Sleep Review's webinar "Insourcing Versus Outsourcing Home Sleep Testing" is now available for on-demand viewing. How it works: Oral appliance therapy (OAT) helps prevent the collapse of the tongue and soft tissues in the back of the throat by supporting the jaw in a forward position, keeping the airway open during sleep. Bennett: It is important for sleep physicians to collaborate with a dentist who can conduct a thorough intraoral examination to assess candidacy for an oral appliance. How it works: Worn on the back of the neck, Night Shift (by Advanced Brain Monitoring) begins to vibrate when users begin to sleep on their back and slowly increases in intensity until a position change occurs. Concern: I can advise the patient to sleep on two tennis balls in a sock to stay off his back for a much cheaper price. Concern: Night Shift will wake my patient up due to the vibration, thereby still interrupting his sleep.
White: A single night sleep study either in the lab or in the home can easily determine if the Winx device will work in a given patient.
How it works: During inhalation, the proprietary microvalve technology in Provent (by Theravent) opens, allowing the user to breathe in freely. New developments in 2014: The FDA approved a lower resistance version of EPAP, Theravent, which is an over-the-counter product indicated only for primary snoring.

Williams: The Provent Nasal Cannula is a diagnostic tool to be used with the Provent Sleep Apnea Therapy device during sleep studies, enabling practitioners to confirm product efficacy. How it works: Somnoplasty, also known as temperature-controlled radio frequency (TCRF), is a minimally invasive surgical technology that uses radiofrequency current to reduce tissue volume in a precise, targeted manner.
New developments in 2014: More and more surgeons are opting to perform a drug-induced sleep endoscopy (DISE) prior to oropharyngeal surgery in order to find out exactly where the blockage is and help determine the responders versus the nonresponders.
How it works: Gastric banding, sleeve gastrectomy, and gastric bypass surgery lead to significant weight loss, including lessening the buildup of fat tissue in the upper thorax and neck.
How it works: Inspire therapy is an implanted system that senses breathing patterns and delivers mild stimulation to key airway muscles, which keeps the airway open during sleep. In our study, the number of arousals due to sleep disorder breathing exceeded the number of supine attempts resulting in positional feedback by a factor of 15.
Assessment of a neck-based treatment and monitoring device for positional obstructive sleep apnea.
A multicenter evaluation of oral pressure therapy for the treatment of obstructive sleep apnea. A novel nasal expiratory positive airway pressure (EPAP) device for the treatment of obstructive sleep apnea: a randomized controlled trial.

Efficacy of the Pillar implant in the treatment of snoring and mild-to-moderate obstructive sleep apnea: a meta-analysis. Obstructive sleep apnea and pulmonary function in patients with severe obesity before and after bariatric surgery: a randomized clinical trial.
Use of Night Shift resulted in significant reductions in stage N1 and increased in N2, while REM and sleep efficiency increase and arousals and awakenings were significantly reduced.
Objective measurement of compliance during oral appliance therapy for sleep-disordered breathing. Remotely controlled mandibular protrusion during sleep predicts therapeutic success with oral appliances in patients with obstructive sleep apnea. Health outcomes of continuous positive airway pressure versus oral appliance treatment for obstructive sleep apnea: a randomized controlled trial.

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