Snoring and OSA

1.14.1 Define: apnea, hypopnea, RDI, obstructive sleep apnea, central sleep apnea and upper airway resistance syndrome.

1.14.2 What are the criteria for mild, moderate and severe obstructive sleep apnea in adults?

1.14.3 What is a polysomnogram and how is it performed? What are the findings in obstructive sleep apnea?

1.14.4 What is a multiple sleep latency test?

1.14.5 Is there a role for a home sleep study?

1.14.6 Describe the normal stages of sleep, normal ratios/duration of each stage, and alterations seen in central and obstructive sleep apnea.

1.14.7 What are the symptoms of adult sleep apnea? Tell us about the Epworth Sleepiness Scale and the STOP-BANG questionnaire.

1.14.8 Discuss physical exam findings in obstructive sleep apnea. What is a Mueller’s maneuver? What is the role of sleep endoscopy in the workup of OSA?

1.14.9 Describe the Fujita classification of obstructive sleep apnea. Are there other classifications systems?

1.14.10 Review the indications and role of radiofrequency ablation in sleep apnea.

Steward DL, Weaver EM, Woodson BT. A comparison of radiofrequency treatment schemes for obstructive sleep apnea syndrome. Otolaryngol Head Neck Surg. 2004 May;130(5):579-8. PMID:15138424

1.14.11 What are the complications of untreated sleep apnea?

1.14.12 Discuss non-surgical management of obstructive sleep apnea. What is the efficacy of each?--give us data.

1.14.13 Discuss the surgical management of obstructive sleep apnea. Describe the Powell and Riley protocol. Give us some data on the efficacy of each of these procedures.

1.14.14 List UPPP complications and how to prevent them.

1.14.15 What is the proper post-operative management of obstructive sleep apnea?

1.14.16 What are the non-surgical and surgical treatments for snoring? Will insurance cover any treatments?

1.14.17 Compare the results of radiofrequency ablation of the palate with injection snoreplasty in the treatment of snoring.

1.14.18 What are the pillar implants? Any data on the effectiveness of this product?

1.14.19 Is there a role for imaging in work-up of obstructive sleep apnea?

1.14.20 Would you consider referring an obstructive sleep apnea patient without craniofacial deficiencies for maxillomandibular advancement?

Li KK, Riley RW, Powell NB, Guilleminault C. Maxillomandibular advancement for persistent obstructive sleep apnea after phase I surgery in patients without maxillomandibular deficiency. Laryngoscope. 2000 Oct;110(10 Pt 1):1684-8. PMID:11037825