Sleep Apnea and Snoring

Ofer Jacobowitz, MD, PhD, FAASM, FAAOA is an internationally recognized leader in the medical and surgical treatment of snoring, obstructive sleep apnea and nasal obstruction. He is dual board-certified in otolaryngology - Head & Neck Surgery and Sleep Medicine and is highly skilled at assessing and treating the anatomical aspects of sinus and nasal problems, sleep apnea and spectrum of sleep disorders. Dr Jacobowitz' accomplishments include: Chair of the Sleep Disorders Committee of the American Academy of Otolaryngology/Head & Neck Surgery; Secretary of the World Sleep Society - World Sleep Society Governing Council; Chair of the International Surgical Sleep Society of Congress in 2019 in New York; The first in New York to perform hypoglossal neurostimulation for sleep apnea and Vivaer, an in-office procedure for nasal obstruction; speaker and course director on sleep and nasal obstruction; editorial board member and peer reviewer for prestigious academic journals; Distinguished service and Honor Award, American Academy of Otolaryngology, Head and Neck Surgery; Fellow Award, American Academy of Sleep Medicine; Castle Connolly's Top Doctor (2016-2022), NY Super Doctor, Vitals' Most Compassionate Doctor.

Section A INTRODUCTION

1. The role of the otolaryngologist and future perspectives in the treatment of snoring and obstructive sleep apnea

Section B DIAGNOSIS

2. Signs and symptoms of obstructive sleep apnea and upper airway resistance syndrome

3. Airway evaluation in obstructive sleep apnea

4. Clinical polysomnography

5. Home Sleep Testing

6. Drug-Induced Sleep Endoscopy (DISE)

Section C NON-SURGICAL TREATMENT OF OSA/HS

7. Obstructive sleep apnea: decision making and treatment algorithm

8. CPAP, APAP and BIPAP

9. Analysis of NCPAP failures

10. Oral Appliance Therapy by the Otolaryngologist

Section D SURGICAL TREATMENT OF OSA/HS

11. Rationale and indications for surgical treatment

12. The impact of surgical treatment of OSA on cardiac risk factors

Section E ANESTHESIA FOR OSA/HS

13. Perioperative monitoring in obstructive sleep apnea hypopnea syndrome

14. Perioperative and anesthesia management

Section F TREATMENT SELECTION

15. Friedman tongue position and the staging of obstructive sleep apnea/hypopnea syndrome

16. Algorithm for Surgery: Palatopharyngoplasty First and Foremost

17. Algorithm for Multilevel Treatment: Riley-Powell and Stanford Experience

18. Lingual Tonsil Grading System

19. The Effect of Oral Positioning on the Hypopharyngeal Airway

20. Algorithm for Multilevel Treatment

Section G NASAL SURGERY FOR THE TREATMENT OF OSA/HS

21. Nasal obstruction and sleep- disordered breathing

22. Minimally Invasive Nasal valve repair

23. Plastic Surgery Techniques for Correction of Nasal Valve Collapse

24. New Techniques in Nasal Valve Repair

25. Inferior Turbinate Reduction

Section H MINIMALLY INVASIVE PALATAL PROCEDURES

26. Role of Laser Surgery in Treatment of OSA

27. Cautery Assisted Palate Surgery and Anterior Palatoplasty

28. Injection snoreplasty

29. Sling Snoreplasty

30. Elevoplasty

31. Soft Palate Implants

Section I PALATAL SURGERY

32. Classic Uvulopalatopharyngoplasty

33. Uvulopalatopharyngoplasty - Patient Selection and Effects on the Airway

34. Uvulopalatopharyngoplasty - the Fairbanks technique

35. Zetapalatopharyngoplasty (ZPP)

36. The uvulopalatal flap

37. Modified uvulopalatopharyngoplasty with uvula preservation

38. Transpalatal advancement pharyngoplasty

39. Expansion sphincter pharyngoplasty

40. Lateral pharyngoplasty

41. Barbed Snore Surgery, BSS

Section J MINIMALLY INVASIVE HYPOPHARYNGEAL PROCEDURES

42. Fundamentals of minimally invasive radiofrequency applications in ear, nose and throat medicine

43. Radiofrequency tongue base reduction in sleep-disordered breathing

44. Endoscopic Coblator Open Tongue Base Resection for Obstructive Sleep Apnea

45. A minimally invasive technique for tongue base stabilization

46. Endoscopic coblation lingual tonsillectomy

47. Electrical Stimulation

48. Upper Airway Stimulation: Implanted Neurostimulation Device for Treatment of Obstructive Sleep Apnea

49. Hypoglossal Nerve Stimulation: Targeted Neurostimulation Device for Treatment of Obstructive Sleep Apnea

Section K HYPOPHARYNGEAL SURGERY

50. Multilevel pharyngeal surgeryfor obstructive sleep apnea

51. External Submucosal Glossectomy

52. Genioglossus advancement in sleep apnea surgery

53. Hyoid suspension

54. Management of the Epiglottis

55. Trans-Oral Robotic assisted Surgery (TORS) for OSA

56. Multilevel surgery with/without genioglossal advancement

Section L MAXILLOFACIAL SURGICAL TECHNIQUES

57. Maxillofacial surgical techniques for hypopharyngeal obstruction in obstructive sleep apnea

58. Modified maxillomandibular advancement technique

59. Maxillary Distraction Osteogenesis with Palatal Implants for Obstructive Sleep Apnea

Section M TRACHEOSTOMY FOR OSAHS

60. Tracheostomy for sleep apnea

61. Speech-ready, long-term tube-free tracheostomy for obstructive sleep apnea

Section N POSTOPERATIVE MANAGEMENT AND COMPLICATIONS

62. The postoperative management of OSA patients after uvulopalatopharyngoplasty. Inpatient or outpatient?

63. Multi-modality management of nasopharyngeal stenosis following uvulopalatopharyngoplasty

64. Current techniques for the treatment of velopharyngeal insufficiency

65. Uvulopalatopharyngoplasty: analysis of failure

66. Salvage of failed palate procedures for sleep-disordered breathing

67. Revision uvulopalatopharyngoplasty (UPPP) by Z-palatoplasty (ZPP)

Section O PEDIATRIC OSAHS

68. Management of sleep-related breathing disorders in children

69. Evaluation and Management of Persistent Pediatric Obstructive Sleep Apnea

70. Current techniques of adenoidectomy

71. Intracapsular Microdebrider-assisted and Coblation tonsillectomy

72. Laryngomalacia

73. Drug Induced Sleep Endoscopy for Children

74. Prevention and Correction of Pediatric OSA and Post-T&A Relapse: A Non-surgical Orthodontic Approach

Section P FUTURE OF OSA TREATMENT

75. Innovations in Surgical Treatment of OSA