As in all of medicine, the future of sleep medicine will be defined in part by changes evolving under the health care reform law and by the need to slow the unsustainable cost of medical care, experts said here last month at a session at SLEEP 2011, the 25th Annual Meeting of the Associated Professional Sleep Societies,
A New Direction for Sleep: New OSA guidelines fuel another evidence-based medicine debate
Recent publication of practice parameters for surgery in adults with obstructive sleep apnea (OSA) by the American Academy of Sleep Medicine (AASM) has set off another round of debate on the need for otolaryngologists to get involved in generating their own guidelines. Although otolaryngologists have yet to agree on whether or not the time is right for guidelines on surgical treatment for sleep apnea, consensus can be claimed regarding the need perceived by the American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS) to get on the evidence-based bandwagon.
Fractal Analysis of OSAS Provides Some Information
Does fractal quantitative endoscopic evaluation of the upper airway in patients with obstructive sleep apnea syndrome (OSAS) provide objectivity in the interpretation of these studies? Study Design: Diagnostic test assessment Setting: Tertiary […]
Children with OSAS Have Diminished Mucosal Sensation
Do children with obstructive sleep apnea syndrome (OSAS) have diminished upper airway sensation compared with controls? Background: Studies have shown that attenuation of the upper airway mucosal sensation by topical anesthesia […]
Surgery for Chronic Rhinosinusitis May Help Sleep, Sex
What is the impact of surgery on the sleep and sexual function of patients with chronic rhinosinusitis (CRS)? Background: Recent evaluations of the effects of CRS on the quality of life […]
New OSA Clinical Guideline
What is the current recommended standard for evaluation and treatment of sleep-disordered breathing and obstructive sleep apnea (OSA)? Background: There is lack of consensus about diagnostic protocols for OSA in adults. […]
System Automatically Monitors Apnea-Hypopnea Index
Does a new, full-night automatic system for the detection of snoring provide information on the acoustic characteristics of snores that differ in relation to the apnea-hypopnea index (AHI)? Background: The probability […]
Incorporating Home Sleep Studies into the Diagnostic and Treatment Armamentarium
SAN DIEGO-A change in the Centers for Medicare and Medicaid Services’ (CMS’) policy for national carrier determination on coverage for continuous positive airway pressure (CPAP) has created an opportunity for otolaryngologists who want to pursue incorporation of home sleep studies to diagnose obstructive sleep apnea (OSA) into their practices.
Nose News: Sleep-Disordered Breathing, Middle Meatal Stents
Just how much of the nose plays a role in sleep-disordered breathing should probably get a bit more attention.