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 »

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 »

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 »

  Inspire Medical’s Upper Airway Stimulation technology is a powerful (no pun intended) addition to the array of options for individuals suffering from obstructive sleep apnea.  As a surgeon who implants this therapy, I see patients (whether my own or those coming for a second opinion) where Upper Airway Stimulation is not working well.  While… Read more »

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 »

I was recently invited to join the Advisory Board of the American Sleep Association.  Because of their dedication to increasing awareness about the importance of sleep and sleep disorders, I agreed to this position and contributed website content related to surgical treatment of snoring and obstructive sleep apnea.  Here are links to those pages: Snoring… Read more »

Our snoring and sleep apnea course continued today with talks on a wide range of sleep apnea treatment, especially weight loss and surgical evaluation and treatment. Allan Pack, MBChB, PhD from the University of Pennsylvania started the day, speaking on key papers from the past year in the field of sleep medicine.  The prevailing wisdom… Read more »

Excellent outcomes at 3 years after implantation of the Inspire Medical Upper Airway Stimulation system were reported in the January 2016 issue of the medical journal Otolaryngology–Head and Neck Surgery.  Many types of sleep apnea surgery have solid research evidence demonstrating multiple benefits, from improvements in health and sleep quality (treating sleepiness and quality of life) to… Read more »

The International Surgical Sleep Society is the world’s major organization dedicated to snoring and sleep apnea surgery.  I am honored to be the current President of the ISSS and am excited with new developments that we have recently announced. Next ISSS Meeting: Sao Paulo, Brazil in April 2016 The ISSS has focused their efforts on… Read more »

The 2015 Annual Meeting of the American Academy of Otolaryngology–Head and Neck Surgery was just held in Dallas from September 27-30.  Although I typically give several talks related to sleep apnea surgery, whether focused on drug-induced sleep endoscopy or sleep apnea procedures related to the Palate Region or Tongue Region, one of the most enjoyable and interesting parts… Read more »