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About Paul Hoff

Dr. Hoff grew up in a medical family; his mother is a nurse and his father a surgeon. His passion for medicine developed through formative years following college working as both a research assistant and a graduate student in cardiovascular pharmacology at the University of Michigan. In 1989 he earned his Master’s degree and then immediately began medical school in his home town of Ann Arbor. After completing medical school at the University of Michigan in 1993, Dr. Hoff was accepted to the otolaryngology residency program at Michigan, where he finished his training in 1999. During residency he was awarded an American Academy of Otolaryngology Head and Neck Surgery Resident Research Award. Upon graduation Dr. Hoff joined Michigan Otolaryngology Surgery Associates where he has been in practice since 1999 and Section Head of Otolaryngology at St. Joseph Health System since 2011. In 2015 Dr. Hoff joined the faculty at the University of Michigan as an Assistant Professor. He maintains practices at both St Joseph Mercy Health System in Ann Arbor and at the University of Michigan.

The treatment of obstructive sleep apnea has been a major area of focus in Dr. Hoff’s practice and as an early adapter of Trans Oral Robotic Surgery (TORS), he is providing patients the most current and effective surgical treatment for obstructive sleep apnea. Since 2010 Dr. Hoff has performed over 200 TORS procedures for sleep apnea; this is the largest TORS experience in North America. In 2014 the Inspire nerve stimulator was approved by the FDA. Dr. Hoff began performing Inspire stimulator implantation in 2016 and has become one of the leading surgeons in the State. Dr. Hoff is actively involved in clinical research as he and his team strive to improve treatment for patients with OSA.


Education

  • Undergraduate
    •   B.A. - Biology St. Olaf College 1985
  • Graduate School
    •   M.S. - Cardiovascular Pharmacology University of Michigan 1989
  • Medical School
    •   M.D. - University of Michigan 1993
  • Internship
    •   General Surgery - University of Michigan 1994
  • Residency
    •   Otolaryngology Head and Neck Surgery - University of Michigan 1999

Advanced Training

  • Masters course Trans Oral Robotic Surgery Florida Hospital 2010 - (Weinstein and O’Malley)
  • Case observation - University of Alabama February 2011 – (Dr. Magnusson)
  • Guest internship - University of Pavia in Forli, Italy September 2011 – (Vicini and Montevecchi)

Honors

  • Alpha Omega Alpha honor medical society 1993
  • Resident research award 1994
  • Section Head Otolaryngology St. Joseph Mercy Health System 2011-present
  • State Board of Audiology 2012-present
  • President Michigan Otolaryngology Society 2012-2013
  • Detroit Hour Top Doc 2009, 2010, 2011, 2012, 2013, 2014, 2015, 2016, 2017, 2018, 2019

Publications

  • Ahmed Ali S, Kovatch KJ, Smith J, Bellile EL, Hanks JE, Truesdale CM, hoff PT: Predictors of intratonsillar abscess versus peritonsillar abscess in the pediatric patient. Int J Pediatr Otorhinolaryngol 114;143-146
  • Meccariello G, Cammaroto G, Montevecchi F, Hoff PT, Spector ME, Negm H, Shams M, Bellini C, Zaccardo E, Vicini C; Transoral robotic surgery for the management of OSA; a systematic review and meta-analysis European Arch Oto-Rhino- Laryngol 274(2);647-53 2017
  • Harvey R, O’Brien L, Aronovich S, Shelgikar A, HoffP, Palmisano J, Stanley J Friedman tongue position and cone beam computed tomography in patients with obstructive sleep apnea Laryngoscope investing Otolaryngol 2(5);320-24 01/2017
  • Spector, ME, Glazer T, Hoff, PT. Addressing the Retrolingual Space in Obstructive Sleep Apnea: Outcomes Stratified by Friedman Stage in Patients Undergoing Transoral Robotic Surgery ORL Nov. 2015. 78(1):1-8. PMID 26540370
  • F. Montevecchi, G. Cammaroto, G. Meccariello, P.T. Hoff, R.M.Corso, Muath F.H. Al-Rawashdeh, C. Vicini. Transoral robotic surgery: A new tool for high risk tracheostomy decannulation. Submitted Italian Otolaryngol 2016
  • Meraj TS, Muenz DG, Glazer TA, Harvey RS, Spector ME, PT. Does drug-induced sleep endoscopy predict surgical success in transoral robotic multilevel surgery in obstructive sleep apnea? Laryngoscope. 2016 Oct 31. doi: 10.1002/lary.26255 PMID: 27796047
  • Meccariello G, Cammaroto G, Montevecchi F, Hoff PT, Spector ME, Negm H, Shams M, Bellini C, Zeccardo E, Vicini C. Transoral robotic surgery for the management of obstructive sleep apnea: a systematic review and meta-analysis. Eur Arch Otorhinolaryngol. 2016 May 24 PMID:27221389
  • Montevecchi F, Bellini C, Meccariello G, Hoff PT, Dinelli E, Dallan I, Corso RM, Vicini C. Transoral robotic-assisted tongue base resection in pediatric obstructive sleep apnea syndrome: case presentation, clinical and technical consideration. Eur Arch Otorhinolaryngol. 2016 Aug 27
  • Hoff, P.T., Glazer, T.,Spector, M.,: Body mass index predicts success in patients undergoing Trans Oral Robotic Surgery for management of moderate to severe obstructive sleep apnea, ORL 2014 Nov 20;76(5):266-272. PMID 25413253
  • Glazer, T .,Hoff, P.T., Spector, M.,: Trans Oral Robotic Surgery for obstructive sleep apnea: Preoperative management and post operative complications. 2014 Oct 2 JAMA Otolaryngology Head and Neck Surgery PMI 25275670
  • Hoff, P.T., DAgostino, M., Thaler, E.,: Transoral robotic surgery in benign diseases including obstructive sleep apnea: Safety and feasibility. 2014 Laryngoscope Nov 12 PMID 25388791
  • Clinical outcomes and complications associated with TORS for OSAHS in 243 patients: A benchmark for evaluating an emerging surgical technology in a targeted application for benign disease. Vicini C, Monevecchi F, Aldo C, Iacopo D, Hoff P, Spector M, Thaler E, Ahn J, Baptista P, Remacle M, Bennzo M, Lawson G, Canzi P. ORL 2014
  • Surgery for Sleep Apnea. Paul T. Hoff and Matthew E Spector. in Essentials of Robotic Surgery: Manak Sood and Stefan Leichtle.

Presentations by Dr. Hoff on TORS for sleep apnea

  • The role of drug induced sleep endoscopy 5th annual OSAS surgery international course Feb 2018 Orlando Fl
  • Transoral robotic surgery for OSA. 35th Alex ORL Congress April 2018 Alexandria, Egypt
  • Drug Imduced Sleep endoscopy. 35th Alex ORL Congress April 2018 Alexandria, Egypt
  • Predictors of success in sleep surgery. 35th Alex ORL Congress April 2018 Alexandria, Egypt
  • Hypoglossal nerve stimulation in OSA 35th Alex ORL Congress April 2018 Alexandria, Egypt
  • Early experience with Inspire hypoglossal nerve stimulator. Michigan Society of Respiratory Care April 2018 Dearborn, MI
  • Drug induced sleep endoscopy (DISE); Applications and technique. 6th International OSAS surgery course 2019 Celebration FL
  • Hypoglossal nerve stimulation for Obstructive sleep apnea 6th International OSAS surgery course 2019 Celebration FL
  • Surgical treatment of patients with OSA: putting it all together 6th International OSAS surgery course 2019 Celebration FL
  • Getting to the bottom of the tongue. Do you need surgery in the era of neurostimulation? International surgical sleep society meeting. New York, NY May 2019
  • OSA phenotypes and individual factor; loop gain and changes in arousal threshold International surgical sleep society meeting New York, NY May 2019
  • How to approach the patient who has failed CPAP Komfo Anokyo Teaching hospital Department of Otolaryngology. Kumasi, Ghana. Nov 2019
  • Pro/Con: Tongue Resection Procedures (including TORS) vs Hypoglossal Nerve Stimulation Internation Surgical Sleep Society Meeting, Los Angeles May,2017
  • The role of drug induced sleep endoscopy (DISE) and predictors of success in patients selection for multilevel surgery. Alexandria Combined Otorhinolaryngology, Alexandria Egypt April 2017
  • Transoral (TORS) robotic surgery for OSAS. Alexandria Combined Otorhinolaryngology, Alexandria Egypt April 2017
  • Fourth annual OSAS course. Orlando, FL Febraury 2017
  • TORS roundtable: European Sleep Apnea Society. Rimini Italy September 2016
  • Management of benign base of tongue resection? Who need surgery? Third international TORS Symposium, San Francisco, CA July 14-15 2016
  • Drug induced sedated endoscopy as a predictor of success in multilevel surgery with TORS. Combined Otolaryngology Society Meeting, Chicago May 2016 (Taha Meraj M4 Presenting)
  • TORS for OSAS. International Surgical Sleep Society 7th Meeting. Sao Paulo Brazil April 2016
  • DISE pearls and pitfall: Claudio Vicini and Paul Hoff/ Third annual OSAS course. Orlando, FL March 6-8 2016
  • TORS for OSAS: Pearls and Pitfalls Hoff and Vicini. Third annual OSAS course. Orlando, FL March 2016.
  • Multilevel surgery and the role of drug induced sleep endoscopy in patients with sleep disordered breathing. University of Michigan Sleep Medicine Grand Rounds. Ann Arbor, MI February 2016.
  • July 2015 - 2nd International TORS symposium. Philadelphia, USA Sleep endoscopy: how to do it, how to interpret the findings and how to us it in preparation for TORS.
  • April 2015 - Boston COSM Glazer T. Spector M, Hoff P
    Multilevel surgery for obstructive sleep apnea with TORS base of tongue reduction: outcomes stratified by Friedman stage
  • March 2015 - Chulalongkorn International Medical Congress, Bangkok, Thailand - Obstructive sleep apnea in the elderly.
  • 2014 - Stanford Universty Department of Otolaryngology Grand Rounds. Trans oral robotic surgery for moderate to severe obstructive sleep apnea.
  • 2014 - Combined Otolaryngology Societies Meeting, Las Vegas Nevada.
    Paul T. Hoff, M.S., M.D., Tiffany A. Glazer, M.D. and Matthew E. Spector, M.D. Body Mass Index Predicts Success in Patients Undergoing Trans-Oral Robotic Surgery (TORS) for Management of Moderate to Severe Obstructive Sleep Apnea(OSA)
  • 2014 - 7th International Head and Neck Society Meeting. New York City.
    Glazer T, Spector M, Hoff P. Transoral robotic surgery for obstructive sleep apnea: perioperative management and postoperative complications.
  • 2014 - International Sleep Surgery Society Meeting.
    Hoff P. Monteveccchi F, Mustaffa, Lin HS, - Hypopharyngeal surgery for obstructive sleep apnea
  • 2012 - Michigan Otolaryngology Society Summer Meeting
  • 2012 - University of Michigan Walter Work Society Meeting
  • 2011 - Michigan State Medical Society Annual Meeting

Outside Interests

  • Medical mission and volunteer work
    • La Ceiba, Honduras 2008-2011
    • University Health Aid Ypsilanti, USA 2013
    • Otolaryngology Resident training in Kumasi, Ghana Komfo Anokyo Teaching Hospital
  • State Medical Society
    • Member and Officer 1999-present
    • President Michigan Otolaryngology Society 2012-2013
  • Hobbies
    • Cycling, Skiing, Triathlon, Golf, Fishing, Sailing (Tartan 10)