Identifying the epiglottis as a cause of airway blockage in obstructive sleep apnea

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

Readers of this blockage will know that I have written often about drug-induced sleep endoscopy (DISE) as an important evaluation for patients with obstructive sleep apnea who cannot tolerate CPAP well. One of the unique benefits of DISE is the assessment of whether the epiglottis might be a cause of obstructive sleep apnea, in that… Read more »

AHRQ CPAP Draft Technology Assessment and the Response

Posted by & filed under Sleep Apnea.

Periodically, the Centers for Medicare & Medicaid Services (CMS) requests reviews of technologies used in medical care in the United States. CMS requested an updated review of continuous positive airway pressure (CPAP) therapy for the treatment of obstructive sleep apnea from the Agency for Healthcare Research and Quality (AHRQ) through AHRQ’s Evidence-based Practice Centers program…. Read more »

Telemedicine, telehealth, and video consults in sleep apnea and snoring surgery

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

Because of my career-long focus and unique experience in the combination of sleep surgery and sleep medicine, patients from around the country or other countries often reach out for an evaluation or for surgery. Because of the logistical challenges and costs of in-person visits, I have offered video consults for many years. These remote evaluations… Read more »

Drug-induced sleep endoscopy findings are associated with results of Inspire Upper Airway Stimulation

Posted by & filed under Surgery, Tongue Surgery.

Inspire Medical Systems received FDA approval in 2014 for their Upper Airway Stimulation therapy to treat obstructive sleep apnea, and we were the first center in the Western United States to offer this treatment to patients after that approval. We have a substantial experience with this therapy here and have always felt it essential to… Read more »

Is Drug-Induced Sleep Endoscopy Similar to Natural Sleep?

Posted by & filed under Sleep Apnea, Surgery.

A recurring theme of this blog and the sleep-doctor.com website is that successful surgery for obstructive sleep apnea and snoring depends on understanding the causes that differ from one patient to another. As otolaryngologists, we use flexible fiberoptic telescopes (like the one shown below) to look inside the breathing passages to see where they are open… Read more »

Video Presentation on Hypoglossal Nerve Stimulation

Posted by & filed under Surgery, Tongue Surgery.

Over the years, I have become more and more impressed by my patients and their sophisticated knowledge of obstructive sleep apnea and the latest research. As part of a national educational lecture series for sleep medicine fellows, I was recently asked to give a lecture on hypoglossal nerve stimulation in the treatment of obstrucive sleep… Read more »