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Hypoglossal Nerve Stimulator

Russel Kahmke, MD¹; Adam Honeybrook, MBBS¹; Clayton Wyland²; C. Scott Brown, MD¹
¹ Department of Head and Neck Surgery & Communication Sciences, Duke University Medical Center
² Lake Erie College of Osteopathic Medicine

Tags: Otolaryngology

Main Text Procedure Outline Transcript Comments

Table of Contents

1. Electrode Placement
2. External Anatomy
3. Hypoglossal Nerve Exposure and Identification
4. Hypoglossal Nerve Branch Identification
5. Coupling of Inclusion Nerve Branch
6. Generator Pocket
7. Breathing Sensor Lead
8. Tunnel from Generator to Breathing Sensor Lead
9. Tunnel from Generator to Stimulation Lead
10. Connect Leads to Generator
11. Test System
12. Secure Generator and Check for Hemostasis

1. Electrode Placement

2. External Anatomy

3. Hypoglossal Nerve Exposure and Identification

Identify Anterior Border of Submandibular Gland
Isolate Anterior Belly of the Digastric Muscle
Identify Posterior Aspect of the Mylohyoid Muscle
Control Ranine Vein

4. Hypoglossal Nerve Branch Identification

5. Coupling of Inclusion Nerve Branch

Secure Stimulation Lead

6. Generator Pocket

7. Breathing Sensor Lead

8. Tunnel from Generator to Breathing Sensor Lead

9. Tunnel from Generator to Stimulation Lead

10. Connect Leads to Generator

11. Test System

12. Secure Generator and Check for Hemostasis

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Authors

Author Russel Kahmke, MD

Russel Kahmke, MD

Adam Honeybrook, MBBS

Author Clayton Wyland

Author C. Scott Brown, MD

C. Scott Brown, MD

Filmed At:Duke University Medical Center

Article Information

Publication Date	8/30/2023
Article ID	246
Production ID	0246
Volume	2023
Issue	246
DOI
https://doi.org/10.24296/jomi/246