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 »

I was recently invited to join the Advisory Board of the American Sleep Association.  Because of their dedication to increasing awareness about the importance of sleep and sleep disorders, I agreed to this position and contributed website content related to surgical treatment of snoring and obstructive sleep apnea.  Here are links to those pages: Snoring… Read more »

Our snoring and sleep apnea course continued today with talks on a wide range of sleep apnea treatment, especially weight loss and surgical evaluation and treatment. Allan Pack, MBChB, PhD from the University of Pennsylvania started the day, speaking on key papers from the past year in the field of sleep medicine.  The prevailing wisdom… Read more »

Excellent outcomes at 3 years after implantation of the Inspire Medical Upper Airway Stimulation system were reported in the January 2016 issue of the medical journal Otolaryngology–Head and Neck Surgery.  Many types of sleep apnea surgery have solid research evidence demonstrating multiple benefits, from improvements in health and sleep quality (treating sleepiness and quality of life) to… Read more »

The International Surgical Sleep Society is the world’s major organization dedicated to snoring and sleep apnea surgery.  I am honored to be the current President of the ISSS and am excited with new developments that we have recently announced. Next ISSS Meeting: Sao Paulo, Brazil in April 2016 The ISSS has focused their efforts on… Read more »

The 2015 Annual Meeting of the American Academy of Otolaryngology–Head and Neck Surgery was just held in Dallas from September 27-30.  Although I typically give several talks related to sleep apnea surgery, whether focused on drug-induced sleep endoscopy or sleep apnea procedures related to the Palate Region or Tongue Region, one of the most enjoyable and interesting parts… Read more »

Many medical treatments have high initial costs but are considered worthwhile expenses because of the benefits, both direct (improved health and quality of life) and indirect (decreased healthcare spending from avoidance of complications).  For treatments such as kidney dialysis, cardiac pacemakers, and organ transplantation, we as a society are willing to pay for treatments with… Read more »

The subspecialty of snoring and sleep apnea surgery is relatively young, and people ask me all the time how I was drawn to the field.  I was fortunate enough to have my own interest sparked as a medical student at the University of Pennsylvania.  As medical students, we were all a little sleep-deprived (and more… Read more »

Here are some highlights from Days 2 and 3 of our sleep apnea and snoring course: Gary Foster, PhD, a long-time faculty member at Temple University and more recently the C0-Chief Scientific Officer at Weight Watchers, showed new studies evaluating the benefits of weight loss in improving moderate to severe obstructive sleep apnea, providing evidence… Read more »

This study and others are included in my video discussion of the Inspire Medical Systems Upper Airway Stimulation system that I have posted on Youtube. One of the distinctive aspects of the Inspire Medical Systems STAR Trial was the short-term withdrawal of therapy from some patients.  The November 2014 issue of the medical journal Otolaryngology–Head… Read more »