- Obstructive Sleep Apnea Research
- Neuroscience of respiration and sleep
- Tracheal and airway disorders
- Cleft Lip and Palate Research
- Nasal Surgery and Airway Studies
- Craniofacial Disorders and Treatments
- Voice and Speech Disorders
- Dysphagia Assessment and Management
- Cardiovascular and Diving-Related Complications
- Sleep and Wakefulness Research
- Airway Management and Intubation Techniques
- Sinusitis and nasal conditions
- Olfactory and Sensory Function Studies
- Facial Trauma and Fracture Management
- Orthodontics and Dentofacial Orthopedics
- Oral and Craniofacial Lesions
- Congenital heart defects research
- Health Literacy and Information Accessibility
- Sleep and related disorders
- Head and Neck Anomalies
- Reconstructive Surgery and Microvascular Techniques
- Dental Implant Techniques and Outcomes
- Laser Applications in Dentistry and Medicine
- Oral and Maxillofacial Pathology
- Social Media in Health Education
Stanford University
2016-2025
Stanford Health Care
2016-2025
Palo Alto University
2022-2025
Nova Southeastern University
2024
Zhengzhou University
2024
Stanford Medicine
2001-2021
University of Southern California
2020
Arcadia
2020
Chung Shan Medical University
2018
Chang Gung Memorial Hospital
2017
First Page
Objective To evaluate the association between findings of blinded reviews preoperative drug‐induced sleep endoscopy (DISE) examinations using VOTE Classification and obstructive apnea (OSA) surgical outcomes in a large multicenter, international cohort. Methods Retrospective, multi‐center cohort study adults without tonsillar hypertrophy who underwent pharyngeal surgery for OSA. The included only participants enlarged tonsils. Four independent reviewers performed review DISE videos system...
Objectives/Hypothesis To develop a validated inferior turbinate grading scale. Study Design Development and validation study. Methods Phase 1 development (alpha test) consisted of proposal 10 different scales (>1,000 clinic patients). 2 (beta utilized providers 27 standardized endoscopic photos turbinates using two classification systems. 3 (pilot study) 100 live consecutive patients (n = 200 turbinates) who were each prospectively graded by 18 combinations independent raters, was...
Abstract Craniofacial modification by orthodontic techniques is increasingly incorporated into the multidisciplinary management of sleep-disordered breathing in children and adolescents. With increasing application orthodontics to this clinical population it important for healthcare providers, families, patients understand wide range available treatments. Orthodontists can guide craniofacial growth depending on age; therefore, work with other providers a team-based approach breathing. From...
Abstract Objectives/Hypothesis Use of the Muller maneuver (MM) in evaluation patients with obstructive sleep apnea is controversial. One criticism this test that it somewhat subjective. Our objective to explore reliability technique and its association sleep‐disordered breathing. Study Design Prospective study performed an academic tertiary care center. Methods An analysis MM scores from 180 consecutive obtained independently by two examiners was completed. These were compared each other...
Objectives/Hypothesis Review drug‐induced sleep endoscopy (DISE) findings and correlate the patterns of airway collapse with body mass index (BMI) objective study respiratory variables, particular emphasis on oxygen desaturation variables. Study Design Retrospective chart review. Methods From January 2010 to March 2014, 64 patients underwent DISE, its were registered using VOTE (velum, oropharynx, tongue base, epiglottis) classification system. Associations analyzed between BMI,...
Objectives To use drug‐induced sedation endoscopy (DISE) and computational fluid dynamics (CFD) modeling to study dynamic airway airflow changes after maxillomandibular advancement (MMA), how the correlate with surgical success based on polysomnography parameters. Study Design Retrospective cohort study. Setting University medical center. Methods DISE was rated VOTE (velum, oropharynx, tongue, epiglottis) classification, CFD used model velocity negative pressure exerted pharyngeal wall....
A narrow maxilla with high arched palate characterizes a phenotype of obstructive sleep apnea (OSA) patients that is associated increased nasal resistance and posterior tongue displacement. Current maxillary expansion techniques for adults are designed to correct dentofacial deformity. We describe distraction osteogenesis (DOME) tailored adult OSA floor without soft tissue redundancy. DOME performed placement expanders secured by mini‐implants along the midpalatal suture. This minimizes...
Ankyloglossia is a condition of altered tongue mobility due to the presence restrictive tissue between undersurface and floor mouth. Potential implications restricted (such as mouth breathing, snoring, dental clenching, myofascial tension) remain underappreciated limited peer-reviewed evidence. Here, we explore safety efficacy lingual frenuloplasty myofunctional therapy for treatment these conditions in large diverse cohort patients with mobility.Four hundred twenty consecutive (ages 29...
Orofacial myofunctional therapy (OMT) has emerged as an alternative and adjunct for the treatment of sleep-disordered breathing (SDB) in adults children. While OMT efficacy been demonstrated, morphofunctional mechanisms triggered by each exercise remain poorly elucidated. This study aimed to characterise upper airway (UA) changes associated with established oropharyngeal exercises utilised treat SDB nasofibrolaryngoscopy (NFL). Thirteen were selected analysed based on relevant literature....