SCALP COOLING Chemotherapy patients wearing a cold cap connected to a cooling machine have been found to suff er 50% less hair loss during cancer treatment.


ing system signifi cantly reduces hair loss — often by 50 percent or more — in women treated with chemotherapy for breast can- cer. “Knowing that there is a chance that a woman can keep her hair is reassuring and makes the rest of chemotherapy more tolerable,” Dr. Hershman says. The down- side? Scalp cooling isn’t always covered by insurance.


NEUROMODULATION TO TREAT OBSTRUCTIVE SLEEP APNEA The use of continuous positive airway


pressure (CPAP) therapy continues to be the gold standard for treating obstructive sleep apnea, a potentially dangerous sleep disorder in which breathing repeatedly stops and starts during sleep. But not everyone with OSA can tolerate


the CPAP machine (some people fi nd it un- comfortable). Now, there’s a revolutionary way of ad-


dressing moderate to severe obstructive sleep apnea: through neuromodulation or neurostimulation therapy, which uses a minimally invasive, surgically implant- ed system to improve muscle tone in the tongue and the soft tissues adjacent to it. (A system called Inspire Therapy is cur- rently available; another called THN Sleep Therapy is still undergoing clinical trials.) How these systems work: A surgeon


places an electrode around the hypoglossal nerve (which goes to the tongue) and con- nects it to a pacemaker that’s implanted in the upper part of the chest. “When the patient is ready to go to bed,


they would turn on the pacemaker through the skin using a remote control that acti- vates the device,” explains Eugene Chio, M.D., an otolaryngology surgeon at The Ohio State University Wexner Medical Center in Columbus. After that, the device continuously pre-


vents the tongue from fully relaxing, there- by keeping the airway open during sleep and improving OSA. If the patient wakes up during the night, the therapy can be


JANUARY 2019 | NEWSMAX 59 8


COURTESY OF PAXMAN


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