Sleep Apnea

31st Annual Advances in Diagnosis and Treatment of Sleep Apnea and Snoring Highlights

Posted by & filed under Sleep Apnea, Snoring.

It is time again for a post about highlights from our annual sleep apnea and snoring course. This year, we had over 200 in attendance, and I learned so much from colleagues. I always focus on nonsurgical topics because this course uniquely combines surgical and nonsurgical content, with the nonsurgical talks often including information that…

Lipofuscin and muscle dysfunction in sleep apnea

Posted by & filed under Sleep Apnea.

In some ways, the throat can be loosely defined as a tube for breathing, swallowing, and speaking. During wakefulness, the muscles that surround the throat have a certain level of activation that keeps the throat open. During sleep, there is a decrease in the level of nerve signals that activate muscles in the body. In… Read more »

Anteroposterior and Lateral Epiglottis-Related Obstruction in OSA

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

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…

Nyxoah Genio: DREAM Study Results and FDA Approval!

Posted by & filed under Sleep Apnea, Surgery.

NOTE: I was a paid Nyxoah consultant, reviewing preoperative drug-induced sleep endoscopy videos for their clinical trials. Based on this work, I was a coauthor on the paper reporting results of the DREAM trial. I have written previously about the Genio system from Nyxoah and aura6000 system from Livanova, including an update on their clinical trials…

Inspire V System now available at UCLA

Posted by & filed under Sleep Apnea, Surgery.

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…

Reducing sleepiness with Inspire hypoglossal nerve stimulation: efficacy and adherence are both important

Posted by & filed under Sleep Apnea, Surgery.

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 »

Video Post: Surgical evaluation and treatment of OSA and improving outcomes of OSA surgery

Posted by & filed under Sleep Apnea, 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…

What Is Upper Airway Resistance Syndrome (UARS)?

Posted by & filed under Sleep Apnea.

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…

30th Annual Advances in Diagnosis and Treatment of Sleep Apnea and Snoring Highlights

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

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…

Insomnia May Prevent Effective Treatment of Sleep Apnea with Inspire Upper Airway Stimulation

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

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…

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