Tice R. Harkins

ORCID: 0009-0005-6848-1650
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About
Contact & Profiles
Research Areas
  • Obstructive Sleep Apnea Research
  • Neuroscience of respiration and sleep
  • Tracheal and airway disorders
  • Airway Management and Intubation Techniques
  • Respiratory and Cough-Related Research
  • Dysphagia Assessment and Management
  • Neurological disorders and treatments

University of Pennsylvania
2024

A 71-year-old male with severe obstructive sleep apnea and nasal septal deviation presented to a positive airway pressure (PAP) alternatives clinic due persistent events on both continuous PAP bilevel therapy delivered via oronasal mask. He underwent drug-induced endoscopy titration determine the mechanism of mask failure. was also applied titrated for comparison. Drug-induced showed tongue base collapse which resolved at low using Application an increased minimum therapeutic level....

10.5664/jcsm.11214 article EN Journal of Clinical Sleep Medicine 2024-06-17

A 47-year-old male patient diagnosed with severe obstructive sleep apnea (OSA) sought alternatives to positive airway pressure, prompting evaluation drug-induced endoscopy (DISE). He underwent a specialized DISE nasal airflow and pharyngeal pressure monitoring. During apneas, signals demonstrated dynamic, multilevel upper collapse, shifting sites of obstruction as respiratory effort increased. This case report illustrates how quantitative measurements can complement the standard exam aid in...

10.1002/lary.31461 article EN cc-by-nc-nd The Laryngoscope 2024-04-23

A 70-year-old obese male with moderate obstructive sleep apnea (OSA) sought alternative treatment after failing to tolerate positive airway pressure (PAP) therapy. He underwent drug-induced endoscopy (DISE) a nasal cannula and oral thermistor differentiate from breathing thoracoabdominal belt track respiratory effort. DISE revealed complete velum collapse in the anterior-posterior direction, consistent his awake, supine computed tomography scan, yet confirmed stable mouth without distress....

10.1177/01455613241306031 article EN cc-by-nc Ear Nose & Throat Journal 2024-12-10

Abstract Objective Surgical treatment of non‐obstructive sleep apnea (OSA) pathology poses the risk inappropriate surgical indications. Herein, we sought to determine prevalence non‐OSA respiratory disorders, specifically central (CSA), in new referrals a Sleep Surgery Clinic. Study Design Prospective observational review. Setting Tertiary care academic medical center. Methods In surgery clinic cohort, presence clinically significant CSA was defined as having >25% total apnea‐hypopnea...

10.1002/ohn.1083 article EN cc-by-nc-nd Otolaryngology 2024-12-12
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