Combination Tonsillectomy and Hypoglossal Nerve Stimulation for OSA Patients With Lateral Pharyngeal Collapse
NCT07724938 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 72
Last updated 2026-07-24
Summary
The goal of this clinical trial is to learn whether removing the tonsils at the time of hypoglossal nerve stimulation improves treatment of obstructive sleep apnea in adults whose airway collapses from the side of the upper airway during sleep. The main questions it aims to answer are:
1. Does hypoglossal nerve stimulation combined with tonsillectomy reduce the severity of obstructive sleep apnea more than hypoglossal nerve stimulation alone?
2. Does tonsillectomy improve how effectively hypoglossal nerve stimulation opens and stabilizes the upper airway?
Researchers will compare participants who receive hypoglossal nerve stimulation with tonsillectomy to participants who receive hypoglossal nerve stimulation alone.
Participants will:
* Complete sleep studies, questionnaires, and other assessments before and after treatment
* Be randomly assigned to receive hypoglossal nerve stimulation either with or without tonsillectomy
* Return for follow-up visits and sleep testing to evaluate treatment effectiveness
* In a subset of participants, complete additional overnight testing to measure how treatment changes upper-airway collapsibility
Conditions
- Obstructive Sleep Apnea
- Sleep Disordered Breathing
Interventions
- PROCEDURE
-
Tonsillectomy
Tonsillectomy
- DEVICE
-
HGNS
HGNS alone (without concomitant tonsillectomy)
Sponsors & Collaborators
-
Massachusetts Eye and Ear Infirmary
collaborator OTHER -
Brigham and Women's Hospital
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-08-31
- Primary Completion
- 2030-08-31
- Completion
- 2031-02-28
- FDA Device
- Yes
Countries
- United States
Study Locations
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