Demystifying the Procedure: What to Expect When Getting a Sleep Apnea Implant

Alexbrown
4 min readAug 16, 2024

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Sleep apnea is a sleep disorder that affects countless people, characterized by pauses in breathing or periods of shallow breathing during sleep. For those who have found little success with the traditional CPAP (Continuous Positive Airway Pressure) machine, sleep apnea implants offer an innovative alternative. In this blog, we’ll walk you through the entire process of receiving a sleep apnea implant to help demystify the procedure and set your expectations straight.

Understanding Sleep Apnea Implants

Before delving into the procedural aspects, it’s important to know what sleep apnea implants are. The most common type, hypoglossal nerve stimulators, work by sending mild electrical impulses to the muscles responsible for keeping the airway open. Essentially, the implant acts like a pacemaker for the tongue, preventing it from falling back and obstructing the throat while you sleep.

Candidacy for the Procedure

The first step is determining if you’re a good candidate for the implant. The best candidates are typically those with moderate to severe obstructive sleep apnea who haven’t seen improvement with CPAP therapy. Being at a stable weight and without significant anatomical issues that could complicate the implant’s function are also key considerations. Your doctor will conduct a thorough evaluation, including a sleep study and possibly an examination of your airway anatomy.

Preparing for Surgery

Once you’re deemed a suitable candidate, you’ll have to prepare for the surgery. This might involve various preoperative tests, dietary restrictions, or temporary suspensions of certain medications. Your healthcare team will provide detailed instructions tailored to your specific needs.

The Day of the Surgery

On the day of your surgery, you’ll arrive at the hospital or surgical center, where you’ll be prepped for the procedure. This typically means changing into a surgical gown and undergoing a final review of your medical history and the procedure steps. The implantation is done under general anesthesia, so you’ll be asleep throughout the process, which takes approximately two hours.

The Implantation Procedure

The surgeon will make a few small incisions: one near your upper chest, where the generator is implanted, and another under your chin to place the stimulation lead. The breathing sensor lead is usually placed between the ribs to directly gauge your respiratory efforts. These components are then connected. Once the device is in place, the surgeon will close and dress the incisions.

Postoperative Recovery

Immediately after the procedure, you’ll be taken to a recovery area to be closely monitored as the anesthesia wears off. Patients generally don’t report significant pain, but you might experience swelling or discomfort, managed with prescribed pain medication. Recovery times vary, but most patients can return home the same day or the next and resume non-strenuous activities within a few days.

Post-Op Checkups and Device Activation

You’ll likely have a series of follow-up appointments to monitor the healing process and to activate and adjust the implant. The device is not turned on right away to allow time for the body to heal; activation typically occurs a few weeks after surgery. During activation, your doctor will customize the implant settings based on your specific needs.

Life with Your Sleep Apnea Implant

After activation, you’ll begin to use the device every night. It is controlled with a remote or a wearable device, allowing you to turn it on before bed and off when you wake up. Over the next several weeks to months, you’ll work closely with your doctor to fine-tune the settings for optimal performance. Many patients report significant improvements in their sleep quality and daytime sleepiness within a few days to weeks.

Potential Risks and Complications

As with any surgical procedure, there are potential risks. These can range from infection to reaction to anesthesia. Additionally, there is a possibility of mechanical failure of the device or discomfort from the stimulation. It’s critical to discuss all potential risks with your doctor before deciding to proceed with the surgery.

Cost and Insurance

It’s important to address the financial aspect of sleep apnea implants. Such procedures can be costly, and not all insurance providers may cover them. You’ll need to review your insurance policy closely and possibly work with a healthcare provider to justify the necessity of the intervention for coverage.

Conclusion:

Getting an implant as a sleep apnea treatment no mask is a significant decision that can potentially transform the quality of life for someone with obstructive sleep apnea. Understanding the procedure from candidacy to life post-implant can alleviate anxieties and better prepare you for what lies ahead. As with any medical intervention, thorough discussions with healthcare professionals, realistic expectations, and diligent preparation are crucial for a successful outcome. If you think an implant may be right for you, speak with your doctor to explore this innovative solution for managing sleep apnea.

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