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 »

Advances in Sleep Apnea and Snoring Course–Day 3

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

Today’s lectures focused on patient evaluation and treatment with surgery and oral appliances. Dr. Peter Cistulli from the University of Sydney discussed findings from the MASPAP randomized trial conducted in Australia that has recently been accepted for publication in a medical journal.  This study compared mandibular advancement splints (also known as oral appliances) against continuous… Read more »

New Research–Treating the Large Tongue in Sleep Apnea Surgery

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

This blog post discusses two articles in the January 2013 issue of the medical journal Otolaryngology—Head and Neck Surgery that report outcomes for sleep apnea surgery involving removing part of the back of the tongue. Two of the major factors that cause obstructive sleep apnea and snoring are head and neck structure (anatomy) and the… Read more »

Why are so few tongue region procedures performed for the treatment of obstructive sleep apnea?

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

Sleep Surgery Includes Palate Region and Tongue Region Procedures Sleep surgery is the surgical treatment of snoring and obstructive sleep apnea.  For many years, there was only one procedure (called uvulopalatopharyngoplasty, or UPPP) to treat these problems.  Although UPPP clearly helps many patients, it has some important limitations that I have discussed in a previous… Read more »

“The Surgery” for Sleep Apnea

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

I often hear people refer to someone they know—or themselves—as having “the surgery for sleep apnea”, following it up with the assessment about whether “it worked” or not.  Whenever this occurs, I take a deep breath before starting in on the explanation below. My website hopefully makes it clear that there are many procedures available… Read more »