What is the relationship between pre-operative clinical diagnosis of obstructive sleep apnea (OSA) and post-operative hemorrhage? Background: In general, post-operative complications following tonsillectomy are rare, with hemorrhage being one of […]
Obstructive Sleep Apnea Options
Oral appliances may work better than CPAP for some patients
Single-Staged Modified UPPP with Nasal Surgery Safe for OSAS Patients
Can an anatomy-based staging system effectively predict the efficacy of uvulopalatopharyngoplasty (UPPP) performed along with nasal surgery? Background: While the overall efficacy of UPPP is estimated at 40 percent, Friedman and […]
Mild OSA Linked to Nasal Obstruction
What impact does nasal obstruction have on obstructive sleep apnea (OSA) as measured by polysomnography (PSG)? Background: While nasal obstruction is often identified and treated in patients with OSA, its role […]
Drug-Induced Sleep Endoscopy Provides Insight into OSA
Can drug-induced sleep endoscopy (DISE) help determine the mechanisms for lack of response to surgery for obstructive sleep apnea (OSA)? Background: The most common OSA surgical treatment in the U.S. is […]
A New Direction for Sleep: New OSA guidelines fuel another evidence-based medicine debate
Recent publication of practice parameters for surgery in adults with obstructive sleep apnea (OSA) by the American Academy of Sleep Medicine (AASM) has set off another round of debate on the need for otolaryngologists to get involved in generating their own guidelines. Although otolaryngologists have yet to agree on whether or not the time is right for guidelines on surgical treatment for sleep apnea, consensus can be claimed regarding the need perceived by the American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS) to get on the evidence-based bandwagon.
New OSA Clinical Guideline
What is the current recommended standard for evaluation and treatment of sleep-disordered breathing and obstructive sleep apnea (OSA)? Background: There is lack of consensus about diagnostic protocols for OSA in adults. […]
Surgical Issues: Insights into UPPP, CPAP Use, and CSF Leaks
Does multilevel upper airway surgery preclude continuous positive airway pressure (CPAP) usage, and is there a best way to repair cerebrospinal fluid (CSF) leaks?
Understanding Sleep Architecture Can Aid Diagnosis
More is being learned about sleep and how it relates to otolaryngology. At the recent Combined Otolaryngology Spring Meeting, attendees heard details about how the different stages of sleep affect obstructive sleep apnea (OSA), as well as intriguing findings showing how airway anatomy changes can actually be seen during sleep with use of real-time CT imaging.
State of the Art in Tonsillectomy
Even though tonsillectomies are a commonly performed procedure, research continues to find out more about how to best do the surgery, as well as other values of the procedure.
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