Journal CME

Volume 86, Number 9, Supplement 1

Alternative interventions for obstructive sleep apnea

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Release Date: September 1, 2019
Expiration Date: August 31, 2022

Estimated Time of Completion: 0.75 hour


Lifestyle modification, surgical interventions, and other devices may benefit patients unable to use positive airway pressure (PAP) therapy.

Learning Objectives

  1. Review conservative options for treating obstructive sleep apnea (OSA)
  2. Identify the evidence of surgical interventions for OSA
  3. Explain the mechanism of hypoglossal nerve stimulation for OSA, appreciate its inclusion and exclusion criteria, and discuss available literature reporting its treatment outcomes
  4. Review indications, efficacy and challenges in oral appliance therapy for OSA
  5. Appreciate the role of nasal expiratory positive airway pressure therapy for OSA

Target Audience

This educational activity is designed for internal medicine and family practice physicians, pediatricians, and allied health professionals, including nurse practitioners and physician assistants.


The Cleveland Clinic Foundation Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Cleveland Clinic Foundation Center for Continuing Education designates this supplement-based CME activity for a maximum of 0.75 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Participants claiming CME credit from this activity may submit the credit hours to the American Osteopathic Association for Category 2 credit.

Activity Director and Author

Activity Director

Nancy Foldvary-Schaefer, DO, MS
Director, Sleep Medicine Program,
Neurological Institute, Cleveland Clinic


Tina Waters, MD
Sleep Disorders Center,
Neurological Institute,
Cleveland Clinic

CME Disclaimer

The information in this educational activity is provided for general medical education purposes only and is not meant to substitute for the independent medical judgment of a physician relative to diagnostic and treatment options of a specific patient's medical condition. The viewpoints expressed in this CME activity are those of the authors/faculty. They do not represent an endorsement by The Cleveland Clinic Foundation. In no event will The Cleveland Clinic Foundation be liable for any decision made or action taken in reliance upon the information provided through this CME activity.


In accordance with the Standards for Commercial Support issued by the Accreditation Council for Continuing Medical Education (ACCME), The Cleveland Clinic Foundation Center for Continuing Education requires resolution of all faculty conflicts of interest to ensure CME activities are free of commercial bias.

The following faculty have indicated they have no relationship which, in the context of their presentation, could be perceived as a potential conflict of interest:

Nancy Foldvary-Schaefer, DO, MS
Tina Waters, MD

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after completion, claim CME

This CME activity was produced by the Cleveland Clinic Journal of Medicine and the Cleveland Clinic Center for Continuing Education.