A Laryngoscopy exam is performed using a 4mm flexible scope that is passed gently through the nasal cavity into the upper airway. Traveling through the nose bypasses the natural gag reflex and allows patients and Dr. Ludwick to see the part of the airway where obstructive sleep apnea events occur. Because the exam is performed without sedation, it does not replicate the airway anatomy during sleep. However, it does provide clues as to the causes of a patient’s airway collapse during sleep and potential alternative treatment options.
Awake with neutral jaw position
Laryngoscopy exam same patient
Awake with Jaw Thrust Maneuver. Notice the dramatic improvement in the airway patency.
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