斯坦福睡眠外科是耳鼻喉科下属的一个部门 & 颈部外科每年需要两名外科医生. Sleep 矫正 fellows will be provided with an immersive experience early on to learn how to implement proper head 和 neck exams, 重点是鼻咽检查,重点是上呼吸道. A series of lectures will be held in conjunction with Stanford’s sleep surgery fellows on treatment algorithms, 内镜解释(清醒和睡眠内镜), 和 the underst和ing of surgical procedures. The sleep 矫正 fellows will contribute to the didactic experience by teaching dental 和 facial/气道 growth 和 development to the surgical team.
而外科医生主要是耳鼻喉科医生, 他们也可以是口腔和颌面外科医生. Dr. 斯坦利·刘是睡眠外科协会主任, who will also be overseeing the activities of the Dugoni School’s sleep 矫正 fellows at Stanford Sleep Surgery.
The regularly held Sleep Surgery Treatment Planning Conference (STPC) will be led by both the sleep 矫正 和 sleep surgery fellows. 全面的病人检查和评估将利用牙科, 矫正, 气道, 心理, 以及医学发现和数据来制定推荐的治疗方案. The STPC will comprise the academic faculty of oral surgery, otolaryngology, 和 矫正s.
We expect the sleep 矫正 fellows to be involved with at least 5 complete workups of skeletal sleep patients, along with 5 observations in the operating room. The skeletal procedures for sleep surgery include distraction osteogenesis maxillary expansion (DOME), maxillom和ibular advancement (MMA), 和 genioglossus-genioplasty advancement (GGA).
斯坦福睡眠外科是同类手术中最全面的项目, 睡眠矫正医师应该充分利用这一经验.
斯坦福大学的睡眠手术量大约是80个骨骼病例,用于MMA和GGA, 和 30 for DOME. 满足这一要求预计不会成为研究金培训的障碍. 另外, it is recommended that fellows observe 30 drug-induced sleep endoscopies 和 an equivalent number of awake endoscopies with Muller maneuver. 最后, a total of 30 cases including septoplasty, 鼻整形术, nasal valve surgery, 扁桃腺切除术, uvulopalatopharyngoplasty (UPPP), 强烈建议使用舌下神经刺激.