The Role of the Revised Stanford Protocol in Today's Precision Medicine

Stanley Yung Chuan Liu*, Michael Awad, Robert Riley, Robson Capasso

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

19 Scopus citations


Whereas the original Stanford protocol relied on a tiered approach to care to avoid unnecessary surgery, it did not address the issue of surgical relapse, a common concern among sleep medicine specialists. With 3 decades of experience since the original 2-tiered Powell-Riley protocol was introduced and the role of evolving skeletal techniques and upper airway stimulation, we are pleased to present our current protocol. This update includes emphasis on the facial skeletal development with impact on function including nasal breathing, and the incorporation of upper airway stimulation. The increased versatility of palatopharyngoplasty as an adjunctive procedure is also discussed.

Original languageEnglish (US)
Pages (from-to)99-107
Number of pages9
JournalSleep Medicine Clinics
Issue number1
StatePublished - Mar 2019
Externally publishedYes


  • Maxillomandibular advancement
  • Obstructive sleep apnea
  • Riley-Powell protocol
  • Stanford sleep surgery protocol
  • Upper airway stimulation

ASJC Scopus subject areas

  • Neuropsychology and Physiological Psychology
  • Clinical Psychology
  • Clinical Neurology
  • Psychiatry and Mental health


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