In this episode, Dr. Bobek and Dr. Wasson are joined by Dr. Michael Olson, an otolaryngologist and facial plastic and reconstructive surgeon at Mayo Clinic with a fellowship in sleep surgery. Dr. Olson is one of a small number of ENTs who consistently performs orthognathic surgery for OSA, which makes for an interesting conversation about how the two specialties approach sleep surgery differently and where they overlap.

Topics covered in this episode:

- Why the Stanford Step Protocol developed the way it did and how surgical risk perception has shaped referral patterns

- Who benefits from soft tissue surgery, Inspire, and jaw surgery and how to think about each

- Age considerations for orthognathic surgery vs. airway stimulation

- Inspire tolerance issues and what that means in practice

- Maxillary expansion for sleep apnea: appropriate use vs. overuse

- Residual sleep apnea after MMA and next steps

- Dr. Olson's approach to septoplasty before LeFort

- Nasal congestion management post-LeFort

- Practical notes on ENT and OMFS collaboration in the sleep space

📬 Questions or topic suggestions: [email protected]

The Down Fracture Podcast is for informational and entertainment purposes only and does not constitute medical advice. All opinions expressed are solely those of the hosts and their guests.