Despite of the effectiveness of PAP in OSA treatment, significant percentage of patients are unable to adhere to this treatment long-term. Surgery is a treatment option for patients with OSA who unable to tolerate or have failed less invasive treatment options. Proper patient selection is essential to surgical success. Individual anatomic and non-anatomic factors should be taken into consideration when deciding on surgical procedures.

PAP therapy is the primary treatment for adults with OSA and results in improvement in AHI and daytime sleepiness.  However, compliance with PAP therapy can be challenging.  MADs have been shown to improve PSG parameters and QOL in patients with mild to moderate OSA.  Wake-promoting medications may be used to treat OSA patients with persistent sleepiness despite adequate PAP therapy.  

Obstructive sleep apnea is one of the major health problems in the adult population. Caring for the patient with OSA can be challenging. The goal of this module is to familiarize physicians with pathophysiology and health conditions associated with this disorder. Multiple diagnostic and treatment options are now available for management of OSA patients.

This module covers the clinical evaluation and diagnostics of sleep disorder patients across the spectrum of all sleep related pathologies.  As Obstructive Sleep Apnea is the most common sleep malady seen and treated by Otolaryngologists, learning objectives focus mainly on the details of the polysomnogram and the sleep apneic patient.  Presented with a clinical perspective, the module also includes content covering Drug Induced Sleep Endoscopy, the current role of imaging, and the appropriate use of less commonly utilized tests like the Multiple Sleep Latency Test.  

Sleep disorders are common in adults. Sleep disturbances can be associated with medical and psychosocial problems. Often physicians are unaware of existence of sleep disordered in their patients. Ability to recognize the symptoms of common sleep disordered and referral for appropriate evaluation is essential for comprehensive management of adults with sleep complaints in otolaryngology practice.