DISE can change the treatment plan in obstructive sleep apnea surgery

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

Drug-induced sleep endoscopy (DISE) is an evaluation technique that can be performed for patients with obstructive sleep apnea who are unable to tolerate positive airway pressure therapy (e.g., CPAP or BiPAP).  The purpose of DISE is to improve the results of treatment with surgery and/or oral appliances.  There are many surgical procedures available to treat the… Read more »

Sleep 2014 Conference: 18 month outcomes from the STAR Trial of Upper Airway Stimulation

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

At the Sleep 2014 scientific conference in Minneapolis earlier this month, Patrick J. Strollo, Jr., MD from the University of Pittsburgh and colleagues presented 18-month outcomes from the STAR trial of Upper Airway Stimulation for treatment of obstructive sleep apnea.  STAR Trial results at 12 months have been published in January 2014 in the New… Read more »

Entering the YouTube Era–Videos on Snoring and Sleep Apnea Surgery

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

Many colleagues and individuals have thanked me for developing my sleep-doctor.com main website and blog.  To be honest, it has required hundreds of hours of time for this amateur website developer.  All the same, it helps my patients and has allowed me to share information about snoring and obstructive sleep apnea.  I recognize that the… Read more »

Appeal that denied health insurance claim for a sleep study or treatment of sleep disorders!

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

A recent story on NPR News reported that half of all patients win their appeal of denials by health insurance companies.  They told the story of a patient with sleepiness and loud snoring who saw a doctor that recommended a sleep study.  The insurance company denied authorization for the sleep study.  The patient filed an… Read more »

Day 2–snoring, sleep apnea, and insight about sugar and its hazards

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

After a successful start to the course, Day 2 began with Allan Pack, MBChB, PhD of the University of Pennsylvania.  Allan had given the final talk of Day 1, in which he delivered a thought-provoking lecture on the future of the field of sleep medicine.  He has campaigned for a shift for the field, like… Read more »

Providing Accurate Information to Patients: About.com, SleepEducation.org, and Weight Gain Associated with CPAP

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

My website and this blog provide what I hope is an useful educational resource for my patients and others, but I know that many patients with snoring and obstructive sleep apnea will never reach it.  As such, I have contributed to two online resources that reach larger audiences.  I am a content author for sleep… Read more »

News from the 2013 AAO-HNS Annual Meeting

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

Last week, I participated in the Annual Meeting of the American Academy of Otolaryngology–Head and Neck Surgery.  This meeting always includes a number of excellent sessions focused on surgery for snoring and obstructive sleep apnea, and this year was no exception.  My favorite session was a discussion of how surgeons might choose from among the… Read more »

Does drug-induced sleep endoscopy identify candidates for electrical nerve stimulation for sleep apnea?

Posted by & filed under Sleep Apnea, Tongue Surgery.

Disclosure: I have served on the Medical Advisory Board and as a consultant for Apnex Medical, a medical device company that developed the Hypoglossal Nerve Stimulation System to treat obstructive sleep apnea.  At no point did I own any portion of the company, although they did pay for my time devoted to company work, initially… Read more »

A reminder not to ignore surgical complications–and an unusual one after hyoid suspension

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

This month’s issue of the medical journal Otolaryngology–Head and Neck Surgery included an article written by Emmanuel Jauregui, one of our medical students at the University of California, San Francisco, that reported a case I treated with an unusual complication of hyoid suspension (sometimes called hyoid myotomy and suspension). Hyoid suspension is a procedure that… Read more »