":"additional","affiliation":[{"name":"The Spine &amp; Pain Institute of New York  New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,7]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1308659"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599814544445"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599818762383"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213\u20102600(19)30198\u20105"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13311\u2010021\u201001012\u2010x"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/rapm\u20102021\u2010103031"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.21037\/apm\u201023\u2010520"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.21037\/gpm\u20102020\u2010pfd\u201010"},{"key":"e_1_2_12_10_1","volume-title":"System Implant Manual: Inspire II Implantable Pulse Generator Model 3024, Stimulation Lead Model 4063, Sensing Lead Model 4323","author":"Inspire Medical Systems, Inc","year":"2014"},{"key":"e_1_2_12_11_1","volume-title":"System Implant Manual: Inspire IV Implantable Pulse Generator Model 3028, Stimulation Lead Model 4063, Respiratory Sensing Lead Model 4340","author":"Inspire Medical Systems, Inc","year":"2023"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/papr.13323"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000006604"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.2147\/JPR.S419594"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/papr.12860"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.36076\/ppj.2020\/23\/E335"},{"key":"e_1_2_12_17_1","volume-title":"MRI Guidelines for Generators and Leads. Clinician's Manual","author":"Inspire Medical Systems, Inc","year":"2025"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.27488"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-323-37804-8.00012-2"},{"key":"e_1_2_12_20_1","volume-title":"System Implant Manual: Inspire IV Implantable Pulse Generator Model 3150, Stimulation Lead Model 4063","author":"Inspire Medical Systems, Inc","year":"2025"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.32291"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/papr.12901"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2024.06.3677"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaccas.2021.05.014"}],"container-title":["Pain Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/papr.70141","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/papr.70141","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/papr.70141","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T03:16:30Z","timestamp":1773285390000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/papr.70141"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":23,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1111\/papr.70141"],"URL":"https:\/\/doi.org\/10.1111\/papr.70141","archive":["Portico"],"relation":{},"ISSN":["1530-7085","1533-2500"],"issn-type":[{"value":"1530-7085","type":"print"},{"value":"1533-2500","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"2025-04-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70141"}}