Snoring, Sleep Disordered Breathing, Sleep Apnea

Tonsillectomy and OSAs

In the adult population, tonsillectomy is the appropriate first line treatment in select patients (Epstein 2009, Evidence Based Clinical Guideline).

Submucosal Ablation of the Tongue Base for OSAS

Adult patients with mild to severe obstructive sleep apnea (OSA) can be successfully treated with submucosal radiofrequency tongue base ablation.(Powell 1999 and refs below) The majority of studies demonstrating effectiveness of tongue base submucosa

Midline Glossectomy for OSA

Midline partial glossectomy is an effective surgical modality for the treatment of select pediatric and adult patients with mild to severe obstructive sleep apnea with significant macroglossia.

Tongue Suspension

When behavioral, dietary, and non-invasive techniques fail, surgery plays a vital role in the treatment of obstructive sleep apnea, despite the fact that it may not completely eliminate or cure the syndrome.

Research Gaps - Sleep Medicine

Click to view the research gaps identified in each of these clinical practice guidelines: Polysomnography for sleep-disordered breathing prior to tonsillectomy in children Tonsillectomy in children

Research Gaps - Polysomnography for Sleep Disordered Breathing Prior to Tonsillectomy in Children

Significant gaps in research remain regarding our knowledge about OSA and its management.

Research Gaps - Tonsillectomy in Childern

While there is a body of literature from which the guidelines were drawn, significant gaps remain in knowledge about preoperative, intraoperative, and postoperative care in children who undergo tonsillectomy.

Tongue Based Procedures

Genioglossus advancement and hyoid myotomy/suspension, whether performed separately or combined, are considered effective and non-investigational with proven clinical results when considered as part of the comprehensive surgical management of sympto

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