Prof. Murat Timur Akçam, MD

Ear, Nose and Throat Head and Neck Surgery

( Otorhinolaryngology Head and Neck Surgery)

Medical Interests

• Functional and aestetic nose surgery

• Rhinology

• noring and sleep apnea surgery

• Facial skin cancers and reconstructions

• Pediatric Otolaryngology

• Salivary gland diseases

Education

• Gulhane military medical school (1986-1992)

• Gulhane Military Medical Academy Department of otorhinolaryngologyHead and Neck Surgery (1995-1998)

• OHSU Facial Plastic and Reconstructive Surgery (2003-2004)

Experience

• Diyarbakır Military Hospital (1998-2000)

• Gulhane Military Medical Academy (2000-2007)

• Tatvan military hospital (2007)

• Gulhane Military Medical Academy (2007-2015)

• Ankara medical park hospital (2015-2018)

• Bahçeşehir Liv Hospital (2018-2021)

• Vadiistanbul Liv Hospital (2021- )

•İstinye University department of otorhinolaryngology Head&Neck Surgery (2018- )

Memberships

• Turkish ENT Head and Neck Surgery Association,

• Ankara ENT Specialists Association,

• Rhinology Association.

• European Academy of Facial Plastic Surgery

• Facial Plastic Surgery Association

• European Acedemy of Facial Plastic Surgery

Publications

A) Publications in international journals

1) Yetişer S, Tosun F, Satar B, Arslanhan M, Akçam T ve Özkaptan Y. “The Role of Zinc in Management of Tinnitus”, Auris Nasus Larynx, 29, 329-333 (2002).

2) Akçam T., Bolu E, Merati A, Durmuş C, Gerek M ve Özkaptan Y. “Voice Changes After Androgen Therapy for Hypogonadotrophic Hypogonadism”, Laryngoscope, 114, 1587-1591 (2004)

3) Akçam T., O. Friedman, TA. Cook, “The Effect of Structural Nasal Valve Dilatation with Butterfly Graft on Snoring”, Arch. Otolaryngol. Head Neck Surg., 130, 1313-1318 (2004). %90; 54 puan

4) Birkent H, Soken H, Akçam T, Karahatay S, Gerek M. “The effect of radiofrequency volumetric tissue reduction of soft palate on voice.” Eur Arch Otorhinolaryngol. 265: 195-8(2007)

5) Cavusoglu M, Kamasak M, Erogul O, Ciloglu T, Serinagaoglu Y, Akçam T. “An efficient method for snore/nonsnore classification of sleep sounds.” Physiol Meas. 28:841-53 (2007) %25; 15 puan

6) Cavusoglu M, Ciloglu T, Serinagaoglu Y, Kamasak M, Erogul O, Akçam T. “Investigation of sequential properties of snoring episodes for obstructive sleep apnoea identification.” Physiol Meas. 29(8): 879-898. (2008) %25; 15 puan

7) Birkent H, Karacalioglu O, Merati AL, Akçam T, Gerek M. “Prospective study of the impact of thyroid hormone replacement on objective voice parameters.” Ann Otol Rhinol Laryngol. 117(7):523-7. (2008)

8) Karakoc O, Akçam T, Gerek M, Genc H, Ozgen F. “The Upper Airway Evaluation of Habitual Snorers and Obstructive Sleep Apnea Patients.” ORL J Otorhinolaryngol Relat Spec. 74(3):136-140. (2012)

9) Akçam T, Altug HA, Karakoc O, Sencimen M, Ozkan A, Bayar GR, Gunhan O. “Synchronous ossifying fibromas of the jaws: a review.” Oral Surg Oral Med Oral Pathol Oral Radiol. 114(5 Suppl): S120-5 (2012)

10) Akçam T, Arslan HH, Deniz S, Genc H, Karakoc O, Senkal S, Gerek M. “Comparison of early postoperative pain among surgical techniques for obstructive sleep apnea.” Eur Arch Otorhinolaryngol. 269(11):2433-40 (2012)

11) Karakoc O, Akçam T, Birkent H, Arslan HH, Gerek M. “Nasalance scores for normal- speaking Turkish population.” J Craniofac Surg. 24(2):520-2. (2013)

12) Karakoc O, Akcam MT, Genc H, Birkent H, Binar M, Gerek M.Do Pharyngeal Surgeries for Snoring and Obstructive Sleep Apnea Have an Impact on Nasalance Scores? J Craniofac Surg. 2015 Oct;26(7):2213-6. doi: 10.1097/SCS.0000000000002101.

13) Binar M, Akcam T, Karakoc O, Sagkan RI, Musabak U, Gerek M.A new surgical technique versus an old marker: can expansion sphincter pharyngoplasty reduce C-reactive protein levels in patients with obstructive sleep apnea? Eur Arch Otorhinolaryngol. 2017 Feb;274(2):829-836. doi: 10.1007/s00405-016-4290-0. Epub 2016 Sep 1.

14) Binar M, Akcam TM, Karakoc O, Sagkan RI, Musabak U, Gerek M. Effect of modern surgical treatment on the inflammatory/anti-inflammatory balance in patients with obstructive sleep apnoea. J Laryngol Otol. 2017 Aug;131(8):719-727. doi: 10.1017/ S0022215117001116. Epub 2017 May 23.

15) Karakoc O, Binar M, Aydin U, Genc H, Akcam T, Gerek M. A tertiary center experience with velopharyngeal surgical techniques for treatment of snoring and obstructive sleep apnea. Auris Nasus Larynx. 2018 Jun;45(3):492-498. doi: 10.1016/ j.anl.2017.06.005. Epub 2017 Jun 21.

16) Binar M, Karakoc O, Akcam T, Asik B, Gerek M. Various combinations of velopharyngeal and hypopharyngeal surgical procedures for treatment of obstructive sleep apnea: Single-stage, multilevel surgery.Am J Otolaryngol. 2017 Sep - Oct;38(5):571-575. doi: 10.1016/j.amjoto.2017.06.003. Epub 2017 Jun 6.

17) Binar M, Akcam T, Genç H, Karakoc O. Voice outcomes for patients undergoing surgery for obstructive sleep apnea: a syatic review and meta-analysis. Eur Arch Otorhinolaryngol. 2020 Dec;277(12):3261-3281.

18) Tosun F, Yetişer S, Akçam T ve Özkaptan Y. “Sphenochoanal Polyp: Endoscopic Surgery”, Int. J. Pediatr. Otorhinolaryngol. 58, 87-90 (2001).

19) Gerek M, Akçam T, Talas D, Deveci S ve Özkaptan Y. “Internal Jugular Phlebectasia Surrounded by Mature Adipose Tissue”, Otolaryngol. Head Neck Surg. 128, 761-763 (2003)

20) Akçam T, Kocaoğlu M, Gerek M, Birkent H, Özkaptan Y ve Tayfun C. “Tolosa-Hunt Syndrome with Heterotopic Salivary Gland Tissue and Absence of Internal Carotid Artery”, Auris Nasus Larynx, 30, 325-329 (2003).

21) Akçam T, Talas D, Gerek M, Deveci S ve Özkaptan Y. “Ectopic Thyroid Tissue with Follicular Adenoma Mimicking Carotid Body Tumor” Otolaryngol. Head Neck Surg. 131, 1019-1021 (2004).

22) Akçam T, Oysul K, Birkent H, Gerek M ve Yetiser S. “Leiomyosarcoma of the Head and Neck: Report of Two Cases and Review of the Literature”, Auris Nasus Larynx, 32, 209 -212 (2005)

23) Karakoc O, Akçam T, Karahatay S ve Yetiser S. “Agenesis of Unilateral Parotid Gland Associated with Pleomorphic Adenoma of the Contralateral Parotid Gland” J. Laryngol. Otol., 119, 409-411 (2005)

24) Tosun F, Ozer C, Akçam T, Gerek M ve Yetiser S. “A Case of Severe Cervicofacial Subcutaneous Emphysema Associated with Munchaussen’s Syndrome”, J. Craniofac. Surg. 16, 661-663 (2005)

25) Karahatay S, Akçam T, Kocaoglu M, Tosun F, Gunhan O. “A rare cause of parotid swelling: primary hydatid cyst.” Auris Nasus Larynx. 33(2): 227-9 (2006).

26) Birkent H, Tosun F, Karahatay S, Akçam T. “Progressive maxillary sinus hypoplasia with open ostium.” J Craniofac Surg. 18(3):706-8 (2007)

27) Ortakoglu K, Akçam T, Sencimen M, Karakoc O, Ozyigit HA, Bengi O. “Osteochondroma of the mandible causing severe facial asymmetry: a case report.” Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 103(5):e21-8 (2007)

28) Varol A, Sabuncuoglu FA, Sencimen M, Akçam T, Olmez H, Basa S. “Rigid external maxillary distraction and rhinoplasty for pyknodysostosis.” J Craniofac Surg. 22(3):901-4 (2011)

29) Akçam T, Hidir Y, Ilica AT, Kilic E, Sencimen M. “Temporomandibular joint herniation into the external ear canal through foramen of Huschke.” Auris Nasus Larynx. 38(5):646-9 (2011)

extratemporal facial nerve in rats. The Mediterranean Journal of Otology 1 (3): (2005)

30) Bayar GR, Akçam T, Gulses A, Sencimen M, Gunhan O. “An excessive coronoid hyperplasia with suspected traumatic etiology resulting in mandibular hypomobility.” Cranio. 30(2):144-9 (2012)

31) Sencimen M, Bayar GR, Akçam T, Altug HA, Altug H, Gulses A, Ozkan A. Management of obstructive sleep apnea by maxillomandibular advancement surgery in an edentulous patient. Craniofac Surg. 23(6): e582-5. (2012)

32) Yildiz Y, Aydin T, Akçam T, Sekir U, Cetin C ve Kalyon TA. “Unilateral Vocal Cord Paralysis. These Patients Lose Their Breath More Quickly”, MMW Fortschr. Med., 121: 57-60 (2003)

33) Yetiser S, Kahraman E, Satar B, Karahatay S, Akçam T. Anatomy of the extratemporal facial nerve in rats. The Mediterranean Journal of Otology 1 (3): (2005)

34) Friedman O, Akçam T, Cook T. Reconstructive rhinoplasty: the 3-dimensional nasal tip. Arch Facial Plast Surg. 8(3):195-201 (2006)

35) Sutbas A, Yetiser S, Satar B, Akçam T, Karahatay S, Saglam K. Low-cholesterol diet and antilipid therapy in managing tinnitus and hearing loss in patients with noise-induced hearing loss and hyperlipidemia. Int Tinnitus J. 13(2):143-9 (2007)

36) Kurt G, Sisman C, Akin E, Akçam T. Cephalometric comparison of pharyngeal airway in snoring and non-snoring patients. Eur J Dent. 5(1):84-8. (2011)

37) Akçam TM, Gubisch W, Unlu H. Nonmelanoma skin cancer of the head and neck: surgical treatment. Facial Plast Surg Clin North Am. 20(4):455-71. (2012)

38) Karakoc O, Akçam T, Genc H, Yetkin S, Piskin B, Gerek M. “Use of the Berlin Questionnaire to screen at-risk patients for obstructive sleep apnea.” B-ENT. 10(1):21-5 (2014)

39) Ceylan A, Akçam T, Karatas E, Celenk F. “Neck swelling following a vigorous neck massage. Diagnosis: cervical lymphocele.” Neth J Med. 65(6):219, 221. (2007)

40) Birkent H, Karahatay S, Akçam T, Durmaz A, Ongoru O. “Primary parotid tuberculosis mimicking parotid neoplasm: a case report.” J Med Case Reports. 26;2: 62. (2008)

41) Karakoc O, Akçam T, Genç H, Yetkin S, Piskin B, Gerek M. Use of Berlin Questionnaire to screen at-risk patients for obstructive sleep apnea. B-ENT, 2014 10(1):21-5

42) Sencimen M, Gulses A, Bayar GR, Akcam T. An unusual complication of genioglossus advancement surgery. Stomatologija. 2015;17(4):135-6.

B) Publications in national journals (34 adet)

1) Akçam T, Akkaya A, Deveci S, Öngürü Ö, Gerek M ve Özkaptan Y. “Larenks kanserlerinde DNA ploidinin prognostik önemi”, Kulak Burun Boğaz Ihtis Derg, 9, 414-23 (2002).

2) Birkent H, Akçam T, Gerek M ve Özkaptan Y. “Fonksiyonel ses hastalıklarında ses terapisi sonuçlarımız”, Kulak Burun Boğaz İhtisas Dergisi 12, 120-127 (2004)

3) Akçam T, Köse M, Ulaş ÜH, Gerek M ve Özkaptan Y. “Vokal fold paralizilerinin takibinde larengeal elektromiyografinin (LEMG) önemi.” Kulak Burun Boğaz İhtisas Dergisi 15 (3-4), 62-69 (2005)

4) Akçam T, Karakoç Ö, Karahatay S ve Yetişer S. “Burun genişletici bantların ve lokal dekonjestanların nazal havayoluna etkileri”, Kulak Burun Boğaz İhtisas Dergisi 15 (5-6), 97-102 (2005)

5) Gerek M, Akçam T, ve Durmaz A. “Horlama ve hafif derecede obstrüktif uyku apneli olgularda yumuşak damak radyofrekans doku ablasyonu uygulaması.” Kulak Burun Boğaz İhtisas Dergisi 14, 67-78 (2005)

6) Dündar A, Gerek M, Akçam T ve Pabuşçu Y. “Obstrüktif uyku apneli hastalarda üst hava yolu boyutlarının bilgisayarlı tomografi ile değerlendirilmesi”, K.B.B. ve Baş Boyun Cerrahisi Dergisi, 6, 134-138 (1998).

7) Gerek M, Akçam T, Ceyhun E, Özgen F ve Dündar A. “Kronik horlama ve uyku apnesi sendromu olan olguların uyku parametrelerinin karşılaştırılması”, K.B.B. ve Baş Boyun Cerrahisi Dergisi, 7,34-36 (1999).

8) Karahatay S, Akçam T, Gerek M, Tosun F ve Özkaptan Y. “Larengofarengeal reflü hastalığı tanısında 24 saatlik pH takip testi gerekli midir? ”, Türkiye Klinikleri KBB Dergisi, 2,140-147 (2002)

9) Gerek M, Çiğiltepe M, Akçam T ve Karahatay S. “Servikal vertebra patolojilerinin neden olduğu disfaji”, KBB Baş ve Boyun Cerrahisi Dergisi, 12, 21-27 (2004)

10) Akçam T, Bolu E, Durmuş C, Birkent H ve Özkaptan Y. “İzole hipogonadotropik hipogonadizmli erkek hastalarda ses temel frekans değerlendirmesi”, Türkiye Klinikleri KBB Dergisi, 4, 65-68 (2004).

11) Akçam T, Karakoç Ö, Karahatay S ve Gerek M. “Yüzeysel parotidektomi sonrası nöral komplikasyonlar”, Elektronik KBB Baş Boyun Cerrahisi Dergisi KBB-Forum.net, 4, 56-60 (2005)

12) Akçam T, Karakoç Ö, Karahatay S, Birkent H ve Gerek M. “Akustik farengometri ile horlamalı hastaların pozisyona bağlı farengeal hava yolu değişikliklerinin araştırılması.” Elektronik KBB Baş Boyun Cerrahisi Dergisi KBB-Forum.net 4, 84-88 (2005)

13) Karahatay S, Bozlar U, Akçam T, Söken H, Gerek M. “Larenks Kanserli Hastalarda Tiroid Gland İnvazyonunu Göstermede Bilgisayarlı Tomografinin Tanı Değeri.” Elektronik KBB Baş Boyun Cerrahisi Dergisi KBB-Forum.net 4, 72-75 (2005)

14) Demir D, Akçam MT, Karakoç Ö, Öngürü Ö, Yetişer S. “Baş ve Boyun kitlelerinde ince iğne aspirasyon biyopsisinin tanısal değeri.” KBB-Forum. 5(1): 5-11

15) Birkent AH, Karahatay S, Akçam MT, Gerek M, Yetişer S. “Tiroid papiller kanserinin soliter kistik lenf nodu metastazı.” KBB-Forum 4(4): 157-161 (2005)

16) Akçam T, Demir D, Karakoç Ö, Karahatay S, Tosun F. “Burun Genişletici Bantların Etkinliği” Türkiye Klinikleri J Med Sci, 26, 37-42 (2006)

17) Karakoç Ö, Akçam T, Gerek M, Birkent H. “Horlama ve Obstüriktif Uyku Apneli Hastalarda Epworth Uykululuk Skalasının Güvenilirliği.” KBB-Forum;6(3): 87-89 (2007)

18) Karadeniz H, Birkent H, Karahatay S, Durmaz A, Akçam T, Gerek M. “Alt konka hipertrofisi tedavisinde radyofrekans doku ablasyonu etkinliği.” Kulak Burun Boğaz Baş Boyun Cerrahisi Dergisi. 15(1): 18-26 (2007)

19) Karakoç Ö, Akçam T, Gerek M, Birkent H. “Obstrüktif Uyku Apnesi ve Kronik Hastalıklar.” KBB-Forum. 7(1): 15-20 (2008)

20) Onar t, Aydoğan Ü, Doğaner YC, Akçam T, Sağlam K. Bir eğitim hastanesine başvuranlarda horlama, habitual horlama, tanıklı apne ve ilişkili faktörlerin değerlendirilmesi. Euras J Fam Med 4(2):63-70 (2015)

21) Yetişer S, Akçam T, Tosun F ve Özkaptan Y. “Midline Granüloma: Etyoloji ve Klinik Seyir.” Acta Onkologica Turcica, 30, 98-101 (1997).

22) Özkaptan Y, Tosun F, Akçam T, Gerek M, Akkaya A ve Ebülken E. “Radyoterapi of c- sonucu oluşan doku nekrozunda hiperbarik oksijen tedavisi,” KBB Baş ve Boyun Cerrahisi Dergisi, 10, 58-62 (2002).

23) Akçam T. “Ses üzerine etkili farmakolojik ajanlar”, Türkiye Klinikleri KBB Dergisi, 2,48-54 (2002).

24) Akçam T, Birkent H, Gerek M ve Özkaptan Y. “Dev servikal lipoma” Türkiye Klinikleri KBB Dergisi, 3, 48-52 (2003).

25) Özkaptan Y ve Akçam T. “Burun ve paranasal sinüslerin konjenital anomalileri”, Türkiye Klinikleri KBB Dergisi, 3, 100-109 (2003).

26) Akçam T, Atalay A, Gerek M ve Özkaptan Y. “Lingual tiroidte disfaji” Türkiye Klinikleri KBB Dergisi, 12, 15-19 (2004)

27) Akçam T. “Disfajinin klinik değerlendirmesi”, Türkiye Klinikleri KBB Dergisi, 4, 167-172, (2004).

28) Tosun F, Akçam T, Yetişer S, Beyan C ve Hıdır Y. “İnvaziv sinonazal aspergilloziste endoskopik eksizyon ve lokal fleplerle onarım: Olgu sunumu”, Elektronik KBB Baş Boyun Cerrahisi Dergisi KBB-Forum.net, 4, 43-46 (2005).

29) Akçam T ve Yetişer S. “Tonsillektomi endikasyonları”, Sendrom 17(12), 22-32 (2005)

30) Karahatay S, Akçam T. , “Tonsillektomi ve Adenoidektomi endikasyonları” Türkiye Klinikleri J Surg Med Sci 1 (11), 12-15 (2005)

31) Birkent H, Akçam T. “Tonsillektomi ve Adenoidektomi: Geleneksel ve Yeni Teknikler” Türkiye Klinikleri J Surg Med Sci 1 (11), 16-25 (2005)

32) Akçam T, Karakoç Ö. “Horlama ve obstrüktif uyku apnesinde fizik muayene ve endoskopik yöntemler.” Kulak Burun Boğaz Cerrahisinde güncel yaklaşım. 2(4): 25-31 (2006)

33) Akçam MT, Karakoç Ö. Horlama ve Obstruktif Uyku Apnesi. Klinik Tıp solunum Aktüel.2: 1-16 (2011)

34) Gün T, Boztepe OF, Akçam T. Unusual tip mass: Schwannoma of the upper lip: case report. Türkiye klinikleri J Case report 24(3):257-9 (2016)

C) International presentations (15 adet)

1) Akçam T, Özkaptan Y, Gerek M, Tosun F.“ Management of Unilateral Vocal Fold Paralysis,” 6th Congress of Balkan Military Medical Committee, Plovdiv, Bulgaria, Abstract Book, P70, (2001)

2) Özkaptan Y, Akçam T, Yetişer S ve Satar B. ‘‘Traumatic Facial Paralysis: An Analysis of 46 Cases and Our Clinical Approach.’’ 6th Congress of Balkan Military Medical Committee, Plovdiv, Bulgaria, Abstract Book, P106 (2001)

3) Akçam T, Gerek M, Tosun F ve Özkaptan Y. ‘‘Laryngotracheal Reconstruction with Costal Cartilage Graft.” 7th Congress of Balkan Military Medical Committee Athens,Greece, Abstract Book, 87 (2002)

4) Tosun, F, Akçam T ve Özkaptan Y. “Endonasal Endoscopic Approach to Foreign Bodies in the Paranasal Sinuses”. 7 th Congress of Balkan Military Medical Committee, Athens- Greece, Abstract Book, 85 (2002)

5) Akçam T, Özkaptan Y ve Tosun F. “Self Induced Cervicofacial Subcutaneous Emphysema”. 7 th Congress of Balkan Military Medical Committee, Athens- Greece, Abstract Book, 290 (2002)

6) Akçam T, Friedman O, Cook T. The effect of structural nasal valve dilatation with butterfly graft on snoring. 20th Congress of the European Rhinologic Society & 23rd ınternational Symposium on infection and allergy of the nose. Rhinoistanbul, Istanbul OP021, 2004

7) Satar B, Hıdır Y, Akçam T, Tosun F, Gerek M, Yetişer S. “Effectiveness of Hyperbaric Oxygen Therapy in Sudden Hearing Loss.” XVIII IFOS World Congress Roma, İtalya F63, (2005)

8) Yetişer S, Karahatay S, Akçam T. ‘‘Extratemporal Anatomy of the Facial Nerve” 10th International Facial Nerve Symposium Maastricht, Hollanda, 76, (2005)

9) Çavuşoğlu M, Kamaşak M, Eroğul O, Çiloğlu T, Akçam T, Serinağaoglu Y. “SASA: Software Sy for Sleep and Snoring Analysis”, HIBIT’07 International Symposium on Health Informatics and Bioinformatics, Antalya, Turkey, (2007)

10) Bayar GR, Akçam T, Gülses A, Şençimen M, Özkan A, Doğan N. “Plating the posterior border of the mandibular ramus by modified blair and retroparotideal aproach in the treatment of a subcondylar frecture.” PP-47ACBID International Oral & Maxillofacial Surgery Society Congress. 26-30 Mayıs (2010)

11) Sencimen M, Özkan A, Akçam T, Gülses A, Bayar GR, Altuğ HB, Altuğ H. The motification of the partial /full dentures of an obstructive sleep apnea patients for the treatment of maxillomandibular advancement surgery. 2nd BAMFS Congress- 5th ACBID ınternational Conference, P18, 2011

12) Akçam T, Birkent H, Arslan HH, Karakoç Ö, Gerek M. “Nasalance scores for normal-speaking Turkish population”. Annual Meeting of the American Academy of Otolaryngology-Head Neck Surgery Sept 2011, San Francisco, CA. Otolaryngol Head Neck Surg; 145(suppl 2): P195 (2011)

13) Karakoç Ö, Akçam T, Genç H, Birkent H, Binar M and Gerek M. “Do Pharyngeal Surgeries for Treatment of Snoring and Sleep Apnea Have an Impact on Nasalance?” Annual Meeting of the American Academy of Otolaryngology-Head and Neck Surgery Foundation. September 29- October 2, 2013, Vancouver, BC,Canada. Otolatyngol Head Neck Surg 149(Suppl 2): P 267 (2013)

14) Akbarov E, Birkent H, Karacalioglu O, Karakoc Ö, Akçam T and Gerek M. “Prospective Study of the Impact of Thyroid Hormone Replacement on Nasal Functions in Hypothyroid patients.” Annual Meeting of the American Academy of Otolaryngology-Head and Neck Surgery Foundation September 29- October 2, 2013, Vancouver, BC,Canada. Otolaryngol Head Neck Surg; 149(Suppl 2): P134 (2013)

15) Karakoç O, Binar M, Aydin U, Genc H, Akçam T, Gerek M. A tertiary centre experience with velopharyngeal surgical techniques for treatment of snoring and obstructive sleep apnea . 4th Congress of European ORL-HNS. 7-11 October 2017, Barcelona.

Considerable previous cases

• Maxillomandibular advancement surgery in OSAS

• Hypoglossal nerve stimulator implantation

• Transpalatal advancement pharyngoplasty in OSAS