Sleep Apnea and Snoring

Ofer Jacobowitz, MD, PhD, FAASM, FAAOA is an internationally recognized leader in the medical and surgical treatment of snoring, obstructive sleep apnea and nasal obstruction. He is dual board-certified in otolaryngology - Head & Neck Surgery and Sleep Medicine and is highly skilled at assessing and treating the anatomical aspects of sinus and nasal problems, sleep apnea and spectrum of sleep disorders.Dr Jacobowitz' accomplishments include: Chair of the Sleep Disorders Committee of the American Academy of Otolaryngology/Head & Neck Surgery; Secretary of the World Sleep Society - World Sleep Society Governing Council; Chair of the International Surgical Sleep Society of Congress in 2019 in New York; The first in New York to perform hypoglossal neurostimulation for sleep apnea and Vivaer, an in-office procedure for nasal obstruction; speaker and course director on sleep and nasal obstruction; editorial board member and peer reviewer for prestigious academic journals; Distinguished service and Honor Award, American Academy of Otolaryngology, Head and Neck Surgery; Fellow Award, American Academy of Sleep Medicine; Castle Connolly's Top Doctor (2016-2022), NY Super Doctor, Vitals' Most Compassionate Doctor.

• Section A INTRODUCTION1. The role of the otolaryngologist and future perspectives in the treatment of snoring and obstructive sleep apneaSection B DIAGNOSIS2. Signs and symptoms of obstructive sleep apnea and upper airway resistance syndrome3. Airway evaluation in obstructive sleep apnea4. Clinical polysomnography5. Home Sleep Testing6. Drug-Induced Sleep Endoscopy (DISE)Section C NON-SURGICAL TREATMENT OF OSA/HS7. Obstructive sleep apnea: decision making and treatment algorithm8. CPAP, APAP and BIPAP9. Analysis of NCPAP failures10. Oral Appliance Therapy by the OtolaryngologistSection D SURGICAL TREATMENT OF OSA/HS11. Rationale and indications for surgical treatment12. The impact of surgical treatment of OSA on cardiac risk factorsSection E ANESTHESIA FOR OSA/HS13. Perioperative monitoring in obstructive sleep apnea hypopnea syndrome14. Perioperative and anesthesia managementSection F TREATMENT SELECTION15. Friedman tongue position and the staging of obstructive sleep apnea/hypopnea syndrome16. Algorithm for Surgery: Palatopharyngoplasty First and Foremost17. Algorithm for Multilevel Treatment: Riley-Powell and Stanford Experience18. Lingual Tonsil Grading System19. The Effect of Oral Positioning on the Hypopharyngeal Airway20. Algorithm for Multilevel TreatmentSection G NASAL SURGERY FOR THE TREATMENT OF OSA/HS21. Nasal obstruction and sleep- disordered breathing22. Minimally Invasive Nasal valve repair23. Plastic Surgery Techniques for Correction of Nasal Valve Collapse24. New Techniques in Nasal Valve Repair25. Inferior Turbinate ReductionSection H MINIMALLY INVASIVE PALATAL PROCEDURES26. Role of Laser Surgery in Treatment of OSA27. Cautery Assisted Palate Surgery and Anterior Palatoplasty28. Injection snoreplasty29. Sling Snoreplasty30. Elevoplasty31. Soft Palate ImplantsSection I PALATAL SURGERY32. Classic Uvulopalatopharyngoplasty33. Uvulopalatopharyngoplasty - Patient Selection and Effects on the Airway34. Uvulopalatopharyngoplasty - the Fairbanks technique35. Zetapalatopharyngoplasty (ZPP)36. The uvulopalatal flap37. Modified uvulopalatopharyngoplasty with uvula preservation38. Transpalatal advancement pharyngoplasty39. Expansion sphincter pharyngoplasty40. Lateral pharyngoplasty41. Barbed Snore Surgery, BSSSection J MINIMALLY INVASIVE HYPOPHARYNGEAL PROCEDURES42. Fundamentals of minimally invasive radiofrequency applications in ear, nose and throat medicine43. Radiofrequency tongue base reduction in sleep-disordered breathing44. Endoscopic Coblator Open Tongue Base Resection for Obstructive Sleep Apnea45. A minimally invasive technique for tongue base stabilization46. Endoscopic coblation lingual tonsillectomy47. Electrical Stimulation48. Upper Airway Stimulation: Implanted Neurostimulation Device for Treatment of Obstructive Sleep Apnea49. Hypoglossal Nerve Stimulation: Targeted Neurostimulation Device for Treatment of Obstructive Sleep ApneaSection K HYPOPHARYNGEAL SURGERY50. Multilevel pharyngeal surgeryfor obstructive sleep apnea51. External Submucosal Glossectomy52. Genioglossus advancement in sleep apnea surgery53. Hyoid suspension54. Management of the Epiglottis55. Trans-Oral Robotic assisted Surgery (TORS) for OSA56. Multilevel surgery with/without genioglossal advancementSection L MAXILLOFACIAL SURGICAL TECHNIQUES57. Maxillofacial surgical techniques for hypopharyngeal obstruction in obstructive sleep apnea58. Modified maxillomandibular advancement technique59. Maxillary Distraction Osteogenesis with Palatal Implants for Obstructive Sleep ApneaSection M TRACHEOSTOMY FOR OSAHS60. Tracheostomy for sleep apnea61. Speech-ready, long-term tube-free tracheostomy for obstructive sleep apneaSection N POSTOPERATIVE MANAGEMENT AND COMPLICATIONS62. The postoperative management of OSA patients after uvulopalatopharyngoplasty. Inpatient or outpatient?63. Multi-modality management of nasopharyngeal stenosis following uvulopalatopharyngoplasty64. Current techniques for the treatment of velopharyngeal insufficiency65. Uvulopalatopharyngoplasty: analysis of failure66. Salvage of failed palate procedures for sleep-disordered breathing67. Revision uvulopalatopharyngoplasty (UPPP) by Z-palatoplasty (ZPP)Section O PEDIATRIC OSAHS68. Management of sleep-related breathing disorders in children69. Evaluation and Management of Persistent Pediatric Obstructive Sleep Apnea70. Current techniques of adenoidectomy71. Intracapsular Microdebrider-assisted and Coblation tonsillectomy72. Laryngomalacia73. Drug Induced Sleep Endoscopy for Children74. Prevention and Correction of Pediatric OSA and Post-T&A Relapse: A Non-surgical Orthodontic ApproachSection P FUTURE OF OSA TREATMENT75. Innovations in Surgical Treatment of OSA