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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.
  • Perform a comprehensive exam of the nose.
  • Discuss the indications, contraindications, equipment and technique for performing a nasopharyngoscopy.
  • Describe Müeller’s Maneuver, its indication, and its 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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