ASAP Pathway: THE PODCAST

Ep.42, Airway Myth Busting, Dr. Stanley Liu, MD, DDS

Feb 16, 2025
Dr. Stanley Liu, oral and maxillofacial surgeon and sleep-disordered breathing expert trained at Stanford and UCSF, discusses dental involvement in sleep medicine and the rise of interdisciplinary care. He dives into nasal valve function, nasal mucosa physiology, sequencing nasal surgery and expansion, and practical options for treating nasal obstruction. The conversation also covers measuring meaningful outcomes and combating misinformation.
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ADVICE

Do A Full Nasal Evaluation First

  • Evaluate septum, turbinates, upper lateral cartilage and mucosa before expansion.
  • Address all contributing nasal issues before or alongside maxillary expansion.
INSIGHT

Small Nasal-Floor Gains Predict Benefit

  • Small changes at the nasal floor (a few millimeters) can correlate with symptom improvement after surgery.
  • Prior nasal surgery failures often point to remaining nasal-floor restriction.
ADVICE

Fix Resistance And Collapse Together

  • Treat both airflow resistance and structural collapse when addressing nasal valve problems.
  • Choose interventions that reduce resistance, not only add structural support.
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