Sleep Medicine

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

Edward Grandi, Executive Director, American Sleep Apnea Association, review, (December 2010): "The volume "Sleep Medicine" by doctors Yaremchuk and Wardrop is an excellent addition to the medical literature on the subject of sleep apnea. Written by otolaryngologists primarly for otolargngologists, it provides a comprehensive overview of the sleep, sleep disorders and the treatment of obstructive sleep apnea. In addtion to addressing the surgical interventions for the condition, the text also provides information on the other treatment modalities - Positive Airway Pressure (PAP), Oral Appliances and Cognitive Behavioral Therapy. The added section on pediatric sleep disorders is also very useful in treating sleep apnea in children. "Sleep Medicine" is a valuable resource for the ENT surgeon interested in recognizing and treating sleep apnea in adults and children." Dennis Rosen, MD, JAMA, (2/16/11): "ONE OF THE MOST ENJOYABLE ASPECTS OF PRACTICING SLEEP medicine, aside from helping patients overcome problems that significantly affect their quality of life, is its interdisciplinary nature. Because sleep medicine is a relatively new field, it has attracted practitioners from a variety of specialties specialties: pediatrics, internal medicine, pulmonology, psychiatry,psychology, otolaryngology, neurology, maxillofacial surgery,and dentistry. In each of these disciplines, patients and their conditions are approached from different angles, and using the varying perspectives on how to diagnose and treat the different disorders not only reveals what may have been overlooked but also complements and enriches the treatments prescribed. This is what makes sleep medicine conferences so interesting: one learns of advances in the field as well as new ways of approaching old problems. This applies to published material as well. Sleep Medicine, edited by otolaryngology sleep specialists Kathleen Yaremchuk and Pell Ann Wardrop, and with many chapters written by other otolaryngology sleep specialists, is a perfect example. A large portion of the book is dedicated to the thorough examination of the upper airway of patients suspected of having obstructive sleep apnea (OSA) and to describing in detail many of the treatment options for that condition, specifically many of the surgical interventions that can be used when other approaches are unsuccessful. However, this is by no means the sole focus of the book, which succeeds in providing a comprehensive overview of sleep disorders as well as their evaluation,diagnosis, and treatment. The in-depth examination of surgical alternatives to continuous positive airway pressure (CPAP) as treatment for OSA is especially valuable when one considers that studies have shown that only 50% of patients prescribed CPAP actually use it on a regular basis. Thus, this resource, which presents these alternatives and includes illustrations and explanations of the surgical techniques, enables the nonsurgical sleep specialist to understand and then present them to patients unable to tolerate CPAP who need a different solution for their OSA. This in turn allows patients to make informed decisions about which options to pursue - especially important when this involves specialty care that may not be available in their own geographic area. The user-friendly text is easy to read and includes many photographs and diagrams as well as tools that can be used in practice. One example is the Kentucky positive airway pressure questionnaire, which appears in the chapter on the role of psychology in the treatment of sleep disorders and which underscores the importance of integrating multiple disciplines to successfully treat patients. A good portion of the book is also dedicated to pediatric sleep disorders, including not only OSA but many of the other sleep problems encountered in children, such as behavioral insomnia of childhood. Because textbooks addressing disorders that span the entire life span often overlook the unique aspects of the pediatric patient, it is satisfying to see this area of sleep medicine covered so prominently. Because Sleep Medicine provides such a good overview of the field as a whole, it will be useful for family and pediatric physicians as well as nurse practitioners. And because of the exceptionally detailed and well-presented overview of the structural and mechanical aspects of the upper air-way, how these aspects contribute to the development of OSA, and the thoroughness with which the different treatment options are discussed, this text will likewise prove to be an excellent resource for trainees as well as practicing specialists in sleep medicine." Steven Y. Park, MD, Annals of Otology, Rhinology, & Laryngology, (2012): "...the book covers all major areas of sleep medicine thoroughly and succinctly. The chapters are relatively short, easy to read, and filled with practical information on every page. There are numerous tables, charts, and illustrations that are clear and easy to interpret."