In this months episode we will be discussing all things Inspire with Dr. Paul Hoff, an ENT at Michigan Medicine.  What is Hypoglossal Nerve Stimulation? Who can get it? Does it Even work? Listen as we answer all your burning questions. Show NotesBest Advice The Inspire Case What type of sleep study? AHI Cutofffs: Goals of Care? What is considered effective therapy? Star Trial link: Upper-Airway Stimulation for Obstructive Sleep Apnea | NEJMAdhere Registry Link: Results of the ADHERE upper airway stimulation registry and predictors of therapyefficacy - Thaler - 2020 - The Laryngoscope - Wiley Online LibraryDefine CPAP failure? Nasal obstruction causing CPAP failure Floppy Epiglottis causing Aerophagia? Surgery for Aerophagia Risks and medical contraindications MRI compatibility? Surgery description/length ICD compatibility? Avg Voltage ranges? Removing devices Recovery time Incision size Back to the case, parameters for referral Drug Induced Sleep Endoscopy (DISE) What percentage of patients fail DISE? Management after Inspire placement Inspire sync: Battery life 11 years: Explant Surgical options other than Inspire Does UPPP work? What can we expect from surgery? When to refer for large tonsils Closing comments