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. From the foreword: "Sleep Medicine will be the only clinical sleep disorders book that will be extremely useful to Otolaryngologists practicing sleep medicine or desiring to learn the clinical aspects of sleep medicine. This will be a welcome addition to the sleep medicine arsenal of literature and useful to other practitioners who are looking for a no-frills textbook that is primarily focused on the evaluation and therapy of patients with sleep disorders.Although there are several chapters addressing various therapeutic and surgical approaches to the patient with sleep disordered breathing, do not think this is only useful for an otolaryngologist!This will be a very handy clinical reference manual since the editors took extra care to make sure this book also represents the multidisciplinary scope of the field.
" -Teri J. Barkoukis, MD, FCCP, FAASM
Kathleen Yaremchuk, MD, 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.
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. O'Brien 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