Snoring and Sleep Surgery

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The Johns Hopkins Center for Snoring and Sleep Surgery provides comprehensive surgical and non-surgical care for patients with obstructive sleep apnea (OSA) or snoring who have not had successful medical treatment or are interested in exploring other treatment options.

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Why Choose Johns Hopkins for Snoring and Sleep Surgery

The Johns Hopkins Center for Snoring and Sleep Apnea Surgery offers collaborative and multidisciplinary care for those suffering from obstructive sleep apnea and snoring.
Our dedicated team of professionals provide personalized treatment plans for patients with obstructive sleep apnea who are struggling to achieve satisfactory treatment with continuous positive airway pressure (CPAP).
Our center offers expertise in both surgical and non-surgical treatment strategies for OSA, including hypoglossal nerve stimulation therapy.

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Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea | David’s Story

David’s obstructive sleep apnea (OSA) left him unable to sleep well at night for the past 30 years. Learn how sleep surgeon Kevin Motz helped David finally get a good night's rest.

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New Treatment: Hypoglossal Nerve Stimulator

Johns Hopkins Otolaryngology–Head and Neck Surgery’s specialists are available to provide the only FDA-approved hypoglossal nerve stimulator (Inspire®) as a possible treatment for patients with obstructive sleep apnea.

- It is a device that delivers upper airway stimulation
  synchronized to your breathing to relieve airway obstruction
  during sleep.
- It is inserted during an outpatient surgical procedure.
- You control the device using a hand-held sleep remote.
- Have moderate to severe obstructive sleep apnea (AHI 15-100 with <25% central and mixed apnea).
- Are intolerant of, or unable to get consistent benefit from, continuous positive airway pressure (CPAP).
- Are not significantly obese (BMI < 40)
- Are at least 18 years of age
- Qualifying drug-induced sleep endoscopy examination

What’s New in the Surgical Treatment of Obstructive Sleep Apnea

Johns Hopkins sleep surgeon and airway specialist Kevin Motz will discuss the newest medical and surgical options for patients with obstructive sleep apnea (OSA) who struggle with using a continuous positive airway pressure (CPAP) machine.

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What to Expect at Your Appointment

Your doctor will perform a general assessment of your health with a specific focus on your overall sleep. Polysomnography (a sleep study) is the primary diagnostic modality used to diagnose sleep-related disorders. You will need to have an updated sleep study prior to evaluation (<1 year old).

As part of our physical exam, you will also undergo an endoscopic exam of their upper airway (nasopharyngoscopy).

After a thorough evaluation, an array of treatment options will be discussed, and based on your specific goals and needs, an appropriate treatment plan will be generated and implemented.

Our Services

Our multidisciplinary team of surgical providers works with you to develop an individualized treatment plan to address your sleep apnea or snoring problems. This may include a comprehensive history and physical examination including an airway evaluation and surgeries. The type of surgery recommended to you may include:

Nasal Surgery

Septoplasty
Nasal turbinate reduction
Nasal valve reconstruction

Palatal Surgery

Expansion Pharyngoplasty
Uvulopalatopharyngoplasty (UPPP)
Tonsillectomy
Palate radiofrequency
Palatal implantation

Base of Tongue Surgery

Lingual tonsillectomy
Partial midline glossectomy
Radiofrequency to the base of tongue
Genioglossus advancement
Hyoid myotomy and suspension
Tongue suspension suture

Dental Sleep Medicine

Maxillomandibular advancement
Custom oral appliances

Meet our Specialists

Kevin M. Motz, MD
- Director, Division of Sleep Surgery
- Assistant Professor of Otolaryngology-Head and Neck Surgery
Nasir Islam Bhatti, MD
- Director Johns Hopkins Percutaneous Trach Service
- Associate Professor of Otolaryngology-Head and Neck Surgery
James H. Clark, MBBChBAO
- Co-Director, Johns Hopkins Dysphagia and Deglutition Clinic
- Assistant Professor of Otolaryngology-Head and Neck Surgery
David W. Eisele, MD
- Andelot Professor of Laryngology and Otology
- Professor of Otolaryngology-Head and Neck Surgery
Matthew Lewis Kashima, MD
- Director, Comprehensive/General ENT
- Assistant Professor of Otolaryngology-Head and Neck Surgery
Luu Van Pham, MD
- Assistant Professor of Medicine
Robin Yang, MD DDS
- Director of Pediatric Plastic Surgery
- Assistant Professor of Plastic and Reconstructive Surgery
Chi+H+Choe, DDS