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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