Treatment of obstructive sleep apnea after chemoradiation therapy for advanced head and neck cancer

R. Paquin; K. T. Lee; C. Reyes; J. K. Byrd

doi:10.1016/j.ijom.2023.03.004

Treatment of obstructive sleep apnea after chemoradiation therapy for advanced head and neck cancer

R. Paquin, K. T. Lee, C. Reyes, J. K. Byrd

Research output: Contribution to journal › Article › peer-review

Abstract

This report presents a case of worsening obstructive sleep apnea (OSA) post-chemoradiation therapy that improved significantly after placement of a hypoglossal nerve stimulator. The patient was a 66-year-old male, diagnosed with head and neck cancer, who experienced exacerbation of OSA after receiving chemoradiation. A hypoglossal nerve stimulator was placed, with minimal complications. The patient showed a significant improvement in OSA as exhibited by the reduction in apnea–hypopnea index. Hypoglossal nerve stimulator placement appears to be a potential treatment option for induced or worsened OSA, which is a known complication of head and neck cancer treatment. When considering treatment options, upper airway stimulation is indeed a possible method in patients who meet the recommended guideline criteria.

Original language	English (US)
Pages (from-to)	364-367
Number of pages	4
Journal	International Journal of Oral and Maxillofacial Surgery
Volume	53
Issue number	5
DOIs	https://doi.org/10.1016/j.ijom.2023.03.004
State	Accepted/In press - 2023
Externally published	Yes

Keywords

Adjuvant chemotherapy
Head and neck cancer
Hypoglossal nerve
Obstructive sleep apnea
Radiotherapy

ASJC Scopus subject areas

Surgery
Oral Surgery
Otorhinolaryngology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.ijom.2023.03.004

Cite this

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title = "Treatment of obstructive sleep apnea after chemoradiation therapy for advanced head and neck cancer",

abstract = "This report presents a case of worsening obstructive sleep apnea (OSA) post-chemoradiation therapy that improved significantly after placement of a hypoglossal nerve stimulator. The patient was a 66-year-old male, diagnosed with head and neck cancer, who experienced exacerbation of OSA after receiving chemoradiation. A hypoglossal nerve stimulator was placed, with minimal complications. The patient showed a significant improvement in OSA as exhibited by the reduction in apnea–hypopnea index. Hypoglossal nerve stimulator placement appears to be a potential treatment option for induced or worsened OSA, which is a known complication of head and neck cancer treatment. When considering treatment options, upper airway stimulation is indeed a possible method in patients who meet the recommended guideline criteria.",

keywords = "Adjuvant chemotherapy, Head and neck cancer, Hypoglossal nerve, Obstructive sleep apnea, Radiotherapy",

author = "R. Paquin and Lee, {K. T.} and C. Reyes and Byrd, {J. K.}",

note = "Publisher Copyright: {\textcopyright} 2023 International Association of Oral and Maxillofacial Surgeons",

year = "2023",

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AU - Paquin, R.

AU - Lee, K. T.

AU - Reyes, C.

AU - Byrd, J. K.

PY - 2023

Y1 - 2023

N2 - This report presents a case of worsening obstructive sleep apnea (OSA) post-chemoradiation therapy that improved significantly after placement of a hypoglossal nerve stimulator. The patient was a 66-year-old male, diagnosed with head and neck cancer, who experienced exacerbation of OSA after receiving chemoradiation. A hypoglossal nerve stimulator was placed, with minimal complications. The patient showed a significant improvement in OSA as exhibited by the reduction in apnea–hypopnea index. Hypoglossal nerve stimulator placement appears to be a potential treatment option for induced or worsened OSA, which is a known complication of head and neck cancer treatment. When considering treatment options, upper airway stimulation is indeed a possible method in patients who meet the recommended guideline criteria.

AB - This report presents a case of worsening obstructive sleep apnea (OSA) post-chemoradiation therapy that improved significantly after placement of a hypoglossal nerve stimulator. The patient was a 66-year-old male, diagnosed with head and neck cancer, who experienced exacerbation of OSA after receiving chemoradiation. A hypoglossal nerve stimulator was placed, with minimal complications. The patient showed a significant improvement in OSA as exhibited by the reduction in apnea–hypopnea index. Hypoglossal nerve stimulator placement appears to be a potential treatment option for induced or worsened OSA, which is a known complication of head and neck cancer treatment. When considering treatment options, upper airway stimulation is indeed a possible method in patients who meet the recommended guideline criteria.

KW - Adjuvant chemotherapy

KW - Head and neck cancer

KW - Hypoglossal nerve

KW - Obstructive sleep apnea

KW - Radiotherapy

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Treatment of obstructive sleep apnea after chemoradiation therapy for advanced head and neck cancer

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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