Drug-Induced Sleep Endoscopy: Improving Sleep Apnea Treatment with Surgery and Oral Appliances

Posted by & filed under Sleep Apnea, Surgery.

Drug-induced sleep endoscopy is a surgical evaluation technique that can be used to evaluate patients considering surgery or oral appliances for treatment of obstructive sleep apnea.  The approach was developed in a number of center in Europe in the late 1980s and early 1990s, but the techniques have been refined over time. Drug-induced sleep endoscopy has… Read more »

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 »