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 »

Do African-Americans have worse sleep apnea or greater risk of death than Caucasians? Yes and No.

Posted by & filed under Sleep Apnea.

Sleep apnea research, including studies of sleep surgery, is moving forward around the world.  On May 4-5, I will be the keynote speaker for the 94th Taiwan Otolaryngology–Head and Neck Surgery Congress in Tainan, Taiwan.  I look forward to continued discussions with colleagues there about many topics, including the current knowledge of any racial and… Read more »

Does your own snoring wake you up from sleep?

Posted by & filed under Snoring.

If you snore or know someone who does, there is a wide range of treatment options that can help.  My practice is dedicted to the surgical evaluation and treatment of snoring and obstructive sleep apnea, and anyone should feel free to contact me via e-mail or finding more information about seeing me as a patient… Read more »

REM-related OSA–new research in older men

Posted by & filed under Sleep Apnea.

There are many things that we do not understand about obstructive sleep apnea.  This is particularly true for women and men at least 60 years of age, where approximately 20-40% are in the moderate to severe sleep apnea range.  Although sleep apnea is very common among older adults (note: age is just a number, but… 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 »

Advances in Sleep Apnea and Snoring Course–Day 2

Posted by & filed under Sleep Apnea, Snoring.

Today’s lectures encompassed a wide range of new developments in sleep disorders as well as non-surgical treatment of obstructive sleep apnea.  Dr. Allan Pack discussed important papers published over the past year, including a number of studies published from a Spanish collaboration of sleep medicine centers showing that untreated severe obstructive sleep apnea was associated… Read more »

Advances in Sleep Apnea and Snoring Course–Day 1

Posted by & filed under Sleep Apnea, Snoring.

The 19th annual Advances in Diagnosis and Treatment of Sleep Apnea and Snoring course is being held in Orlando, Florida from February 15-17.  Although I am one of the Co-Directors, full credit for its excellent combination of medical and surgical topics goes to the two other co-directors who started the course before I joined them… Read more »

Obstructive Sleep Apnea Is More Than Just AHI

Posted by & filed under Sleep Apnea, Surgery.

This blog post discusses an article in the February 2013 issue of the medical journal Otolaryngology—Head and Neck Surgery. Patients with obstructive sleep apnea are often treated solely based on a result from their sleep study: the apnea-hypopnea index (AHI), the number of episodes of blockage of breathing per hour of sleep.  The AHI is… Read more »