About The Book
One of the fastest growing areas in Otolaryngology today is sleep medicine. More than one third of all adults and children with sleep disorders present initially to an otolaryngologist for diagnosis and treatment, but there is a paucity of available educational material written from and for the ENT perspective.
Designed for clinicians, residents, and otolaryngologists wanting to sit for the American Board of Medical Specialties conjoint Board Certification in Sleep Medicine which, on implementation in 2007, allowed Board Certified Pediatricians, Otolaryngologists, Neurologist/Psychiatrists and Pulmonologists to sit for the exam, this new book was put together by 2 of the only 49 Otolaryngologists who were board certified in sleep disorders in 2008.
Sleep Medicine features chapters from experts in other related fields, provides materials necessary to practice sleep medicine, covering the basics of both adult and pediatric sleep medicine as it applies to the clinical practice of Otolaryngology. It is the only book to provide an in-depth review of clinical sleep medicine with coverage of sleep testing modalities and to focus on the clinical sleep disorders that an otolaryngologist is likely to see in the office.
The evaluation, including history, examination and testing, are detailed with clinical examples; Treatment options, including Positive Airway Pressure, Mandibular Advancement Devices and Surgical Treatments are discussed with regard to efficacy, patient selection and appropriate follow-up; and an extended section focuses on the evaluation of the sleepy or fatigued patient, a group frequently seen by otolaryngologists with etiologies possibly due to causes other than obstructive sleep apnea.
About The Authors
Kathleen Yaremchuk, MD, received her medical degree from the University of Michigan in 1978 and completed a surgical internship at Cook County Hospital in Chicago, Illinois the following year. In 1982 she completed a residency in Otolaryngology at the University of Chicago. In 1984 she joined the Department of Otolaryngology-Head and Neck Surgery at Henry Ford Hospital in Detroit, Michigan. She has been involved in research on airbag deployment and hearing loss as well as tracheotomy and the long term sequela. Dr. Yaremchuk became interested in Sleep Medicine and recently completed a fellowship in this specialty at Henry Ford Hospital. She is certified by the American Board of Otolaryngology in the subspecialty of Sleep Medicine. She serves as Vice President of Clinical Practice Performance for the Henry Ford Health System and has additional expertise in clinical outcomes and Centers of Excellence designations.
Pell Ann Wardrop, MD, dABSM, is the medical director of the St Joseph Sleep Wellness Center in Lexington, Kentucky. A graduate of the University Of Pittsburgh School of Medicine, she completed internships in internal medicine and general surgery at the University of North Carolina Chapel Hill. Her residency training in Otolaryngology was also completed at the University of North Carolina. During her 20 years as a general otolaryngologist with multispecialty group in Lexington, Kentucky, Dr. Wardrop pursued additional training in sleep medicine. She was certified by the American Board of Sleep Medicine in 2003 and the American Board of Otolaryngology in the subspecialty of sleep medicine in 2008. Dr. Wardrop serves as chair of the Sleep Disorders Committee of the AAO-HNS, on the board of directors of the Kentucky Sleep Society, and on the editorial board of ENToday. Her practice in Lexington, Kentucky now focuses on patients with sleep disorders and she serves on the otolaryngology faculty at the University of Kentucky.
Table oF Contents
Section 1: Background and Patient Evaluation
1. Sleep Physiology – Normal
Sam Mickelson
2. The Evaluation of Upper Airway Structure for Obstructive Sleep Apnea
B. Tucker Woodson and Omer Karakoc
3. Evaluation of Patients with Sleep Disorders
Kathleen Yaremchuk
4. Evaluation of Sleepiness
Pell Ann Wardrop
5. Sleep Testing
Noah Seigel
6. Imaging of the Airway
Shehanaz Ellika and Suresh Patel
Section 2: Sleep Disorder Overview
7. Sleep Disordered Breathing
Iee Ching Anderson and Nancy A. Collop
8. Cardiovascular Effects of Sleep Disordered Breathing
Andrew D. Calvin and Virend K. Somers
9. Insomnia, Circadian Rhythm Disorders and Sleep Deprivation
Russell Rosenberg
10. Narcolepsy and Other Hypersomnias
Neeraj Kaplish and Shelley Hershner
11. Movement Disorders in Sleep
Nancy F. Fishback
12. Drugs that Affect Sleep and Cause Sleepiness
Surilla Randall and Timothy A. Roehrs
Section 3: Medical Management for Sleep Apnea
13. Treatment of Sleep Apnea with Positive Pressure Therapy: The nuts and bolts of nasal CPAP
Willane Krell and M. Safwan Badr
14. Oral Appliances for Snoring and Sleep Apnea
Bryan A. Williams and Samuel Zwetchkenbaum
15. The Role of Sleep Psychology in the Treatment of Sleep Disorders
Jonathon Cole and Ryan Wetzler
16. Weight Management for Patients with Obstructive Sleep Apnea
Jonathan K. Ehrman and David C. Murdy
17. Position Restriction Therapy and Nasal EPAP in the Treatment of Obstructive Sleep Apnea
Rajiv Doshi and Philip Westbrook
Section 4: Surgical Treatment for Sleep Apnea
18. Patient Selection for Sleep Apnea Surgery and Nasal Surgery for Sleep Apnea Treatment
Edward Weaver
19. Soft Tissue Surgery for Sleep Apnea and Snoring
Michael Friedman and Tanya Pulver
20. Expansion Sphincter Pharyngoplasty for Obstructive Sleep Apnea
Tucker Woodson and Omer Karakoc
21. Skeletal Surgery for Obstructive Sleep Apnea
Lamont R. Jones and Sherard A. Tatum
22. Perioperative Management of Patients with Sleep-related Breathing Disorder
Ofer Jacobowitz MD PhD
Section 5: Pediatrics
23. Overview of Pediatric Sleep Disorders
Macario Camacho and Scott E. Brietzke
24. Neurobehavioral Morbidity in Childhood Sleep Disorders
Susan L. Garetz, Louise M. OBrien and Ronald D. Chervin
25. Pediatric Sleep Disordered Breathing
Stacey L. Ishman, Rose Stavinoha and Margaret L. Skinner
26. Pediatric OSA Surgery Beyond Adenotonsillectomy-Skeletal Intervention
Kasey K. Li
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