{"id":4542,"date":"2019-12-16T13:02:41","date_gmt":"2019-12-16T18:02:41","guid":{"rendered":"https:\/\/dormalab.com\/?page_id=4542"},"modified":"2021-04-29T15:14:15","modified_gmt":"2021-04-29T19:14:15","slug":"stimulation-electrique-voies-aeriennes-superieures","status":"publish","type":"page","link":"https:\/\/dormalab.com\/fr\/stimulation-electrique-voies-aeriennes-superieures\/","title":{"rendered":"Stimulation \u00c9lectrique des Voies A\u00e9riennes Sup\u00e9rieures"},"content":{"rendered":"

[vc_row][vc_column width=\u00a0\u00bb3\/12″ el_class=\u00a0\u00bbpages-sidebar\u00a0\u00bb][vc_widget_sidebar sidebar_id=\u00a0\u00bbca-sidebar-9958″ el_class=\u00a0\u00bbsidebar\u00a0\u00bb][contact-form-7 id=\u00a0\u00bb9906″][\/vc_column][vc_column width=\u00a0\u00bb9\/12″ el_class=\u00a0\u00bbpages-contenu\u00a0\u00bb][vc_row_inner][vc_column_inner][vc_column_text]<\/p>\n

Stimulation \u00c9lectrique des Voies A\u00e9riennes Sup\u00e9rieures<\/h2>\n

La stimulation \u00e9lectrique des voies a\u00e9riennes sup\u00e9rieures (UAS en anglais)<\/strong>\u00a0est l\u2019un des plus r\u00e9cents traitements de l\u2019apn\u00e9e obstructive du sommeil (AOS).<\/p>\n

 <\/p>\n

Commercialis\u00e9 sous le nom d\u2018Inspire\u00ae, ce dernier a re\u00e7u l\u2019aval de la Food and Drug Administration am\u00e9ricaine en avril 2014 suite aux \u00e9tudes pr\u00e9liminaires.<\/p>\n

Le traitement n\u2019est pas encore approuv\u00e9 par Sant\u00e9 Canada et les patients canadiens ne peuvent donc pas en b\u00e9n\u00e9ficier pour le moment.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner content_placement=\u00a0\u00bbmiddle\u00a0\u00bb][vc_column_inner width=\u00a0\u00bb2\/3″][vc_column_text]L\u2019efficacit\u00e9 du\u00a0CPAP<\/a>\u00a0n\u2019est plus \u00e0 prouver; ce traitement repr\u00e9sente le \u00ab gold standard \u00bb lorsqu\u2019il s\u2019agit de traiter\u00a0l\u2019apn\u00e9e du sommeil<\/a>.<\/p>\n

Le probl\u00e8me de ce traitement r\u00e9side non pas dans sa capacit\u00e9 \u00e0 ouvrir les voies a\u00e9riennes, mais plut\u00f4t dans l\u2019adh\u00e9rence du patient au traitement.<\/p>\n

 <\/p>\n

On estime qu\u2019environ 30% des utilisateurs ne parviennent pas \u00e0 s\u2019adapter et ne font pas rigoureusement usage de leur appareil.<\/p>\n

Le traitement par stimulation \u00e9lectrique tente de r\u00e9pondre \u00e0 ce probl\u00e8me.<\/p>\n

 <\/p>\n

Comment cela Fonctionne ?<\/strong><\/p>\n

Au cours d\u2019une chirurgie, un petit appareil est implant\u00e9 sous la peau du patient, au niveau de la clavicule.<\/p>\n

L\u2019appareil est muni de deux fils; un premier dot\u00e9 d\u2019un r\u00f4le de d\u00e9tection de l\u2019activit\u00e9 respiratoire, et un second, qui envoie une stimulation \u00e9lectrique au niveau du nerf hypoglosse.<\/p>\n

 <\/p>\n

La stimulation peut \u00eatre d\u00e9clench\u00e9e par chaque inspiration ou de fa\u00e7on continue pour \u00e9lever le tonus du muscle g\u00e9nio-glosse.<\/p>\n

Les voies a\u00e9riennes sup\u00e9rieures demeurent ainsi ouvertes en tout temps afin de permettre un passage optimal de l\u2019air.<\/p>\n

 <\/p>\n

C\u2019est le patient qui doit activer l\u2019appareil au moment de se coucher \u00e0 l\u2019aide d\u2019un contr\u00f4leur sans fil.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\u00a0\u00bb1\/3″][vc_single_image image=\u00a0\u00bb4548″ img_size=\u00a0\u00bblarge\u00a0\u00bb alignment=\u00a0\u00bbcenter\u00a0\u00bb onclick=\u00a0\u00bblink_image\u00a0\u00bb][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text]Un autre aspect qui rend ce traitement int\u00e9ressant est son aspect conservateur.<\/p>\n

Plusieurs chirurgies pour traiter l\u2019apn\u00e9e du sommeil requi\u00e8rent de modifier l\u2019anatomie du patient.<\/p>\n

Dans le cas du traitement par stimulation \u00e9lectrique, l\u2019appareil peut tout simplement \u00eatre retir\u00e9 si celui-ci s\u2019av\u00e9rait inefficace ou que des complications survenaient.<\/p>\n

 <\/p>\n

Actuellement, l\u2019\u00e9tude principale qui a men\u00e9 \u00e0 l\u2019approbation de l\u2019appareil Inspire\u00ae par la FDA a \u00e9t\u00e9 publi\u00e9e dans le New England Journal of Medecine.<\/p>\n

 <\/p>\n

Apr\u00e8s 12 mois d\u2019implantation et d\u2019utilisation, les patients ayant l\u2019appareil ont d\u00e9montr\u00e9 une diminution d\u2019environ 70% de leur apn\u00e9e, soit un passage d\u2019IAH<\/a>\u00a0de 29 \u00e0 9.<\/p>\n

Jusqu’\u00e0 pr\u00e9sent, les crit\u00e8res de s\u00e9lection des patients sont bien d\u00e9finis.<\/p>\n

 <\/p>\n

Les patients vis\u00e9s par cette th\u00e9rapie doivent pr\u00e9senter un IAH d\u2019entre 20 et 60 et avoir essay\u00e9 la th\u00e9rapie par\u00a0CPAP<\/a>\u00a0au pr\u00e9alable.<\/p>\n

Un indice de masse corporel de 32 et moins est \u00e9galement recommand\u00e9 et le patient doit \u00eatre conscient qu\u2019il ne pourra plus faire certains types d\u2019examens d\u2019imagerie.<\/p>\n

 <\/p>\n

Voici une petite vid\u00e9o d\u00e9montrant le fonctionnement de l\u2019appareil Inspire\u00ae. Nous la publions avec la permission de Inspire Medical Systems.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_video link=\u00a0\u00bbhttps:\/\/youtu.be\/qROGI4WmH6o\u00a0\u00bb][\/vc_column][\/vc_row][vc_row full_width=\u00a0\u00bbstretch_row_content_no_spaces\u00a0\u00bb el_class=\u00a0\u00bbwidget-footer\u00a0\u00bb][vc_column][vc_widget_sidebar sidebar_id=\u00a0\u00bb_sidebar_pages\u00a0\u00bb][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"

[vc_row][vc_column width=\u00a0\u00bb3\/12″ el_class=\u00a0\u00bbpages-sidebar\u00a0\u00bb][vc_widget_sidebar sidebar_id=\u00a0\u00bbca-sidebar-9958″ el_class=\u00a0\u00bbsidebar\u00a0\u00bb][contact-form-7 id=\u00a0\u00bb9906″][\/vc_column][vc_column width=\u00a0\u00bb9\/12″ el_class=\u00a0\u00bbpages-contenu\u00a0\u00bb][vc_row_inner][vc_column_inner][vc_column_text] Stimulation \u00c9lectrique des Voies A\u00e9riennes Sup\u00e9rieures La stimulation \u00e9lectrique des voies a\u00e9riennes sup\u00e9rieures (UAS en anglais)\u00a0est l\u2019un des plus r\u00e9cents traitements de l\u2019apn\u00e9e obstructive du sommeil (AOS).   Commercialis\u00e9 sous le nom d\u2018Inspire\u00ae, ce dernier a re\u00e7u l\u2019aval de la Food and Drug Administration am\u00e9ricaine en avril … Lire la suite<\/a><\/p>\n","protected":false},"author":20,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-4542","page","type-page","status-publish"],"yoast_head":"\nStimulation \u00c9lectrique des Voies A\u00e9riennes Sup\u00e9rieures<\/title>\n<meta name=\"description\" content=\"La stimulation \u00e9lectrique des voies a\u00e9riennes sup\u00e9rieures (UAS en anglais) est l\u2019un des plus r\u00e9cents traitements de l\u2019apn\u00e9e obstructive du sommeil (AOS).\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/dormalab.com\/fr\/stimulation-electrique-voies-aeriennes-superieures\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Stimulation \u00c9lectrique des Voies 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