Position Statement: Hypoglossal Nerve Stimulation for Treatment of Obstructive Sleep Apnea (OSA)
August 1, 2025The American Academy of Otolaryngology-Head and Neck Surgery considers upper airway stimulation (UAS) via the hypoglossal nerve for the treatment of adult obstructive sleep apnea syndrome to be a safe and effective second-line treatment of moderate to severe obstructive sleep apnea in patients…
Position Statement: Midline Glossectomy for OSA
August 1, 2025Midline 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. Midline partial glossectomy can either be performed as a stand-alone procedure or as part of multi-level…
Position Statement: Nasal Surgery and OSAS
August 1, 2025Nasal surgery is a beneficial modality for the treatment of obstructive sleep apnea (OSA). Nasal surgery can facilitate the treatment of OSA by improving compliance with CPAP (Continuous Positive Airway Pressure). There is significant correlation between nasal resistance or obstruction and CPAP non-acceptance where…
Position Statement: Submucosal Ablation of the Tongue Base for OSAS
August 1, 2025Adult 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 submucosal radiofrequency ablation (RFA) have been performed in patients with mild…
Position Statement: Surgical Management of Obstructive Sleep Apnea
August 1, 2025Surgical management should be considered an important component in the management of patients with obstructive sleep apnea (OSA). Surgery has multiple roles including primary therapy for patients having failed medical management (positive airway pressure, mandibular advancement devices) and as an adjunctive therapy to allow for…
Position Statement: Tongue Suspension
August 1, 2025When 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. Ultimately the treating physician has the responsibility to council patients on the…
Position Statement: Tonsillectomy and OSAs
August 1, 2025In the adult population, tonsillectomy is the appropriate first line treatment in select patients (Epstein 2009, Evidence Based Clinical Guideline). After thorough examination, if the primary site of obstruction is hypertrophied tonsils, tonsillectomy has been shown to be a very effective treatment regardless of the…
Position Statement: Treatment of Obstructive Sleep Apnea
August 1, 2025Treatment of Obstructive Sleep Apnea: Overview Obstructive Sleep Apnea (OSA) is a common disorder involving collapse of the upper airway during sleep. This repetitive collapse may result in sleep fragmentation, hypoxemia, hypercapnia, and increased sympathetic activity. OSA has been associated with an increased risk of…
Position Statement: Use of Oral Appliances for the Treatment of Obstructive Sleep Apnea (OSA)
August 1, 2025The American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) is committed to the highest standards of care and ensuring patients receive quality care for obstructive sleep apnea (OSA). The AAO-HNS represents approximately 12,000 physicians in the United States who diagnose…
Position Statement: Uvulopalatopharyngoplasty
August 1, 2025Obstructive sleep apnea syndrome (OSAS) is a medical disorder with major personal and public health consequences that may fail treatment using non-invasive modalities such as positional therapy, weight loss, positive airway pressure (PAP) and mandibular advancement devices. Uvulopalatopharyngoplasty (UPPP) is a valid and…
Clinical Indicators: Mastoidectomy
August 1, 2025Thank you for visiting these valuable resources. The Academy is currently reviewing this content and providing updates where necessary. If you have any questions, please reach out to [email protected] *CPT 92540 and 92541 are "add-on" codes, formerly reported with CPT 95920, which…
Clinical Indicators: Myringotomy and Tympanostomy Tubes
August 1, 2025Thank you for visiting these valuable resources. The Academy is currently reviewing this content and providing updates where necessary. If you have any questions, please reach out to [email protected] History (One required) Severe acute otitis media (myringotomy). Hearing loss > 30 dB in patient…
Clinical Indicators: Stapedectomy/Stapedotomy
August 1, 2025Thank you for visiting these valuable resources. The Academy is currently reviewing this content and providing updates where necessary. If you have any questions, please reach out to [email protected] History (in addition to hearing loss, list all appropriate) Hearing loss - age of onset…
Clinical Indicators: Tympanoplasty
August 1, 2025Thank you for visiting these valuable resources. The Academy is currently reviewing this content and providing updates where necessary. If you have any questions, please reach out to [email protected] Rarely if ever performed. History (one required) Conductive hearing loss due to TM perforation…
Clinical Indicators: Adenoidectomy
August 1, 2025Thank you for visiting these valuable resources. The Academy is currently reviewing this content and providing updates where necessary. If you have any questions, please reach out to [email protected] History (One or more required) Four or greater episodes of recurrent purulent rhinorrhea in…
Clinical Indicators: Parotidectomy
August 1, 2025Thank you for visiting these valuable resources. The Academy is currently reviewing this content and providing updates where necessary. If you have any questions, please reach out to [email protected] History (one or more required) Parotid mass. Chronic parotitis. A neck mass with histologic…
Clinical Indicators: Tonsillectomy, Adenoidectomy, Adenotonsillectomy in Childhood
August 1, 2025Thank you for visiting these valuable resources. The Academy is currently reviewing this content and providing updates where necessary. If you have any questions, please reach out to [email protected] History (one or more required) The guideline includes the following statements*: Watchful waiting for…
Clinical Indicators: Palatopharyngoplasty for Obstructive Sleep Apnea
August 1, 2025Thank you for visiting these valuable resources. The Academy is currently reviewing this content and providing updates where necessary. If you have any questions, please reach out to [email protected] History (One or more required) Chronic snoring Restless or interrupted sleep Excessive daytime sleepiness…