Inspire Therapy is specifically indicated for patients with obstructive sleep apnea (OSA) who have tried CPAP therapy and have either failed therapy or are unwilling to continue CPAP use. CPAP is generally the first line of therapy recommended to patients diagnosed with OSA. However, a high percentage of individuals either do not tolerate CPAP therapy or choose to discontinue CPAP usage. For those individuals, alternative treatment options such as the use of an oral appliance and surgical therapy are available.
Traditional surgeries available for treating OSA all involve making static, permanent changes to the patient’s airway. The Inspire implant leaves the patient’s normal anatomy unchanged. This unique and elegant approach to the treatment of sleep apnea uses electrical stimulation to produce anterior motion of the tongue to promote opening of the airway during sleep. The device is fully implantable in an outpatient procedure. Avoidance of strenuous physical activity is generally recommenced for 1-2 weeks postoperatively. The device is controlled by the patient with a handheld remote, turned on for sleep and turned off in the morning upon awakening. Studies have shown that greater than 90% of implanted patients are satisfied with the results from Inspire Therapy and use the treatment for greater than 6 hours per night. Puget Sound ENT’s Dr. John Parker is the first surgeon in Washington state approved to perform the Inspire Therapy surgery.
“I became acquainted with Puget Sound ENT about four years ago. I sought out help and guidance for my sleep apnea. I worked with the clinic using my CPAP as equipment to reduce the challenges, but I was lucky enough to test to see if I qualified for the new INSPIRE sleep system. Dr. Parker was able to provide the implant for me, and my life has improved more than I ever could have hoped. The staff at the clinic have been very supportive and genuinely caring of my progress, and I am so thankful for such an amazing outcome.”
You should feel only tongue movement from the stimulation. Typically, patients adjust quickly and lose awareness that the device is working. The stimulation should not be painful or uncomfortable and the level is adjustable. Our Inspire therapy-trained doctor will make any adjustments as needed anytime to ensure you sleep in comfort.
Many people do not tolerate having the CPAP mask on their face or remove the mask once they fall asleep. Other people develop nasal irritation or obstruction or swallow the pressurized air and develop stomach pain. There are a variety of other issues but approximately 40 percent of patients do not use CPAP regularly.
Begin by setting up an office visit at Puget Sound ENT. Our Inspire trained surgeon Dr. John Parker will determine if Inspire is the right form of treatment for you. If you’re a candidate, our office, and the Inspire reimbursement team, will work with you and your insurance company on next steps including preauthorizing and scheduling the procedure.