Learning Objectives:1. How to incorporate sleep testing into an ENTpractice.2. Learn an algorithm for successful treatment ofsnoring and obstructive sleep apnea.3. Understand the approach for proper identificationand treatment of each anatomic site.4. Identify patients who can be helped by multilevelminimally-invasive techniques rather than classicsurgery.5. Learn how and when to incorporate custom-mademandibular advancement devices into an ENT/OSAHS practice.Program Description:Media coverage, physician education, and continuedresearch on the long-term sequelae ofobstructive sleep apnea/hypopnea syndrome (OSAHS)have created a huge increase in the number of patients seeking treatment. At the same time, disillusionment with theresults ofclassic surgery such as UPPP and genioglossaladvancement has deterred manyotolaryngologists from attempting to treat this condition. As the demand for treatment increases, diagnosis of OSAHS willbecome an increasingly significant componentof every ENT practice and surgicaltreatment will remain an option for selectedpatients. The purpose of this course isto, 1) Explain options for attached and unattached PSG or portable system, 2) Review new techniques and newclinical research on OSAHS, 3) Present aclinical staging system that helpsidentify appropriate treatment and predict thesuccess for individual patients, 4) Identifypatients with mild to moderate disease and those who are CPAP intolerant whocould benefit from minimally-invasive and non-invasive techniques, 5) Presentnon-invasive treatment options that can be incorporated into an ENT practice.In addition to classical OSAHS treatment, the coursewill review a variety of polysomnogram systemsand the strengths and weakness of each system.Our experience with Provent, a non-CPAP, non-invasive treatment option will also be discussed in addition tothermoplasticmandibular advancement devices. Simplified systems tosetup a joint venture with dental specialistsfor custom-made devices will also be presented.Presenters will discuss the economics of establishinga comprehensive sleep apnea center. We will detail startup strategies and costsfor establishing a multidisciplinary sleep apnea team and center. In addition,coding and reimbursement procedures will be explained to maximize revenue production.Audience discussion will be encouraged and ample time will be allotted for aquestion and answer session.