ISSS 2018 Munich and OMT Frenuloplasty Blog Post Reaction

Posted by & filed under Sleep Apnea.

Earlier this month, I attended the 9th meeting of the International Surgical Sleep Society in Munich (ISSS).  The ISSS is the world’s premiere organization dedicated to sleep apnea surgery and snoring surgery.  I am proud of having been the ISSS President from 2014-2017 and for organizing or co-organizing the 7th and 8th meetings in Sao Paulo,… Read more »

Oral myofunctional therapy and frenuloplasty are not proven treatments for obstructive sleep apnea

Posted by & filed under Sleep Apnea.

Obstructive sleep apnea is a potentially-serious medical disorder.  Patients with obstructive sleep apnea need treatments that are based on science.  I am writing this post because over the last several months, I have seen a disturbing number of patients with obstructive sleep apnea who have tried and failed myofunctional therapy and/or frenuloplasty/frenectomy or who have… Read more »

Medical devices and the FDA–a sleep apnea surgeon’s perspective

Posted by & filed under Sleep Apnea, Snoring, Surgery.

One of the most unique parts of my work as a physician/surgeon is my interaction with medical devices companies focused on the treatment of obstructive sleep apnea and snoring.  My research on the selection of procedures for snoring and sleep apnea is directly relevant to these companies because there are many reasons why obstructive sleep apnea… Read more »

Can wearable devices like the Apple Watch diagnose obstructive sleep apnea?

Posted by & filed under Sleep Apnea.

A recent study from Cardiogram and the University of California, San Francisco suggested that the Apple Watch can be a test for obstructive sleep apnea.  It is exciting to think that wearable devices could provide an accessible, low-cost approach to evaluating obstructive sleep apnea.  At the same time, it would be important to examine carefully the implications… Read more »

Sleep Apnea and Insomnia–Not Such Strange Bedfellows

Posted by & filed under Sleep Apnea.

Insomnia is one of the most common sleep disorders, and it is certainly one that we do not understand well.  At its core, insomnia typically includes difficulty falling asleep or staying asleep. There used to be various subtypes of insomnia that were simplified to these core elements in the 2014 International Classification of Sleep Disorders,… Read more »

Sleep Surgery Research at AAO-HNS 2017

Posted by & filed under Sleep Apnea, Snoring, Surgery.

Earlier this month, the American Academy of Otolaryngology–Head and Neck Surgery held their 2017 Annual Meeting (AAO-HNS 2017) in Chicago.  Sleep surgery again was featured prominently in the program.  Aside from the International Surgical Sleep Society conferences, the AAO-HNS meetings have the largest number of sessions related to sleep surgery.  My own schedule was fairly… Read more »

Multilevel surgery for OSA and risks vs. palate surgery alone

Posted by & filed under Palate Surgery, Sleep Apnea, Surgery, Tongue Surgery.

My experience and many research studies indicate that most patients with obstructive sleep apnea have what is often called multilevel obstruction. This term refers to blockage of breathing in both the Palate Region and the Tongue Region. Choosing the right sleep apnea surgery is based on careful evaluation of an individual patient and then weighing the risks and benefits of… Read more »

Sleep Surgery Fellowship at Keck Medicine of USC

Posted by & filed under Sleep Apnea, Surgery.

With the explosion in interest in sleep surgery has come the need to improve training opportunities in this field.  Sleep surgery encompasses the surgical evaluation and treatment of obstructive sleep apnea and snoring, and it is like anything in life: the more experience you have, the more likely it is that you will develop expertise…. Read more »