Shows / OSA Paper Podcast
OSA Paper Podcast
Every day, one new paper on obstructive sleep apnea surgery: hypoglossal nerve stimulation, palate surgery including barbed reposition pharyngoplasty, tongue base, skeletal and nasal procedures, patient selection and comparators. Every episode summarizes the paper, walks through it as a teaching round, places it against a 440-paper evidence library, and ends with whether it should change practice. Episodes are written and narrated by an AI system working from the full text of each paper and the…
Episodes
- OSA Paper Podcast
Hypoglossal Nerve Stimulation and Hypoxic Burden in Patients With Obstructive Sleep Apnea: A Secondary Analysis of the STAR Trial
The take-home point is the headline one more time. In a cohort without a control arm, hypoglossal nerve stimulation was associated with a median reduction in…
- OSA Paper Podcast
Proximal Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea in the OSPREY Study: A Randomized Controlled Trial
Here is the take-home point. Nearly six in ten treated patients met the response bar at seven months, against roughly one in seven with the device switched…
- OSA Paper Podcast
A Randomized Trial of Nefopam for Postoperative Pain Management in Obstructive Sleep Apnea Patients Undergoing Uvulopalatopharyngoplasty
The take-home point. Nefopam did not lower morphine after UPPP. On the first day, patients used a median of seven milligrams with nefopam and five with…
- OSA Paper Podcast
Systematic Review on the Safety of Outpatient Upper Airway Surgery for Obstructive Sleep Apnea Patients in Ambulatory Surgical Centers
The take-home point. In Dr. Nord's practice, airway-surgery patients like the ones in this review are kept for twenty-three-hour observation, and that includes…
- OSA Paper Podcast
Association Between Perioperative Celecoxib, Acetaminophen, and Opioid Consumption After Palate Surgery for Obstructive Sleep Apnea
The take-home point: this paper gives an adult, sleep-apnea-specific signal that scheduled celecoxib goes with modestly less opioid use on the first day, and…
- OSA Paper Podcast
Predictive Factors for Surgical Outcomes and Symptom Persistence After Uvulopalatopharyngoplasty in Patients With Obstructive Sleep Apnea
The take-home point is about selection and counseling for palate surgery. In Dr. Nord's practice that operation is BRP, and this paper is not BRP. It used no…
- OSA Paper Podcast
Uvularis Muscle Strengthening Advancement in Palatopharyngeal Collapse in Selected Cases of Snoring and Obstructive Sleep Apnea: A Randomized Trial
The take-home point: this paper adds a counseling option for a narrow group of patients, and a snoring hypothesis worth testing. It doesn't change who is…
- OSA Paper Podcast
Uvulopalatopharyngoplasty Versus Expansion Sphincter Pharyngoplasty - A Single Centre Experience
Here is the take-home point. Dr. Nord performs barbed reposition pharyngoplasty and teaches residents in the operating room and clinic. The decision this paper…
- OSA Paper Podcast
Auditory Perceptions Associated With Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea
The take-home point: this paper changes the counseling conversation and the follow-up questions. It doesn't change who is offered Inspire or how the implant is…
- OSA Paper Podcast
Preservation Palatopharyngoplasty for Obstructive Sleep Apnea: Predictors and Clinical Outcomes
Here is the take-home point. The decision this paper touches is what to offer a patient with moderate to severe sleep apnea who is not a good Inspire…
- OSA Paper Podcast
Post-Operative Radiological Evaluation of a Bilateral Hypoglossal Nerve Stimulation System
The take-home point is simple. For a patient with a Genio implant, the plain film is the image that shows the hardware. Every x-ray was clean, all eleven…
- OSA Paper Podcast
Exploring the Role of Drug-Induced Sleep Endoscopy in Optimizing Upper Airway Stimulation Therapy for Non-Responders
The take-home point: Dr. Nord considers DISE with the stimulator on a good tool for the Inspire non-responder who tolerates the device, once awake endoscopy…
- OSA Paper Podcast
GLP-1 receptor agonists for obstructive sleep apnea: a meta-analysis of randomized controlled trials
The take-home point: this paper sharpens how Dr. Nord's practice counsels patients about weight and surgery, even though it doesn't change who is offered…
- OSA Paper Podcast
Edema and Subjective Discomfort After Barbed Stayed Bridge Pharyngoplasty (BSBP)
The take-home point: pain about three out of ten on day one and near zero by one month is a promising early-recovery signal. But it describes one technique, in…
- OSA Paper Podcast
Hypoxic Burden Reduction After Lateral Pharyngoplasty in Patients With Obstructive Sleep Apnea - Beyond the Apnea-Hypopnea Index
The take-home point: this paper doesn't alter who is offered palate surgery or Inspire. What it adds is a fuller way to describe results and to counsel…
- OSA Paper Podcast
Ultrasonographic Tongue Base Motion Does Not Correlate With Hypoglossal Nerve Stimulation Outcomes
The call for Dr. Nord's practice is no change, with a watch on ultrasound as a research tool. The decision this paper touches is what to make of tongue motion…
- OSA Paper Podcast
Oropharyngeal Lateral Wall Collapse on Drug-Induced Sleep Endoscopy as a Predictor of Hypoglossal Nerve Stimulation Response in Obstructive Sleep Apnoea-A Systematic Review
So, what does this systematic review mean for our clinical practice? In terms of an explicit call: watch. There is no change to our implant candidacy gate, but…
- OSA Paper Podcast
Consensus Statements Among European Sleep Surgery Experts on Tongue, Hypopharynx, and Supraglottis Associated With Snoring and Obstructive Sleep Apnea - Part 1 - Evaluation and Decision Making
What is the bottom line for my clinical practice? My explicit call on this paper is watch, accompanied by immediate operational reinforcement of our existing…