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The proprioceptive innervation of the tounge has been investigated in the Cynamolgus monkey by silver impregnation methods following unilateral section of lingual, hypoglossal, and cervical nerves. Muscle spindles were constantly present in the intrinsic and extrinsic muscles. They varied greatly in number, averaged half the length of lumbrical spindles, and showed an unusual arrangement of chain fibre nuclei. Other, inconstant proprioceptors included tendon endings, Ruffini endings, Pacinian corpuscles, paciniform and lamellated endings. Topologically, the endings other than spindles were extra-muscular, so that the overall pattern of proprioceptive innervation resembled that of skeletal muscle in general. Lingual nerve section was without apparent effect on the proprioceptors. Section of the hypoglossal nerve at its point of entry into the tongue caused severe depletiion of ipsilateral proprioceptors and of fusimotor nerves. In the anterior tongue there was evidence of transmedian overlap by efferent and afferent axons contained in the hypoglossal nerve. Hypoglossal section at the skull base caused degeneration of fusimotor nerves but not of proprioceptors. Section of (a), the connexion of C2-C3 ventral rami with the hypoglossal, together with section of (b), the ramus descendens hypoglossi, coused depletion of lingual proprioceptors; again there was evidence of transmedian overlap. Procedures (a) or (b) alone had a lesser effect. It was concluded that lingual proprioceptive afferent fibres occupy the distal hypoglossal nerve, leaving it in the ramus descendens and in the C2-C3 connexion to enter the spinal cord via nerves C2 and C3.
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Oral Maxillofac Surg
September 2025
Department of Otolaryngology, Head and Neck Surgery, Kansai Medical University, Shinmachi 2-5-1, Hirakata-city, Osaka, Japan.
Purpose: For submandibular gland resection, conventional surgery with the naked eye remains the standard. With its excellent automatic focus and high magnification, the ORBEYE 3D exoscope enables precise submandibular gland resection with less stress. Therefore, we aimed to examine the usefulness of the exoscope in submandibular gland resection.
View Article and Find Full Text PDFLaryngoscope
September 2025
Buckingham Center for Facial Plastic Surgery, Austin, Texas, USA.
Hypoglossal nerve stimulation (HNS) device placement for moderate to severe obstructive sleep apnea has been growing in popularity. The incidence of patients requesting cervical rhytidectomy following implant placement is likely to increase proportionally to the incidence of device placement. This case report describes the preoperative and introperative considerations and details of successful rhytidectomy with platysmaplasty surgery with previous HNS device placement.
View Article and Find Full Text PDFChest
September 2025
Flinders Health and Medical Research Institute/Adelaide Institute for Sleep Health, Flinders University, Bedford Park, South Australia, Australia.
Background: Hypoglossal nerve stimulation (HNS) to treat obstructive sleep apnea (OSA) currently requires placement of a cuff or 'saddle' electrode around or adjacent to the hypoglossal nerve(s). Limitations for this therapy include cost, invasiveness, and variable efficacy.
Research Question: Can HNS applied via percutaneous implantation of a linear, multi-pair electrode array restore airflow to airway narrowing and/or obstruction, and improve airway collapsibility in people with OSA?
Study Design And Methods: Participants with OSA undergoing drug induced sleep endoscopy with propofol were instrumented with an epiglottic pressure catheter, nasal mask and pneumotachograph.
Cureus
August 2025
Surgery, Rocky Vista University College of Osteopathic Medicine, Ivins, USA.
Implant extrusion is a rare but serious complication typically linked to infection, poor wound healing, or material intolerance. This case report describes a 79-year-old female patient who experienced extrusion of both a hip prosthesis and an Inspire hypoglossal nerve stimulator (Inspire Medical Systems, Inc., Minnesota, USA), each event associated with the use of Ethibond (Ethicon, Johnson & Johnson, Georgia, USA) sutures.
View Article and Find Full Text PDFMedicine (Baltimore)
August 2025
Department of General Practice, Anqing Municipal Hospital, Anqing, Anhui, China.
Background: The objective of this study was to compare the efficacy of hypoglossal nerve stimulation (HNS), submental electrical stimulation (SMES), and transcutaneous electrical nerve stimulation (TENS) on key outcomes in obstructive sleep apnea (OSA).
Methods: A network meta-analysis was conducted using data from 12 randomized controlled trials involving 677 OSA patients. Trials were identified through a systematic search of PubMed, Embase, and Cochrane Library databases up to June 2024.