MMA and HGNS (Apnex, Inspire)
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MMA and HGNS (Apnex, Inspire)

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Posted by Anthromed on July 10, 2012 at 09:31:49:

Hi, I am curious about the interaction of HGNS (Apnex, Inspire) devices with MMA surgery and if anyone has any experience or insights on that.

I'm wondering if MMA can still be done after an HGNS device is implanted if it is not successful. Conversely can HGNS be effectively used after MMA? I am wondering if there are clinical reasons that either approach should or could preclude the other in terms of scar tissue, physiological results etc.? Which should one pursue first, MMA or HGNS, in patients with mild to moderate OSA who cannot tolerate CPAP?

I believe that currently in the USA for research purposes clinical trials for HGNS require that the patient has not undertaken MMA surgery to that point (this is an exclusion criteria). I suspect this it to reduce the number of confounding variables.

However I believe that these devices are approved in Europe so I wonder if it might be possible for a US citizen to travel there to get them if they didn't qualify for a clinical study here due to prior MMA or want to wait until they are approved by the FDA (probably a long time)?

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