Drug-induced sleep endoscopy (DISE) has demonstrated that some patients may have the epiglottis playing a significant role in contributing to their obstructive sleep apnea, separate from other structures like the tongue or oropharyngeal lateral walls that secondarily cause airway obstruction behind the epiglottis. The VOTE Classification that Winfried Hohenhorst, Nico de Vries, and I developed…
NOTE: I was a paid Nyxoah consultant, reviewing preoperative drug-induced sleep endoscopy videos for their clinical trials. I was a coauthor on the p I have written previously about the Genio system from Nyxoah and aura6000 system from Livanova, including an update on their clinical trials after the 2024 International Surgical Sleep Society meeting. Over the…
Hypoglossal nerve stimulation has been a major breakthrough in the treatment of obstructive sleep apnea for patients unable to tolerate positive airway pressure therapy. Inspire Medical Systems had the first technology approved by the US Food and Drug Administration in 2014, and I was the first surgeon in the Western United States to offer this…
Hypoglossal nerve stimulation with the Inspire Upper Airway Stimulation system has been a major advance in the treatment of obstructive sleep apnea. Most studies examining outcomes – including important research on drug-induced sleep endoscopy and Inspire therapy outcomes where we have played a key role – has focused on how well the system works when… Read more »Nyxoah Genio: DREAM Study Results and FDA Approval!
Inspire V System now available at UCLA
Reducing sleepiness with Inspire hypoglossal nerve stimulation: efficacy and adherence are both important
Sleep Apnea
Video Post: Surgical evaluation and treatment of OSA and improving outcomes of OSA surgery
We have now released two new videos posted on YouTube and the following UCLA websites: UCLA Sleep Surgery UCLA Head and Neck Surgery Webinars UCLAMDChat Webinars The first video discusses surgical evaluation and treatment of obstructive sleep apnea: The second video shares work in sleep surgery – including research that we have performed…
Over the past couple of years, I have seen more patients coming to me, indicating that they have been “diagnosed” with upper airway resistance syndrome (UARS) by so-called sleep experts. I have to stop myself from shaking my head, not knowing whether I should laugh or cry. The problem has become particularly noticeable over the…
I am writing from our 30th annual Advances in Diagnosis and Treatment of Sleep Apnea and Snoring course in Orlando, Florida. I have been fortunate to take part in this course for the past 20 years but take no credit for the course format that combines medical, surgical, and dental topics. This multidisciplinary approach is…
The last thing anyone wants is to undergo surgery without achieving results. This idea has been the focus of my career in sleep surgery. It has been wonderful to contribute to advancing our understanding about the physical causes of obstructive sleep apnea and ways we can optimize our preoperative evaluation to select procedures. This work…
As a Fellow of the American College of Surgeons, I receive electronic access to the Journal of the American College of Surgeons. I browse the Table of Contents but generally find that most of the articles are related to general surgery or subspecialties within that field (which used to be true for head and neck…
We have just completed the 29th Advances in Diagnosis and Treatment of Sleep Apnea and Snoring course in San Francisco. It is so enjoyable to be one of the course directors, where we can think about the newest developments in the field and other topics to incorporate as we develop the program. As I do…
What Is Upper Airway Resistance Syndrome (UARS)?
30th Annual Advances in Diagnosis and Treatment of Sleep Apnea and Snoring Highlights
Insomnia May Prevent Effective Treatment of Sleep Apnea with Inspire Upper Airway Stimulation
Telemedicine for preoperative visits?
2024 Advances in Sleep Apnea and Snoring Course Highlights
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