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Systematic review and policy analysis of tongue base surgical interventions for obstructive sleep apnea including suspension and radiofrequency ablation, summarizing efficacy, evidence quality, and coverage recommendations from multiple health authorities.
Year:
2008–2014
Region / Institution:
HERC, Regence BCBS, SIGN
Subject:
Obstructive Sleep Apnea, Tongue Base Surgery
Document Type:
Clinical Guidelines and Evidence Review
Procedure Codes:
CPT 41512, Excluded Services Guidelines E1–E2
Techniques:
Tongue Base Suspension, Submucosal Ablation
Evidence Sources:
Kezirian 06, Farrar 08, TEC Review 07, Regence BCBS 08
Patient Indications:
Adults with OSA intolerant to CPAP or oral appliances
Outcome Measures:
AHI improvement, Epworth Sleepiness Scale, Functional Outcomes of Sleep Questionnaire
Policy Status:
Experimental, Non-Coverage Recommendations, Medically Necessary under certain criteria
Related Guidelines:
Guideline Notes 172–173, Excluded Services Guidelines 1–2
Surgical Risks:
Not specified in document
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Year:
2008–2014
Region / City:
India
Theme:
Rural sports development and youth participation
Document Type:
Government report / Annexure
Government Body:
Ministry of Youth Affairs and Sports, Government of India
Author:
Parliament of India (Rajya Sabha)
Target Audience:
Policy makers, sports administrators
Programs Covered:
Rajiv Gandhi Khel Abhiyan (RGKA), Panchayat Yuva Krida Aur Khel Abhiyan (PYKKA)
Scope:
National, all states and union territories
Implementation Period:
2008–2014
Key Activities:
Construction of sports complexes, development of village playfields, organization of annual sports competitions, engagement of sports trainers
Funding Sources:
MGNREGA, BRGF, NLCPR, ACA for LWE districts, Ministries of Rural Development, Panchayati Raj, DONER, Planning Commission
Project Status:
Block-level sports complexes proposed in all 6545 blocks; playfields developed across multiple states; participation statistics recorded for annual competitions
Year:
2019
Institution:
WITS University
Department:
Sociology
Type of Document:
Master’s research report
Author:
Ncebakazi Manzi
Supervisors:
Professor Pumla Dineo Gqola, Professor Shireen Ally
Study Period:
2008–2014
Geographical Focus:
South Africa
Research Methodology:
Qualitative interviews, narrative research, feminist autoethnography
Target Audience:
Academic researchers, students of sociology and gender studies
Keywords:
Black women, Black consciousness, feminist perspective, social movements, marginalization
Year:
2008
Country:
Turkey
Project ID:
P096858
Project Type:
Financial Intermediary Project
Status:
Archived
Restructuring Type:
Level two
Original Board Approval Date:
05/22/2008
Original Closing Date:
06/30/2013
Current Closing Date:
12/31/2014
Financing (US$m) Original:
600
Financing (US$m) Revised:
900
Borrowers:
Turkiye Sinai Kalkinma Bankasi (TSKB), Turkiye Ihracat Kredi Bankasi (Turk Eximbank)
Implementing Agencies:
Turkiye Sinai Kalkinma Bankasi (TSKB), Turkiye Ihracat Kredi Bankasi (Turk Eximbank)
Task Team Leader:
Steen Byskov
Sector Manager/Director:
Lalit Raina
Country Director:
Ulrich Zachau
Disbursement Estimates (US$m):
900
EA Category:
F-Financial Intermediary Assessment
Policy Exceptions:
None
Safeguard Policies Triggered:
No
Project Development Objectives:
Support exports and strengthen financial intermediaries’ capacity to provide financing to private enterprises
Year:
2008–2014
Region / City:
London, Waltham Forest
Theme:
Employment, Social Programmes, Public Accountability
Document Type:
Evaluation Report / Investigative Summary
Organization:
London Borough of Waltham Forest
Author:
Nick Tiratsoo
Funding Sources:
DCLG Working Neighbourhoods Fund, DWP City Strategy Pathfinder, GLA/London Development Agency
Contractors:
O-Regen, Kennedy Scott, Widows and Orphans International, Reed in Partnership
Total Budget:
£8–9 million
Main Findings:
Underperformance, missed targets, questionable quality, unspent funds
Data Sources:
Freedom of Information Act requests, Internal Audit, Cabinet minutes, Worknet Partnership Evaluation
Period Covered:
2008–2014
Key Events:
O-Regen collapse into administration, audit of Worknet in 2012, contractor payment discrepancies
Note:
Year
Topic:
Drama / Melodrama
Document Type:
Assessment Schedule
Target Audience:
Students of Drama
Country:
United Kingdom
Healthcare System:
National Health Service (NHS)
Region:
Worcestershire
Institution:
Worcestershire Acute Hospitals NHS Trust
Type of document:
Medical referral form
Medical specialty:
Infant feeding and tongue tie assessment
Target group:
Infants up to 16 weeks from Expected Date of Delivery
Required information:
Baby and parent details, GP details, feeding issues, referrer details
Submission method:
Email
Contact email:
[email protected]
Associated service:
Tongue Tie Assessment / Feeding Clinic
Related leaflet:
“Tongue Tie” patient information leaflet
Referral criteria:
Current feeding problem; speech referrals not accepted
Consultation process:
Initial telephone consultation followed by possible clinic assessment
Name:
Ayeni Adetola Olufoyeke
Matric No:
17/MHS01/073
Level:
300 Level
Course:
Gross Anatomy of Head and Neck
Course Code:
ANA 301
Assignment Title:
Nose and Oral cavity
Date:
24 April 2020
Subject Area:
Human Anatomy
Document Type:
Academic Assignment
Academic Discipline:
Medical and Health Sciences
Anatomical Focus:
Tongue structure, papillae, taste buds, muscles, and applied anatomy
Year:
2012
Region / city:
Nigeria
Topic:
Psycholinguistics
Document type:
Educational
Organization / institution:
None specified
Author:
Not mentioned
Target audience:
Students, researchers in linguistics
Period of validity:
N/A
Date of approval:
N/A
Date of changes:
N/A
Year:
2022
Region / City:
United Kingdom
Subject:
Poetry, Education
Document Type:
Lesson Plan
Organization:
Manchester Metropolitan University
Author:
Unknown
Target Audience:
Teachers, Educators, Students
Duration:
Ongoing
Approval Date:
2022
Modification Date:
N/A
Year:
2017–2021
Medical field:
Sleep medicine
Condition:
Moderate to severe obstructive sleep apnea
Intervention:
Hypoglossal nerve stimulation
Procedure codes:
64582, 64583, 64584
Type of document:
Evidence review and policy summary
Reviewing bodies:
NICE; VbBS; HERC
Last review date:
November 2021
Study types included:
Systematic review; randomized controlled trial; prospective and retrospective case series
Number of studies:
7
Total patients:
326
Geographic context:
United Kingdom; United States
Regulatory context:
Clinical governance and payer policy assessment
Year:
2017
Region / City:
United States
Topic:
Obstructive Sleep Apnea, Commercial Motor Vehicle Drivers, Medical Certification
Document Type:
Medical Examination Recommendation
Organization:
Federal Motor Carrier Safety Administration (FMCSA)
Author:
FMCSA
Target Audience:
Medical professionals, commercial motor vehicle drivers
Effective Period:
2017 and ongoing
Approval Date:
2017
Revision Date:
None
Year:
[Year]
Region / City:
[City]
Theme:
Medical Opinion
Document Type:
Independent Medical Opinion
Organization / Institution:
[Medical Facility Name]
Author:
Dr. Grant Thomas
Target Audience:
Healthcare providers, VA personnel
Period of validity:
N/A
Approval Date:
N/A
Date of Changes:
N/A
Note:
Date
Topic:
Medical Opinion
Document Type:
Independent Medical Opinion
Author:
[Physician’s Name]
Target Audience:
Veterans Affairs (VA) Review Boards, Healthcare Providers
Note:
Year
Theme:
Obstructive sleep apnea, Pediatric otolaryngology
Document Type:
Research study
Context:
A research study on physical examination techniques for evaluating tonsil, adenoid, and pharyngeal grading in children with obstructive sleep apnea.
Authors:
David J. Stevens; Sarah L. Appleton; Andrew D. Vincent; Yohannes A. Melaku; Sean A. Martin; Tiffany K. Gill; Catherine L. Hill; Andrew Vakulin; Gary A. Wittert; Robert J. Adams
Document Type:
Supplementary material to a research article
Subject:
Obstructive sleep apnea, nocturnal hypoxemia, grip strength, muscle mass, fat mass
Population:
Community-dwelling middle-aged and older men
Study Design:
Observational study with linear regression analyses
Data Collection Methods:
In-home polysomnography; questionnaires; blood analysis; dual-energy X-ray absorptiometry
Variables Examined:
Age; income; alcohol consumption; smoking; dietary patterns; physical activity; diabetes; hypertension; arthritis; cancer history; cardiovascular disease; depression; muscle mass; fat mass; testosterone; inflammation
Statistical Methods:
Univariate and adjusted linear regression models
Sleep Assessment Device:
Embletta X100 (Embla Systems, Colorado)
Outcome Measures:
Dominant and non-dominant hand grip strength; lean mass; fat mass
Supplement Sections:
Supplementary S1 (regression adjustments and univariate associations); Supplementary S2 (non-respiratory sleep metrics and body composition associations)
Year:
2026
Region / City:
Not specified
Subject:
Obstructive Sleep Apnea Treatment
Document Type:
Clinical Correspondence
Institution:
Dental Sleep Medicine Clinic
Author:
Treating Dentist / Sleep Medicine Specialist
Intended Audience:
Referring Physician
Patient Age / DOB:
As indicated in document
Therapy Initiated:
Oral Appliance Therapy (OAT)
Additional Recommendations:
Weight management, positional therapy, nasal patency improvement
Standards Followed:
American Academy of Dental Sleep Medicine guidelines
Year:
2026
Region / city:
Global
Theme:
Sleep apnea, Dry eye disease, Meta-analysis
Document type:
Systematic review, Meta-analysis
Organization:
Not specified
Author:
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al.
Target audience:
Researchers, Medical professionals
Period of validity:
Not specified
Approval date:
Not specified
Date of amendments:
Not specified
Year:
2026
Location:
Hotel Nikko, San Francisco, CA, USA
Topic:
Sleep Apnea, Snoring, Sleep Disorders
Document Type:
Educational Conference Program
Organizing Institutions:
University of California, San Francisco Department of Otolaryngology-Head and Neck Surgery; Penn Center for Sleep Disorders, University of Pennsylvania
Authors / Faculty:
Andrew N Goldberg, MD; Eric J Kezirian, MD; Richard J Schwab, MD; Jolie L Chang, MD; David M Claman, MD; plus additional UCSF and external faculty
Intended Audience:
Healthcare professionals including physicians, nurses, and physician assistants
Accreditation:
AMA PRA Category 1 Credits™, ANCC Contact Hours, AAPA Category 1 CME Credits, Interprofessional Continuing Education (IPCE)
Educational Objectives:
Review new developments in diagnosis, management, and treatment of sleep apnea and snoring; evaluate medical and surgical interventions; assess patient outcomes and technology impact
Commercial Support:
Eli Lilly, Neurocare, Inc, Reflux Gourmet, Sleep Res Inc
Exhibitors:
Aerin Medical, Apnimed, Avadel, Axsome Therapeutics, Cadwell, Clevemed, Cryosa, DayBreak, Eli Lilly, Ensodata, Fisher & Paykel, Harmony Bioscience, Inspire, Jazz Pharma, Livanova, Moona Health, Neilmed, Nox Medical, Nyxoah, Onera, Philips, Ron Andrews Medical Company, Serene Sleep, Sleep Res, Vertex Pharmaceuticals, Zoll Itamar
Course Chairs:
Andrew N. Goldberg, MD; Jolie L. Chang, MD; David M. Claman, MD; Eric J. Kezirian, MD; Richard J. Schwab, MD