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OMSKU V- Obstructive Sleep Apnea

Select the Sections below you want to view. Each program consists of a "media type" and the legend is below. Please complete the evaluation/feedback after viewing this Chapter, in order to access the assessment. Upon successful completion of the assessment, your CDE/CME certificate will be available.

Upon completion of this activity, the learner should be able to:
•Define obstructive sleep apnea syndrome (OSAS)
•Discuss the prevalence and pathophysiology of snoring and OSAS
•Explain the Diagnostic workup required to confirm the presence and severity of OSAS
•Identify the clinical symptoms of OSAS
•List the predisposing factors for OSAS
•Discuss health consequences and morbidity related to OSAS
•Describe normal changes in the airway during sleep that contribute to the development of increased upper airway resistance (UAR), snoring, and obstructive sleep apnea (OSA)
•Explain why nasal breathing predominates in sleep
•Describe anatomic factors influencing pharyngeal obstruction in OSA
•Describe a comprehensive exam of the soft palate and retropalatal airway
•Assess the anatomy of the hypopharnyx
•Describe a comprehensive exam of the nose
•Discuss the indications and contraindications for performing a nasopharyngoscopy
•Discuss the equipment and technique involved in performing a nasopharyngoscopy
•Describe Müeller’s Maneuver, its indication, and effectiveness
•Discuss the multiple components of a polysomnography study
•Discuss how the results of polysomnography influence the choice of treatment for OSA
•Discuss the role of diagnostic imaging in the diagnosis and treatment of OSA
•Discuss the factors involved in the choice of imaging technique to determine the
site of abnormality in OSAS patients
•List the imaging modalities available to assess OSA patients
•Discuss the relationship between sleep apnea and systemic disease
•Understand the contribution of sleep apnea to the generation of inflammatory mediators which promote and/or propagate systemic disorders
•Understand the benefit of a multi-disciplinary approach to patients with obstructive sleep apnea
•Explain the risks and benefits of non surgical treatment options for obstructive sleep apnea
•Understand the modes of action for various types of oral appliances
•Discuss the indications, side effects, effectiveness and guidelines for use of oral appliances
•Discuss site specific surgical treatment of sleep related breathing disorders
•Determine the indications for soft tissue surgery to treat OSA
•Review palatal surgical options that are used to treat OSA
•Review hypopharyngeal surgical options to treat OSA
•Discuss surgical options involving the tongue to treat OSA
•Explain and support the use of maxillomandibular advancement surgery (MMA) to effectively treat OSAS
•Discuss the predictors of surgical success in using MMA
•Discuss the complications that can be associated with MMA and how to minimize through proper anticipation and prevention
•Discuss the importance and evidence to date of improvements in patients quality of life (QOL) following maxillomandibular advancement surgery

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