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  1. Article ; Online: What Is Snoring?

    Huyett, Phillip

    JAMA otolaryngology-- head & neck surgery

    2023  Volume 149, Issue 3, Page(s) 286

    MeSH term(s) Humans ; Snoring/etiology ; Sleep Apnea, Obstructive/diagnosis ; Sleep Apnea, Obstructive/therapy ; Polysomnography
    Language English
    Publishing date 2023-01-26
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2701825-8
    ISSN 2168-619X ; 2168-6181
    ISSN (online) 2168-619X
    ISSN 2168-6181
    DOI 10.1001/jamaoto.2022.4615
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  2. Article ; Online: Sleep Study Measures on Postoperative Night 1 Following Implantation of the Hypoglossal Nerve Stimulator.

    Huyett, Phillip

    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery

    2021  Volume 166, Issue 3, Page(s) 589–594

    Abstract: Objective: To examine the changes in measures of sleep apnea severity and hypoxemia on the first postoperative night following implantation of the hypoglossal nerve stimulator.: Study design: This was a single-arm prospective cohort study.: Setting! ...

    Abstract Objective: To examine the changes in measures of sleep apnea severity and hypoxemia on the first postoperative night following implantation of the hypoglossal nerve stimulator.
    Study design: This was a single-arm prospective cohort study.
    Setting: A single academic sleep surgical practice.
    Methods: Subjects with moderate to severe obstructive sleep apnea underwent implantation of the hypoglossal nerve stimulator (HGNS) and were discharged to home the same day as surgery. A single-night WatchPAT study was performed on the night immediately following surgery (PON 1) and was compared to baseline sleep testing.
    Results: Twenty subjects who were an average of 58.6 ± 2.5 years old, were 25% female, and had a mean body mass index of 28.1 ± 0.9 kg/m
    Conclusions: Overall, AHI and measures of nocturnal hypoxemia are stable, if not improved, on PON 1 following HGNS implantation. These findings support the safety of same-day discharge following implantation of the hypoglossal nerve stimulator.
    MeSH term(s) Electric Stimulation Therapy ; Female ; Humans ; Hypoglossal Nerve/surgery ; Hypoxia ; Male ; Middle Aged ; Prospective Studies ; Sleep
    Language English
    Publishing date 2021-06-29
    Publishing country England
    Document type Journal Article
    ZDB-ID 392085-9
    ISSN 1097-6817 ; 0161-6439 ; 0194-5998
    ISSN (online) 1097-6817
    ISSN 0161-6439 ; 0194-5998
    DOI 10.1177/01945998211023479
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  3. Article ; Online: Early objective adherence to hypoglossal nerve stimulation therapy.

    Huyett, Phillip

    Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine

    2021  Volume 18, Issue 2, Page(s) 631–636

    Abstract: ... with an increased risk of difficulty with acclimatization.: Citation: Huyett P. Early objective adherence ...

    Abstract Study objectives: To assess early adherence to therapy with hypoglossal nerve stimulation therapy.
    Methods: This is a prospective study of consecutive patients with moderate to severe obstructive sleep apnea who underwent implantation of hypoglossal nerve stimulation therapy within a single academic practice and attended a follow-up appointment after greater than 30 days of therapy use. Objective adherence data were extracted from an objective monitoring database and compared to patient characteristics.
    Results: The study population was 79 participants who were 29.1% female with a mean age of 58.7 ± 12.8 years old, body mass index of 28.9 ± 3.4 kg/m
    Conclusions: Early adherence to hypoglossal nerve stimulation is excellent (92.4% >4 hours on >70% of nights), suggesting that the acclimatization period is straightforward in most. Younger age and a history of prior upper airway surgery appear to be associated with an increased risk of difficulty with acclimatization.
    Citation: Huyett P. Early objective adherence to hypoglossal nerve stimulation therapy.
    MeSH term(s) Aged ; Electric Stimulation Therapy ; Female ; Humans ; Hypoglossal Nerve/physiology ; Male ; Middle Aged ; Polysomnography ; Prospective Studies ; Sleep Apnea, Obstructive ; Treatment Outcome
    Language English
    Publishing date 2021-09-29
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2397213-0
    ISSN 1550-9397 ; 1550-9389
    ISSN (online) 1550-9397
    ISSN 1550-9389
    DOI 10.5664/jcsm.9688
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  4. Article ; Online: The association between sleep disorders, employment, and income among adults in the United States.

    Huyett, Phillip / Bhattacharyya, Neil

    Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine

    2022  Volume 18, Issue 8, Page(s) 1967–1972

    Abstract: ... of sleep disorder prevalence.: Citation: Huyett P, Bhattacharyya N. The association between sleep disorders ...

    Abstract Study objectives: To examine the association between sleep disorders, employment status, and income among US adults aged 18-64 years.
    Methods: The 2018-2019 Medical Expenditure Panel Survey medical conditions file was queried for adults aged 18-64 years with a diagnosis of a sleep disorder (
    Results: A sleep disorder was diagnosed in 4.4% ± 0.2% of the study population (approximately 8.8 ± 0.4 million adults aged 18-64 years in the United States; mean age 46.9 years, 55.8% female). Adults with sleep disorders were less likely to have wage income from employment (adjusted odds ratio 0.5, 95% confidence interval 0.4-0.6,
    Conclusions: There are significantly higher indirect costs associated with sleep disorders. This study specifically demonstrates lower employment rates, lower wages, and higher welfare income utilization among those with sleep disorders despite using a very conservative estimate of sleep disorder prevalence.
    Citation: Huyett P, Bhattacharyya N. The association between sleep disorders, employment, and income among adults in the United States.
    MeSH term(s) Adult ; Employment ; Female ; Humans ; Income ; Male ; Middle Aged ; Salaries and Fringe Benefits ; Sleep Wake Disorders/epidemiology ; United States/epidemiology
    Language English
    Publishing date 2022-04-29
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2397213-0
    ISSN 1550-9397 ; 1550-9389
    ISSN (online) 1550-9397
    ISSN 1550-9389
    DOI 10.5664/jcsm.10040
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  5. Article ; Online: A prognostic star was born: drug-induced sleep endoscopy for hypoglossal nerve stimulation.

    Dedhia, Raj C / Huyett, Phillip

    Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine

    2021  Volume 16, Issue S1, Page(s) 15–16

    MeSH term(s) Endoscopy ; Humans ; Hypoglossal Nerve ; Patient Selection ; Pharmaceutical Preparations ; Prognosis ; Sleep ; Sleep Apnea, Obstructive/diagnosis ; Sleep Apnea, Obstructive/therapy
    Chemical Substances Pharmaceutical Preparations
    Language English
    Publishing date 2021-12-01
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Comment
    ZDB-ID 2397213-0
    ISSN 1550-9397 ; 1550-9389
    ISSN (online) 1550-9397
    ISSN 1550-9389
    DOI 10.5664/jcsm.8882
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  6. Article ; Online: Incremental health care utilization and expenditures for sleep disorders in the United States.

    Huyett, Phillip / Bhattacharyya, Neil

    Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine

    2021  Volume 17, Issue 10, Page(s) 1981–1986

    Abstract: ... represents approximately $94.9 billion.: Citation: Huyett P, Bhattacharyya N. Incremental health care ...

    Abstract Study objectives: To determine the incremental increases in health care utilization and expenditures associated with sleep disorders.
    Methods: Adults with a diagnosis of a sleep disorder (
    Results: Overall, 5.6% ± 0.2% of the study population had been diagnosed with a sleep disorder, representing approximately 13.6 ± 0.6 million adults in the United States. Those with sleep disorders were more likely to be non-Hispanic, White, and female, with a higher proportion with public insurance and higher Charlson Comorbidity Scores. Adults with sleep disorders were found to have increased utilization of office visits (16.3 ± 0.8 vs 8.7 ± 0.3,
    Conclusions: Sleep disorders are associated with significantly higher rates of health care utilization and expenditures. By using the conservative prevalence estimate found in this study, the overall incremental health care costs of sleep disorders in the United States represents approximately $94.9 billion.
    Citation: Huyett P, Bhattacharyya N. Incremental health care utilization and expenditures for sleep disorders in the United States.
    MeSH term(s) Adult ; Delivery of Health Care ; Female ; Health Care Costs ; Health Expenditures ; Humans ; Patient Acceptance of Health Care ; Sleep Wake Disorders/epidemiology ; Sleep Wake Disorders/therapy ; United States/epidemiology
    Language English
    Publishing date 2021-05-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2397213-0
    ISSN 1550-9397 ; 1550-9389
    ISSN (online) 1550-9397
    ISSN 1550-9389
    DOI 10.5664/jcsm.9392
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  7. Article ; Online: Sleep study measures on post-operative night one following expansion pharyngoplasty for obstructive sleep apnea.

    Yu, Phoebe / Benoit, Justin / Huyett, Phillip

    American journal of otolaryngology

    2022  Volume 44, Issue 2, Page(s) 103746

    Abstract: Purpose: To examine the changes in measures of sleep apnea severity and hypoxemia on the first post-operative night (PON1) following expansion pharyngoplasty as a means to assess the safety of same day discharge after surgery.: Materials and methods: ...

    Abstract Purpose: To examine the changes in measures of sleep apnea severity and hypoxemia on the first post-operative night (PON1) following expansion pharyngoplasty as a means to assess the safety of same day discharge after surgery.
    Materials and methods: Prospective cohort study of subjects with moderate-severe obstructive sleep apnea who underwent expansion pharyngoplasty at a single academic sleep surgical practice. A WatchPAT study was performed on the night immediately following surgery (PON1) and comparisons were made to baseline sleep testing.
    Results: Twenty subjects who had a mean age of 45.7 ± 10.8 years old and a mean body-mass index (BMI) of 31.4 ± 3.2 kg/m
    Conclusions: On PON1 following expansion pharyngoplasty, AHI and nocturnal hypoxemia are stable overall but variable on an individual basis. The decision for admission should therefore be made on a case-by-case basis. Further research is need to elucidate definitive predictors of worsening measures on PON1.
    MeSH term(s) Humans ; Adult ; Middle Aged ; Prospective Studies ; Sleep Apnea, Obstructive/surgery ; Sleep Apnea Syndromes ; Hypoxia ; Sleep ; Aryldialkylphosphatase
    Chemical Substances PON1 protein, human (EC 3.1.8.1) ; Aryldialkylphosphatase (EC 3.1.8.1)
    Language English
    Publishing date 2022-12-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 604541-8
    ISSN 1532-818X ; 0196-0709
    ISSN (online) 1532-818X
    ISSN 0196-0709
    DOI 10.1016/j.amjoto.2022.103746
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  8. Article ; Online: Use of overnight pulse oximetry and a type 3 sleep study to titrate hypoglossal nerve stimulation therapy.

    Huyett, Phillip / Stagnone, Richard

    Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine

    2020  Volume 16, Issue 12, Page(s) 2109–2111

    Abstract: None: This is a case series of 3 patients with moderate-severe OSA who were PAP-intolerant and underwent implantation of the hypoglossal nerve stimulator. All patients recorded baseline overnight pulse oximetry without the hypoglossal nerve stimulator ... ...

    Abstract None: This is a case series of 3 patients with moderate-severe OSA who were PAP-intolerant and underwent implantation of the hypoglossal nerve stimulator. All patients recorded baseline overnight pulse oximetry without the hypoglossal nerve stimulator and at least 1 night at each hypoglossal nerve stimulator setting as they up-titrated the device at home. Because of the impact of the novel coronavirus on sleep laboratories, all patients proceeded directly to type 3 sleep studies performed at a single setting determined by a combination of self-reported improvement and pulse oximetry data.
    MeSH term(s) Adult ; Electric Stimulation Therapy/methods ; Female ; Humans ; Hypoglossal Nerve/physiology ; Male ; Middle Aged ; Oximetry/methods ; Sleep Apnea, Obstructive/therapy
    Keywords covid19
    Language English
    Publishing date 2020-08-17
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2397213-0
    ISSN 1550-9397 ; 1550-9389
    ISSN (online) 1550-9397
    ISSN 1550-9389
    DOI 10.5664/jcsm.8754
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  9. Article ; Online: Payer-negotiated pricing of the hypoglossal nerve stimulator.

    Bartholomew, Ryan A / Russo, Mario V / Xiao, Roy / Rathi, Vinay K / Haleem, Afash / Huyett, Phillip A

    Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine

    2022  Volume 18, Issue 9, Page(s) 2333–2334

    MeSH term(s) Costs and Cost Analysis ; Electric Stimulation Therapy ; Humans ; Hypoglossal Nerve/physiology ; Sleep Apnea, Obstructive/therapy
    Language English
    Publishing date 2022-06-16
    Publishing country United States
    Document type Letter
    ZDB-ID 2397213-0
    ISSN 1550-9397 ; 1550-9389
    ISSN (online) 1550-9397
    ISSN 1550-9389
    DOI 10.5664/jcsm.10142
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  10. Article ; Online: Implantation of the hypoglossal nerve stimulator via left-sided, 2-incision approach.

    Lin, Chen / Olson, Michael D / Huyett, Phillip / Chio, Eugene G

    Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine

    2021  Volume 18, Issue 4, Page(s) 1219–1222

    Abstract: ... such as cardiac artifact.: Citation: Lin C, Olson MD, Huyett P, Chio EG. Implantation of the hypoglossal nerve ...

    Abstract This report is a case series of 5 patients who underwent implantation of a hypoglossal nerve stimulator for obstructive sleep apnea via a left-sided, 2-incision technique. This method represents a significant modification of the original right-sided, 3-incision technique. All 5 patients were successfully implanted with this technique variant with no adverse events or negative impact on device functionality, such as cardiac artifact.
    Citation: Lin C, Olson MD, Huyett P, Chio EG. Implantation of the hypoglossal nerve stimulator via left-sided, 2-incision approach.
    MeSH term(s) Electric Stimulation Therapy/methods ; Humans ; Hypoglossal Nerve/physiology ; Hypoglossal Nerve/surgery ; Sleep Apnea, Obstructive/etiology ; Sleep Apnea, Obstructive/surgery
    Language English
    Publishing date 2021-12-28
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 2397213-0
    ISSN 1550-9397 ; 1550-9389
    ISSN (online) 1550-9397
    ISSN 1550-9389
    DOI 10.5664/jcsm.9856
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