Advances in Sleep Apnea and Snoring 2022 Course Highlights

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

We have just completed the 27th Annual Advances in Diagnosis and Treatment of Sleep Apnea and Snoring course in San Francisco, California. It has been wonderful to be a co-director for about 15 years, and I learn so much myself in every course. This year we did something different: a virtual format! We can thank… Read more »

How long do the benefits of sleep surgery last?

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

Like most surgical treatments throughout medicine, research studies typically evaluate short-term outcomes. In sleep surgery, most studies report results at 3-6 months following surgery. There are notable exceptions – including 5-year outcomes reported for Inspire Upper Airway Stimulation in the STAR Trial presented at the Sleep 2017 meeting and then published in the medical journal… Read more »

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 »

Identifying the epiglottis as a cause of airway blockage in obstructive sleep apnea

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

Readers of this blockage will know that I have written often about drug-induced sleep endoscopy (DISE) as an important evaluation for patients with obstructive sleep apnea who cannot tolerate CPAP well. One of the unique benefits of DISE is the assessment of whether the epiglottis might be a cause of obstructive sleep apnea, in that… Read more »

Drug-induced sleep endoscopy findings are associated with results of Inspire Upper Airway Stimulation

Posted by & filed under Surgery, Tongue Surgery.

Inspire Medical Systems received FDA approval in 2014 for their Upper Airway Stimulation therapy to treat obstructive sleep apnea, and we were the first center in the Western United States to offer this treatment to patients after that approval. We have a substantial experience with this therapy here and have always felt it essential to… Read more »

Video Presentation on Hypoglossal Nerve Stimulation

Posted by & filed under Surgery, Tongue Surgery.

Over the years, I have become more and more impressed by my patients and their sophisticated knowledge of obstructive sleep apnea and the latest research. As part of a national educational lecture series for sleep medicine fellows, I was recently asked to give a lecture on hypoglossal nerve stimulation in the treatment of obstrucive sleep… 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 »

Transoral robotic surgery for obstructive sleep apnea: the US experience

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

The idea of removing tongue tissue as a surgical procedure to treat obstructive sleep apnea dates back to Shiro Fujita, MD and a 1991 publication.  Multiple technologies have been used to perform lingual tonsillectomy and midline glossectomy procedures,.  The challenge has been finding a technology that allows the procedure to be performed well without making… Read more »

Are you a good candidate for Inspire Upper Airway Stimulation if you have not responded to other sleep apnea surgery?

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

Over the past 15-20 years of my own career, research and experience have dramatically improved results of sleep apnea surgery.  For example, we have recently published an international research study showing that drug-induced sleep endoscopy can guide the selection of procedures and whether someone is a good or less-ideal candidate for surgery.  In spite of… Read more »