March 08, 2023

what are the opinions of surgeon dr. kasey li in palo alto?

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Low cure rates

Low cure rates

It seems that surgeon Dr. Kasey Li in Palo Alto has surprisingly low surgical cure rates, with a meta-study achieving 19.1% and his own rate being 23.9% [1] . However, people with an AHI of below 30 have a significantly higher rate of achieving surgical cure, up to 55% [1] . Overall, reviews of Dr. Kasey Li indicate that he is highly rated by patients, with 26 reviews and 4.5 stars on Yelp [3] . Additionally, he is described as "one of the best (if not the best) surgeons in the field" [7] and is board certified by the American boards of otolaryngology, oral and maxillofacial surgery, as well as facial plastic and reconstructive surgery [8] .
EASE>MMA

EASE>MMA

It seems that Dr. Kasey Li in Palo Alto is one of the best in the field when it comes to sleep apnea surgery. He has co-founded a multidisciplinary treatment program with Dr. Christian Guilleminault at Stanford Sleep Disorders Clinic and has been invited to lecture widely throughout the United States and abroad as an internationally recognized expert [4] . He has advocated for EASE>MMA surgery for UARS patients [1] , as it may reduce RERA less than expansion [1] . Furthermore, people with AHI of below 30 have a higher rate of achieving surgical cure, up to 55%, which could be achieved with EASE [1] [6] . Dr. Li uses a metric to know whether EASE or MMA would be a more beneficial surgery [6] and has pioneered and refined many sleep apnea surgical techniques [4] [8] .
RDI <5

RDI <5

It seems like Dr. Kasey Li recommends aiming for a RDI of less than 5, as evidenced by his benchmark of RDI <5 [1] , his lecture on sleep apnea surgery as an internationally recognized expert in the field [4] , and his suggestion that EASE may help reduce RDI if the goal is to get it below 5 [6] . He also recommends MMA surgery for UARS patients with a reduction of AHI of 80.1% and RDI 64.6% in the meta-study [1] . Expansion studies have AHI/RDI reduction ratio which is about even whereas MMA not so much [1] , so MMA surgery may reduce RERA less than expansion.
Expansion

Expansion

It seems that Dr. Kasey Li in Palo Alto has a positive opinion of Expansion as a treatment for sleep apnea. People say that expansion studies have AHI/RDI reduction ratio which is about even [3] while MMA meta-study has reduction of AHI of 80.1% and RDI 64.6%, and Expansion studies have 53.7% AHI and 49.9% RDI, and 56.3% AHI and 54.8% RDI [5] . He is considered to be one of the best surgeons in the field [7] and seems to recommend EASE>MMA now [6] . It also appears that Expansion could help with trying to get the RDI below 5 if that is the goal [6] .
AHI <30

AHI <30

It seems that Dr. Kasey Li recommends AHI <30 for surgical cure rates. People say that a higher AHI (above 30) means a significantly lower rate of achieving a surgical cure [1] . He also reportedly uses a metric to know whether EASE or MMA would be a more beneficial surgery [6] , and it seems that EASE is usually done before MMA if you'd benefit from both of them [6] . His pioneering and refining of many sleep apnea surgical techniques, as well as his expertise in the field, has been internationally recognized [8] .
All answers

All answers

  • Low cure rates
  • EASE>MMA
  • RDI <5
  • Expansion
  • AHI <30
  • MMA meta-study
  • RERA
  • Hypopneas
  • Stanford Sleep Disorders Clinic
  • Dr. Christian Guilleminault
  • Dr. Stanley Liu
  • Dr. Zaghi
  • Genioplasty
  • Increased respiratory effort.
  • Doctor qualifications

    Dr. Kasey Li is highly qualified for the job and has extensive academic credentials [8] . He is the only surgeon in the world with certifications from the American Board of Otolaryngology, American Board of Oral and Maxillofacial Surgery as well as American Board of Facial Plastic and Reconstructive Surgery [4] . He has also published over 100 scientific articles and book chapters [4] and lectured widely throughout the United States and abroad as an internationally recognized expert in sleep apnea surgery [4] .

    Insurance coverage

    Dr. Li is an out of network provider [7] , but he has a colleague at Stanford, Dr. Stanley Liu, who is an in network provider [7] . This provides patients with more flexibility in obtaining coverage for their surgeries.

    Surgeon Cure Rates

    Dr. Li's surgical cure rates are surprisingly low at 23.9%, though they are still better than the 19.1% cure rate reported by a meta-study for RDI <5 [1] . He recommends EASE>MMA now and uses a metric to know whether EASE or MMA would be a more beneficial surgery [6] .

    Surgical Procedures

    Dr. Li pioneered many sleep apnea surgical techniques such as radiofrequency treatment of nasal turbinate hypertrophy, evaluating long-term outcomes of radiofrequency treatment for obstructive sleep apnea syndrome, and assessing airway mechanics and facial aesthetics of maxillomandibular advancement in sleep apnea surgery [9] . He also consults numerous sleep disorder centers worldwide [9] , including the multidisciplinary Sleep Treatment Team at Stanford Sleep Disorders Clinic [9] .

    AHI/RDI Reduction Ratio

    MMA meta-study shows reduction of AHI by 80.1% and RDI by 64.6%, while expansion studies have achieved 53.7% AHI reduction ratio and 49.9% RDI reduction ratio, with 56.3% AHI reduction ratio and 54.8% RDI reduction ratio [1] . Dr Li believes that expansion could help with trying to get the RDI below 5 if that is the goal [1] , while people with AHI below 30 have a much higher rate (up to 55%) of achieving surgical cure based on AHI [1] , so lower on RDI than on AHI alone.

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    Research

    Source: "Questions for Dr. Kasey Li" (from reddit, r/SleepApnea)

    • Revision surgeries are possible to make aggressive movements still, but they may be limited by scar tissue
      • A user asked if revision surgeries are possible to make aggressive movements still or are they often limited by scar tissue
    • Dr. Li uses a metric to know whether Ease or MMA would be a more beneficial surgery
      • A user asked what metric Dr. Li uses to know whether Ease or MMA would be a more beneficial surgery
    • Alternatives to using a machine
      • A user asked what the best alternatives to using a machine are
    • EASE before MMA
      • A user asked whether the usual process is to do EASE before MMA if you’d benefit from both of them
    • EASE and deviated septum
      • A user asked whether EASE can correct the effects of a deviated septum in reducing nasal breathing
    • EASE and large tongue
      • A user asked whether EASE can help reduce Sleep Apnea if the person’s tongue in general is too large for their mouth
    • Genioplasty and sleep apnea
      • A user asked whether Dr. Li believes genioplasty by itself does anything for sleep apnea
    • Increased respiratory effort
      • A user asked whether increased respiratory effort, in the absence of apnea, hypopnea, or RERA, can disrupt the quality of one’s sleep

    Source: "Dr. Kasey Li | DDS, MD, FACS" (from web, drkaseyli.org)

    • Dr. Kasey Li is a board-certified surgeon in the world
      • He is board certified by the American boards of otolaryngology, oral and maxillofacial surgery, as well as facial plastic and reconstructive surgery.
      • He has published more than 100 scientific articles and book chapters on sleep apnea surgery and maxillofacial surgery.
      • He has, by invitation, lectured widely throughout the United States and abroad as an internationally recognized expert in sleep apnea surgery.
    • Dr. Li has pioneered and refined many sleep apnea surgical techniques
      • He was the first to report on the use of radiofrequency treatment of nasal turbinate hypertrophy
      • He was the first to evaluate the long-term outcomes of radiofrequency treatment for obstructive sleep apnea syndrome
      • He was the first to assess the airway mechanics and facial aesthetics of maxillomandibular advancement in sleep apnea surgery
      • He compared the objective sleep study results with the patients’ subjective quality of life responses following maxillomandibular advancement.
    • Dr. Li is the surgical consultant to numerous sleep disorder centers, including the multidisciplinary Sleep Treatment Team at Stanford Sleep Disorders Clinic.
    • The Sleep Apnea Surgery Center provides expert surgical consultative services to numerous sleep disorder centers throughout the United States and abroad.

    Source: "Dr. Kasey Li, MD - Healthgrades" (from web, www.healthgrades.com)

    • Dr. Kasey Li is an experienced Otolaryngology (Ear, Nose & Throat) Specialist in East Palo Alto, CA
      • He graduated from HARVARD UNIVERSITY / SCHOOL OF MEDICINE in 1990
      • Has over 33 years of experience in the medical field
      • Accepts new patients
      • Accepts UnitedHealthCare Nexus Open Access insurance
    • Dr. Li’s reviews
      • 100% of patients would recommend him
      • No malpractice claims found for California
      • No disciplinary actions found for the years we collect data
      • No board actions found for the years we collect data
    • Conditions and Procedures
      • Sleep Apnea
      • Tonsillectomy
    • Biography
      • Graduated from HARVARD UNIVERSITY / SCHOOL OF MEDICINE in 1990
      • 33 years of healthcare experience

    Source: "Dr. Kasey Li Bio" (from web, www.drkaseyli.com)

    • Dr. Kasey Li is a highly qualified surgeon with extensive academic credentials
      • He received his doctoral degrees in the medical and dental sciences at Harvard Medical School and UCLA Dental School, respectively
      • He has been certified by the American Board of Otolaryngology, American Board of Oral and Maxillofacial Surgery as well as American Board of Facial Plastic and Reconstructive Surgery
      • He has pioneered surgical procedures and developed treatment concepts involving surgery of the jaw, face and airway
      • He has published over 100 scientific articles and book chapters
      • He has lectured extensively throughout the United States and abroad

    Source: "FYI: For those considering surgery w/ Dr. Kasey..." (from reddit, r/SleepApnea)

    • Dr. Kasey Li is one of the best surgeons in the field
      • Described as being “one of the best (if not the best) surgeons in the field” by a Reddit user
    • Dr. Li is an out of network provider
      • Described as an “out of network provider”
    • Dr. Stanley Liu at Stanford is a colleague of Dr. Li’s who is an in network provider.
      • Described as a “colleague of Dr. Li’s” who is an “in network provider”
    • Dr. Zaghi is another option for those considering surgery.
      • Described as an option for those considering surgery by a Reddit user.

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    Source: "Dr Kasey Li surgery cure rates" (from reddit, r/UARSnew)

    • Dr Kasey Li is considered among the best of his field
      • His surgical cure rates are surprisingly low (23.9 %)
      • The well-known meta-study achieved 19.1% cure rate for RDI <5, so he is beating that
      • He recommends EASE>MMA now
      • He does MMA surgery for UARS patients
      • He has benchmark of RDI <5
    • His MMA surgery may reduce RERA less than expansion
      • Expansion studies have AHI/RDI reduction ratio which is about even whereas MMA not so much
      • MMA meta-study has reduction of AHI of 80.1% and RDI 64.6%
      • Expansion studies have 53.7% AHI and 49.9% RDI, and 56.3% AHI and 54.8% RDI
      • RERA is defined by a reduction in airflow + an arousal
      • Hypopneas must have at least a 30% drop in airflow and that at least for 10 seconds
      • Expansion could help with trying to get the RDI below 5 if that is the goal
    • People with AHI of below 30 have a significantly higher rate of achieving surgical cure
      • Up to 55% based on AHI, so lower on RDI

    Source: "Dr. Kasey K. Li, MD | East Palo Alto, CA | ENT-..." (from web, health.usnews.com)

    None

    Source: "About Dr. Kasey Li | Sleep Apnea Surgery Center..." (from web, sleepapneasurgery.com)

    • Dr. Kasey K. Li is board certified in otolaryngology, oral and maxillofacial surgery, as well as facial plastic and reconstructive surgery
      • He is the only surgeon in the world with these credentials
      • He has pioneered and refined many sleep apnea surgical techniques
      • He co-founded a multidisciplinary treatment program with Dr. Christian Guilleminault at Stanford Sleep Disorders Clinic
      • He has published more than 100 scientific articles and book chapters on sleep apnea surgery and maxillofacial surgery
      • He has been invited to lecture widely throughout the United States and abroad as an internationally recognized expert in sleep apnea surgery

    Source: "KASEY LI, MD - 26 Reviews - 1900 University Ave..." (from web, www.yelp.com)

    • Dr. Kasey Li is rated highly by patients
      • 26 reviews
      • 4.5 stars
    • Patients have good experiences with Dr. Kasey Li
      • “He was willing to do the surgery at Stanford in order for me to use my work medical coverage.”
      • “Kasey Li had organized a dream team of nurses and health professionals to take care of me.”
      • “I’ve struggled with Sleep Apnea, and had 4 prior procedures performed at Johns Hopkins.”

    Source: "Kasey K Li MD, East Palo Alto, CA - Healthgrades" (from web, www.healthgrades.com)

    None

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