Patients who underwent UPPP ± T without DISE did not show a statistically significant difference in outcomes compared to the patients who underwent DISE with other procedures, including TORS. The TORS patients had increased total costs and length of stay that were statistically significant and had increased complications that were not statistically significant.

Ectopic odontomas are a rare disease process and need to be in the differential of the Otolaryngologist and Radiologist. Previous reports reveal the most common location to be the maxilla. We present a rare case of odontoma involving a turbinate causing nasal obstruction and foul-smelling rhinorrhea. Surgical excision is the treatment of choice with an endoscopic approach, if feasible.

Objectives: Evaluate the changes of sleep quality in patients using a mandibular advancement device (MAD) for obstructive sleep apnea (OSA) based upon cardiopulmonary coupling (CPC).Methods: A total of 52 patients (mean age, 53.7 ± 9.6 years; range, 33-74 years) were included in this study. Of them, there were 47 males (90.4%). All subjects were diagnosed with OSA after in-laboratory full-night polysomnography and reevaluated after 3-month use of a MAD. At baseline, apneahypopnea index (AHI) was 33.6 ± 17.0. We compared CPC parameters at baseline with those after 3 month use of a MAD.Results: Low frequency coupling (59.5 ± 16.1 to 47.7 ± 14.8%, P < .001) and elevated low frequency coupling (44.6 ± 18.4 to 32.6 ± 15.7%, P < .001) significantly decreased. High frequency coupling (28.6 ± 16.0 to 36.5 ± 15.7%, P = .004) and very low frequency coupling (11.7 ± 7.2 to 15.3 ± 6.6%, P = .028) significantly increased. The change of AHI significantly correlated with changes of the CPC parameters: negatively correlated with high frequency coupling change (r = -0.572, P < .001); positively correlated with low frequency and elevated low frequency coupling changes (r = 0.604 and 0.497, respectively; P < .001 in both).Conclusions: Low frequency coupling decreased as AHI improved while high frequency coupling increased as AHI improved. The CPC parameters showed that the sleep quality was improved by MAD therapy. Cardiovascular Autonomic Function in Patients with OSAHsin-Ching Lin, MD (presenter); Michael Friedman, MD

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