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AIRvance System for Obstructive Sleep Apnea

The AIRvance™ System enables surgical treatment of tongue- and hyoid-based obstructive sleep apnea.

AIRvance System for Obstructive Sleep Apnea

ent-repose_postop

To treat obstructive sleep apnea, the AIRvance Tongue Suspension helps prevent the tongue from falling back and blocking the airway while the patient is asleep.

The AIRvance Bone Screw System enables surgical treatment of tongue- and hyoid-based obstructive sleep apnea. Sleep disorders affect approximately 70 million Americans1,2 and have a significant impact on an individual’s health and quality of life,1,3-6 as well as his or her bed partner.7

For treating obstructive sleep apnea, there are two surgical procedures that may be performed with the AIRvance System (see below). The tongue suspension procedure can be done with or without the adjunct hyoid suspension procedure. Advantages of the AIRvance procedures include:

  • Quick (about 30 minutes for each procedure)
  • Low technical complexity
  • Effective8
  • Reversible

AIRvance Tongue Suspension

The AIRvance Tongue Suspension Procedure is indicated for the treatment of obstructive sleep apnea and/or snoring. The tongue suspension procedure can be performed with or without the adjunct hyoid suspension procedure.

The objective of this procedure is to advance and stabilize the genioglossus muscle to help prevent it from falling back and occluding the airway when the patient is supine and asleep. A small titanium screw with attached sutures is implanted in the lower mandible, then the sutures are looped through the tongue to form a hammock that suspends it.

ent-repose_hyoid

To treat obstructive sleep apnea, the AIRvance Hyoid Suspension procedure suspends the hyoid bone to help maintain an open airway while the patient is asleep.

AIRvance Hyoid Suspension

The AIRvance Hyoid Suspension procedure is indicated for the treatment of obstructive sleep apnea (OSA) and/or snoring. It serves as an adjunct to the AIRvance Tongue Suspension procedure.

The goal of this procedure is to help improve airway patency by providing anterior/posterior and lateral support of the lower airway, as well as lateral support of the base of the tongue. This is accomplished by advancing and suspending the hyoid bone and associated musculature. Two small titanium screws with attached sutures are implanted in the lower mandible, and the sutures are looped around the hyoid bone to suspend it.

*As of August 2011 the Repose® brand was changed to AIRvance.

References

  1. Brain Facts, A Primer on the Brain and Nervous System. Society for Neuro

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FWIW, I have just begun seeing Dr. Stephen Park, author of SLEEP, INTERRUPTED. He's an ENT with a great knowledge of sleep apnea. Many of us, me included, have attended his monthly webinars held with a variety of sleep experts. Indeed, I learned about him from both this splendid forum but also heard Dr. Park speak at one of our New York City AWAKE meetings and, yes, I learned about AWAKE on this site.

I went to see Dr. Park because I seem to have an ENT problem in addition to not sleeping all that well, never mind my wonderful dream machine (i.e., CPAP). Dr. Park suggested two things:

(1)  Try an APAP machine. I found one on Craig's List and...I'm sleeping better! I had a problem not being able to sleep through the night but now I'm doing much, much better on the APAP.

(2)  Try a dental device. Not every person's mouth, jaw, esophagus and related mouth structures make him or her a suitable candidate, but, happily, I am a suitable candidate.  A device brings the jaw forward so that the tongue won't fall back in my throat and block my esophagus.  I'm proceeding with getting a dental device.

I bring this up for two reasons: 

First, it's possible that if you're not waking up feeling really refreshed, maybe you should consider a different machine. When I saw Dr. Park after making the switch, he told me that some do better on CPAP, others do better on APAP. Who knew?!

Second, it's possible that the dental device will make a difference. I'd prefer a device to surgery. Indeed, Dr. Park said that some people do fine using the device alone. Others use the device and a machine (CPAP or APAP).

Anyway, I pass along the above FWIW.  Hope it helps.

I wake up feeling fine.  I think the CPAP is working and "doing it's thing" but I hate it so much.  The occasional dry throat, the headache from pressure on my nose some mornings, the pain in the neck from the cervical collar to try and keep my tongue in place.  And the hotness from the cervical collar... Just a few of my whines and complaints.  I did get a dental device.  Not the 1- thousand dollar one but the $500+ one.  it did not seem to help at all.  I stopped using after just 3 nights. Do you live in NY?  How lucky to be able to see Dr. Park!  I hate the general idea of surgery but it is something I have thought about only if there was a good chance of helping me.  

Appreciate your suggestions!!!

ZolliStar said:

FWIW, I have just begun seeing Dr. Stephen Park, author of SLEEP, INTERRUPTED. He's an ENT with a great knowledge of sleep apnea. Many of us, me included, have attended his monthly webinars held with a variety of sleep experts. Indeed, I learned about him from both this splendid forum but also heard Dr. Park speak at one of our New York City AWAKE meetings and, yes, I learned about AWAKE on this site.

I went to see Dr. Park because I seem to have an ENT problem in addition to not sleeping all that well, never mind my wonderful dream machine (i.e., CPAP). Dr. Park suggested two things:

(1)  Try an APAP machine. I found one on Craig's List and...I'm sleeping better! I had a problem not being able to sleep through the night but now I'm doing much, much better on the APAP.

(2)  Try a dental device. Not every person's mouth, jaw, esophagus and related mouth structures make him or her a suitable candidate, but, happily, I am a suitable candidate.  A device brings the jaw forward so that the tongue won't fall back in my throat and block my esophagus.  I'm proceeding with getting a dental device.

I bring this up for two reasons: 

First, it's possible that if you're not waking up feeling really refreshed, maybe you should consider a different machine. When I saw Dr. Park after making the switch, he told me that some do better on CPAP, others do better on APAP. Who knew?!

Second, it's possible that the dental device will make a difference. I'd prefer a device to surgery. Indeed, Dr. Park said that some people do fine using the device alone. Others use the device and a machine (CPAP or APAP).

Anyway, I pass along the above FWIW.  Hope it helps.

It sounds to me as if your CPAP is, indeed, "doing its thing".

I am very lucky: I adapted very quickly to using my CPAP. My first night with my APAP was terrible (but it may have been that I had other things going on that afflicted my sleep).  Since that first night, clear sailing for me.

And, yes, I'm very lucky to live in New York City where I get to see Dr. Park!!!

Ginny Edmundson said:

I wake up feeling fine.  I think the CPAP is working and "doing it's thing" but I hate it so much.  The occasional dry throat, the headache from pressure on my nose some mornings, the pain in the neck from the cervical collar to try and keep my tongue in place.  And the hotness from the cervical collar... Just a few of my whines and complaints.  I did get a dental device.  Not the 1- thousand dollar one but the $500+ one.  it did not seem to help at all.  I stopped using after just 3 nights. Do you live in NY?  How lucky to be able to see Dr. Park!  I hate the general idea of surgery but it is something I have thought about only if there was a good chance of helping me.  

Appreciate your suggestions!!!

ZolliStar said:

FWIW, I have just begun seeing Dr. Stephen Park, author of SLEEP, INTERRUPTED. He's an ENT with a great knowledge of sleep apnea. Many of us, me included, have attended his monthly webinars held with a variety of sleep experts. Indeed, I learned about him from both this splendid forum but also heard Dr. Park speak at one of our New York City AWAKE meetings and, yes, I learned about AWAKE on this site.

I went to see Dr. Park because I seem to have an ENT problem in addition to not sleeping all that well, never mind my wonderful dream machine (i.e., CPAP). Dr. Park suggested two things:

(1)  Try an APAP machine. I found one on Craig's List and...I'm sleeping better! I had a problem not being able to sleep through the night but now I'm doing much, much better on the APAP.

(2)  Try a dental device. Not every person's mouth, jaw, esophagus and related mouth structures make him or her a suitable candidate, but, happily, I am a suitable candidate.  A device brings the jaw forward so that the tongue won't fall back in my throat and block my esophagus.  I'm proceeding with getting a dental device.

I bring this up for two reasons: 

First, it's possible that if you're not waking up feeling really refreshed, maybe you should consider a different machine. When I saw Dr. Park after making the switch, he told me that some do better on CPAP, others do better on APAP. Who knew?!

Second, it's possible that the dental device will make a difference. I'd prefer a device to surgery. Indeed, Dr. Park said that some people do fine using the device alone. Others use the device and a machine (CPAP or APAP).

Anyway, I pass along the above FWIW.  Hope it helps.

Maybe I need a trip to NYC!   :)   It only took two years to find a mask to work....even though I still hate it and feel resentful every bedtime.

ZolliStar said:

It sounds to me as if your CPAP is, indeed, "doing its thing".

I am very lucky: I adapted very quickly to using my CPAP. My first night with my APAP was terrible (but it may have been that I had other things going on that afflicted my sleep).  Since that first night, clear sailing for me.

And, yes, I'm very lucky to live in New York City where I get to see Dr. Park!!!

Ginny Edmundson said:

I wake up feeling fine.  I think the CPAP is working and "doing it's thing" but I hate it so much.  The occasional dry throat, the headache from pressure on my nose some mornings, the pain in the neck from the cervical collar to try and keep my tongue in place.  And the hotness from the cervical collar... Just a few of my whines and complaints.  I did get a dental device.  Not the 1- thousand dollar one but the $500+ one.  it did not seem to help at all.  I stopped using after just 3 nights. Do you live in NY?  How lucky to be able to see Dr. Park!  I hate the general idea of surgery but it is something I have thought about only if there was a good chance of helping me.  

Appreciate your suggestions!!!

ZolliStar said:

FWIW, I have just begun seeing Dr. Stephen Park, author of SLEEP, INTERRUPTED. He's an ENT with a great knowledge of sleep apnea. Many of us, me included, have attended his monthly webinars held with a variety of sleep experts. Indeed, I learned about him from both this splendid forum but also heard Dr. Park speak at one of our New York City AWAKE meetings and, yes, I learned about AWAKE on this site.

I went to see Dr. Park because I seem to have an ENT problem in addition to not sleeping all that well, never mind my wonderful dream machine (i.e., CPAP). Dr. Park suggested two things:

(1)  Try an APAP machine. I found one on Craig's List and...I'm sleeping better! I had a problem not being able to sleep through the night but now I'm doing much, much better on the APAP.

(2)  Try a dental device. Not every person's mouth, jaw, esophagus and related mouth structures make him or her a suitable candidate, but, happily, I am a suitable candidate.  A device brings the jaw forward so that the tongue won't fall back in my throat and block my esophagus.  I'm proceeding with getting a dental device.

I bring this up for two reasons: 

First, it's possible that if you're not waking up feeling really refreshed, maybe you should consider a different machine. When I saw Dr. Park after making the switch, he told me that some do better on CPAP, others do better on APAP. Who knew?!

Second, it's possible that the dental device will make a difference. I'd prefer a device to surgery. Indeed, Dr. Park said that some people do fine using the device alone. Others use the device and a machine (CPAP or APAP).

Anyway, I pass along the above FWIW.  Hope it helps.

That's great  news, Zollistar.  Will you have a sleep study with the dental device to determine its effectiveness?  Both of the surgeries sound interesting.  I have mostly medication induced hypopneas so I don't know.  I'll ask my sleep doctor next month.

If I use the dental device and sleep (and dream) like, well, like a dream and feel great the next day, I don't think there's any reason to have a sleep study. 

We'll see....

Plan to mention to mine at my yearly appointment in October.

Mary Z said:

That's great  news, Zollistar.  Will you have a sleep study with the dental device to determine its effectiveness?  Both of the surgeries sound interesting.  I have mostly medication induced hypopneas so I don't know.  I'll ask my sleep doctor next month.

Hi, This surgery looks interesting. How much would it change swallowing? Different machines have different control software ,The apaps have evolved but do cost $$$.
Dental devices do not need to be plugged in and are super portable....Too bad I am not a candidate for one.If I was I would get a recording pulse ox to make sure it was working . Dr Park is super. Good Sleep,Chris

If I could find someone that did this surgery closer than NYC  (I live in NC)  I would make an appointment!!!!  

Chris H said:

Hi, This surgery looks interesting. How much would it change swallowing? Different machines have different control software ,The apaps have evolved but do cost $$$.
Dental devices do not need to be plugged in and are super portable....Too bad I am not a candidate for one.If I was I would get a recording pulse ox to make sure it was working . Dr Park is super. Good Sleep,Chris

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