Inspire Upper Airway Stimulation Not Working for Your Sleep Apnea?

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

  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 »

New research: drug-induced sleep endoscopy and oral appliances

Posted by & filed under Sleep Apnea.

Two months ago, I developed two videos related to drug-induced sleep endoscopy that I posted on my YouTube page.  One video discussed drug-induced sleep endoscopy and provided some example videos, and the other discussed how drug-induced sleep endoscopy can be used to improve the selection of treatments (surgery and oral appliances) and enhance results.  Just… Read more »

Snoring YouTube Videos: 12 Steps and Snoring Surgery

Posted by & filed under Snoring, Surgery.

Snoring is common, with estimates suggesting that it affects 100 million adults (and anyone bothered by that snoring) in the United States alone.  Whenever I share what I do at work, there is a pause before that person either volunteers that they have been told they snore or mention that they want me to meet… Read more »

Drug-Induced Sleep Endoscopy: Improving Sleep Apnea Treatment with Surgery and Oral Appliances

Posted by & filed under Sleep Apnea, Surgery.

Drug-induced sleep endoscopy is a surgical evaluation technique that can be used to evaluate patients considering surgery or oral appliances for treatment of obstructive sleep apnea.  The approach was developed in a number of center in Europe in the late 1980s and early 1990s, but the techniques have been refined over time. Drug-induced sleep endoscopy has… Read more »

Drug Induced Sleep Endoscopy and Example Videos

Posted by & filed under Sleep Apnea, Surgery.

Drug-induced sleep endoscopy is one of the most common topics on which I give lectures to other physicians around the world.  Although I like to think that my words are so thoughtful and insightful, I know that the real highlights of these talks are the drug-induced sleep endoscopy videos I show as part of the… Read more »

ISSS 2018 Munich and OMT Frenuloplasty Blog Post Reaction

Posted by & filed under Sleep Apnea.

Earlier this month, I attended the 9th meeting of the International Surgical Sleep Society in Munich (ISSS).  The ISSS is the world’s premiere organization dedicated to sleep apnea surgery and snoring surgery.  I am proud of having been the ISSS President from 2014-2017 and for organizing or co-organizing the 7th and 8th meetings in Sao Paulo,… Read more »

Oral myofunctional therapy and frenuloplasty are not proven treatments for obstructive sleep apnea

Posted by & filed under Sleep Apnea.

Obstructive sleep apnea is a potentially-serious medical disorder.  Patients with obstructive sleep apnea need treatments that are based on science.  I am writing this post because over the last several months, I have seen a disturbing number of patients with obstructive sleep apnea who have tried and failed myofunctional therapy and/or frenuloplasty/frenectomy or who have… Read more »

Does Aging Cause Epiglottis-Related Obstruction in Obstructive Sleep Apnea?

Posted by & filed under Sleep Apnea.

I have written previously on the role of the epiglottis in obstructive sleep apnea.  My colleagues around the world largely agree that the epiglottis plays an important role in about 10% of patients with obstructive sleep apnea.  However, there is much that we do not know, including why epiglottis-related obstruction occurs in some patients but… Read more »

Medical devices and the FDA–a sleep apnea surgeon’s perspective

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

One of the most unique parts of my work as a physician/surgeon is my interaction with medical devices companies focused on the treatment of obstructive sleep apnea and snoring.  My research on the selection of procedures for snoring and sleep apnea is directly relevant to these companies because there are many reasons why obstructive sleep apnea… Read more »