How has sleep apnea surgery changed over time? We share two key sources of change: drug-induced sleep endoscopy (DISE) and the Nyxoah Genio hypoglossal nerve stimulation system. DISE is a sleep apnea surgery evaluation tool that helps surgeons develop a targeted, effective sleep apnea surgery plan, improving outcomes. It is recommended in many patients considering… Read more »
Surgery
Can AI improve sleep apnea surgery care?
Are you interested in ways that AI can improve sleep apnea surgery? So am I! I just returned from a sleep apnea surgery course where there was a tremendous amount of discussion about how artificial intelligence (AI) revolutionizing medicine now and in the years to come. After decades of optimism (from others) and pessimism (from… Read more »
Sleep Apnea Surgery Research: Improving Results
Why should patients care about sleep apnea surgery research? Because high-quality research improves outcomes in sleep apnea surgery! Sleep apnea surgery has been the focus of my entire career, now spanning over 20 years since completing all my training. Given that I have entered what I would consider the middle stage of a sleep apnea… Read more »
Being First Is Not Always Best in Sleep Apnea Surgery
Tonight, I was so fortunate to have dinner together with some French sleep apnea surgery colleagues. This included some of the most prominent surgeons in the world who are also long-time friends: Dr. Frederic Chabolle and Dr. Marc Blumen. It was a wonderful chance to share experiences and think about the future of sleep surgery…. Read more »
Anteroposterior and Lateral Epiglottis-Related Obstruction in OSA
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. 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…
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…
The Upper Airway Stimulation system from Inspire Medical Systems has been an important and effective treatment option for many patients with obstructive sleep apnea. Like any procedure or technology, there are potential important risks to consider. In the United States, the Food and Drug Administration (FDA) maintains the publicly-available Manufacturer and User Facility Device Experience… Read more »Nyxoah Genio: DREAM Study Results and FDA Approval!
Inspire V System now available at UCLA
Respiratory sensing lead risks with the Inspire IV system
Reducing sleepiness with Inspire hypoglossal nerve stimulation: efficacy and adherence are both important
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
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…
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