Sleep Apnea Multilevel Surgery (SAMS) Randomized Trial: Surgery Improves the AHI and Sleepiness More than Conservative Treatment

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

Well-done randomized trials offer the highest-quality scientific evaluation of any medical intervention. Unfortunately, randomized trials of surgical interventions are extremely difficult to perform, for numerous reasons. In sleep surgery, there have been a number of randomized trials showing that surgical treatment of obstructive sleep apnea can offer important benefits that matter to patients. These include… Read more »

Antibiotics are associated with lower odds of bleeding after soft palate surgery for OSA

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

One of the many benefits of working at an academic medical center is the opportunity to work with residents and fellows, where I am often explaining the research evidence supporting the decisions I make in taking care of patients. In every field of medicine, there are decisions that we make in the absence of perfect… Read more »

Does drug-induced sleep endoscopy improve surgical outcomes?

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

One of the wonderful things about sleep surgery is that it remains a relatively small field. I have had the pleasure of getting to know leading sleep surgeons from around the world through various organizations, such as the International Surgical Sleep Society. Because we know each other well, we share experiences (good and bad) and… Read more »

Advances in Sleep Apnea and Snoring 2020 Course Highlights

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

We have just completed the 26th Annual Advances in Diagnosis and Treatment of Sleep Apnea and Snoring course in San Francisco, California.  I wanted to share some interesting updates and new topics from the course.  I have truly enjoyed being a co-director of the course and look forward to it every year, learning so much… Read more »

Learn About Two of My Patients Who Were Affected by Sleep Apnea and Retired Their CPAP Machines

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

While sleep apnea mostly affects men, women (especially those who are hoping to become pregnant) are at risk too. Learn about Jose’s and Rachel’s road to recovery. I love writing about the latest research related to the surgical evaluation and treatment of snoring and obstructive sleep apnea.  Research studies are important, but sometimes it is… Read more »

What if my drug-induced sleep endoscopy shows I am not a good candidate for Inspire Upper Airway Stimulation?

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

Inspire Medical’s Upper Airway Stimulation therapy is a treatment option for many patients with obstructive sleep apnea who do not tolerate positive airway pressure therapy (for example, CPAP).  There are a few steps to determining whether a patient is a good candidate, including performing drug-induced sleep endoscopy (DISE).  If you are interested in more background… Read more »

Does expansion sphincter pharyngoplasty treat oropharyngeal lateral wall-related obstruction in OSA?

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

Recently, our international, multicenter study examining drug-induced sleep endoscopy and surgery outcomes in those with obstructive sleep apnea but without markedly enlarged tonsils was published in the medical journal Laryngoscope.  I have written on this blog about the research findings and the implications for sleep surgery and the decisions that sleep apnea surgeons make for their… Read more »

Drug-induced sleep endoscopy findings are associated with results of sleep apnea surgery

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

Before performing any surgery, it is important to collect information that can help in making decisions about what type of surgery to have and what the results of surgery might be.  Sleep apnea surgery is no different.  Drug-induced sleep endoscopy (DISE) is an evaluation that can be performed in patients with obstructive sleep apnea who are considering… 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 2017: Upper Airway Stimulation 5-year Outcomes and Questioning Whether Sleep Apnea Treatment Improves Health

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

May and June are busy months for major medical conferences.  May had the 8th meeting of the International Surgical Sleep Society that we hosted at the University of Southern California, and I recently returned from giving lectures at the Sleep 2017 meeting in Boston.  Later in June, I will be speaking at the International Federation… Read more »