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Diagnosis and Treatment of Upper Airway Obstruction in Sleep Apnea Patients

Larry Wolford
Course details
Lecturers

Details

5min

English

Lesson program

Learning Objectives – Identify and surgically treat upper airway obstruction

- The 3 areas of upper airway obstruction: nose, oral cavity, oropharyngeal area
- Facial morphological type (high occlusal plane angle) -- most common for sleep apnea
- Nasal obstruction; deviated septum, hypertrophic turbinates, narrow nostrils, etc.
- Oral cavity; narrow arches, retruded maxilla/mandible, tori, macroglossia, etc.
- Oropharynx; decreased airway; hyperplastic soft palate, tonsils, adenoids, etc.
- TMJ pathology – a common cause of mandibular retrusion and sleep apnea
- Surgical treatment of nasal, oral, and oropharyngeal airway obstruction
- Counter-clockwise rotation of the maxillo-mandibular complex to treat sleep apnea
- Concomitant TMJ, orthognathic surgery, and adjunctive procedures for correction of upper airway obstruction and sleep apnea

Lecturers 1

Oral and maxillofacial surgeon specializing in temporomandibular joint (TMJ) reconstruction, orthognathic surgery, obstructive sleep apnea surgery, and craniofacial deformity correction. Clinical Professor at Texas A&M University College of Dentistry, Departments of Oral and Maxillofacial Surgery and Orthodontics. Full-time private practice at Baylor University Medical Center, Dallas, Texas.

 

Over 46 years of clinical, teaching, and research experience in complex maxillofacial surgery. Recognized internationally as the world's leading surgeon in TMJ revision surgery and orthognathic surgery, having completed more revision surgeries than any other surgeon globally. Sponsored and directed a Fellowship Program in TMJ and Orthognathic Surgery at Baylor University Medical Center for 28 years (until recently), training hundreds of oral and maxillofacial surgeons from around the world. Innovator and developer of numerous surgical techniques, philosophies, and evidence-based treatment protocols used worldwide in TMJ surgery, orthognathic surgery, and sleep apnea surgery.

 

Inventor of multiple surgical devices and total joint prostheses including TMJ Concepts patient-specific total joint replacement systems. Developed surgical protocols for managing complex TMJ pathology including internal derangements, degenerative joint disease, ankylosis, condylar resorption, and congenital deformities. Pioneer in simultaneous TMJ reconstruction with orthognathic surgery achieving functional occlusion and facial aesthetics in single-stage procedures. International lecturer presenting at major conferences worldwide on TMJ surgery innovations, revision orthognathic surgery, and airway surgery for sleep apnea.

 

DMD. Board-certified Oral and Maxillofacial Surgeon. Recipient of prestigious William J. Gies Award and W. Harry Archer Award, two of the highest honors in oral and maxillofacial surgery, recognizing major contributions to the specialty. Co-author of two textbooks on TMJ disorders and orthognathic surgery. Co-editor of two additional textbooks. Author of over 45 book chapters. Published over 225 peer-reviewed scientific articles and over 150 scientific abstracts. Active Principal Investigator on multiple IRB-approved research studies at Baylor University Medical Center including outcomes for TMJ reconstruction with all-titanium alloy components, metal hypersensitivity in TMJ patients, and juvenile idiopathic arthritis treatment. Extensive publication record documenting long-term outcomes of TMJ reconstruction, orthognathic surgery protocols, and treatment of complex craniofacial conditions. Patients travel from across the world to Dallas for complex TMJ and orthognathic revision surgeries. Voted among leading maxillofacial surgeons in the world by colleagues. Listed in Who's Who in the World.

 

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