Surgery Options for Sleep Apnea and Snoring

Posted by Apnea
Categorized Under: Sleep Apnea
Dated: 13 Nov 2009
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Snoring can be an annoying affliction for yourself and for your loved ones, but you’d think of it just like that – merely an annoyance. But once it shows signs of more than just simple discomfort, leading to breathing difficulties and other complications, then intervention is crucial to health. If simple treatments like relaxation techniques and medicine aren’t helping at all, then you might have to consider surgery options for snoring and sleep apnea. However, one does not simply tell a surgeon to take a scalpel and slice away. One must consult professional help to know what is best to take out.

There are many surgical procedures that can help remedy these afflictions, but a simple coin toss can’t be the deciding factor. The patient must become familiar with these options to know what he/she is getting into. Here are some surgery options for snoring and sleep apnea:

Snoreplasty

The name may sound like a pun, but it is an actual treatment that involves injecting an agent into the uvula and the soft palate which causes a slight inflammation, turning surrounding tissue into scar tissue. This is usually a desired option for most patients as it is simple and non-invasive.

Laser-assisted Uvoplasty

Basically takes away the uvula, which is the cause of most snoring cases. Also corrects enlarged tonsils and adenoids that may be blocking the airway. Under local anaesthesia, the patient will undergo the procedure with a CO2 laser, which is effective at approximately 45-75% of the time. However, this is not exactly recommended for sleep apnea, but is good for loud snorers.

Nasal Surgery

If the cause is mostly through the nasal cavity, then the cause may be a deviated septum or some other obstructions in the area. This calls for corrective procedures in the nose, which calls for several different processes like rhinoplasty and removal of excess tissue.

Somnoplasty

This is a minimally-invasive procedure that involves the use of radio frequency via needle electrode to take away excess tissue in the upper portions of a patient’s airway. It is performed under local anesthesia and has a quick recovery time. However, it does take more than one session to complete treatment.

Genioglossus Advancement

This one deals with the genioglossus, which is the muscle that controls the movement of the tongue itself. By operating on this part, it aims to open up the air passage. To keep it from falling into the back of the throat, which causes the obstruction by inserting a screw into the lower jawbone.

Mandibular Maxillar Advancement Surgery

This one is serious and very invasive which should be reserved for severe apnea cases. This procedure aims to correct the anatomy of the throat and face that is causing the problem.

These surgery options for snoring and sleep apnea are available upon the doctor’s recommendation and should be seen as a serious matter. When looking for a treatment for your condition, make sure that you have the information concerning the medical procedures so that you know what is best for you, considering the risks involved.

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Learning About The Various Causes And Treatments Of Sleep Apnea

Posted by Apnea
Categorized Under: Sleep Apnea
Dated: 13 Nov 2009
Comments: 0

Sleep is something that everyone needs in order to maintain optimal health. Some people might say that they only need a couple of hours of sleep a night in order to properly function, but the reality is that all people need to get at least eight hours of sleep a night on a regular basis. There are some people who think that they are doing just that, but while they sleep they might be suffering from an underlying sleep problem.Take, for example, the situation of a person who is suffering from sleep apnea. This is a serious sleep disorder in which a person stops breathing at random while they are asleep. In some people, this lack of oxygen causes them to wake up, while other people keep on sleeping. Sleep apnea can become fatal for this latter group if it is not properly diagnosed as soon as possible. How can a person get sleep apnea in the first place? There are several different possible causes of this sleep disorder, but one of the most common causes is morbid obesity. When a person is extremely overweight, this extra weight is affecting every part of their body, and especially their circulatory system. The circulatory system is part of what supports proper brain function.The brain sends signals to various areas of the body in order for the body to work properly. Most of the time, the brain sends these signals automatically, without the person even being cognizant of it happening. For example, people breathe automatically because the brain sends signals to the parasympathetic nervous for this purpose. However, when a person is morbidly obese, a chain reaction of sorts happens. The circulatory system becomes impaired, so the brain function might also. The parasympathetic nervous system might not be alerted by the brain at this point, and that is when the breathing becomes halted. In some people they might stop breathing for short amounts, such as a little less than a minute at a time. However, in serious cases the person might stop breathing for a few minutes. In order to have sleep apnea properly diagnosed, the person is going to need to be aware that there is something wrong with their sleeping habits. People who sleep with another person are at an advantage, because since this condition is marked by chronic snoring, it is easy to tell when the sufferer is not breathing. However, if the sufferer sleeps alone, there are a couple of ways to tell that something is not right.The first indication is frequent forgetfulness. Of course, this could be indicative of other health conditions as well, but it is also indicative of this sleeping problem. More prevalently, the other indication is if the person is always feeling tired despite getting what they think was an entire night of sleep.Either of these persistent symptoms should be evaluated by a doctor immediately. The patient might be asked to participate in a sleep study. The two forms of treatment are medication, as well as a healthy plan for weight loss.

Obstructive Sleep Apnea & Tonsils

Posted by Apnea
Categorized Under: Sleep Apnea
Dated: 13 Nov 2009
Comments: 0

Obstructive sleep apnea in normal children is almost always caused by enlarged (hypertrophic) tonsils and adenoids). These children will display the typical sleeping patterns of sleep apnea. They have loud snoring, frequent pauses with breathing at night, frequent awakening from sleep, restless sleep, nightmares, and bedwetting (enuresis). During the daytime, these children are mouth breathers, may have excessive daytime sleepiness, and poor school performance.

Other more rare causes of sleep apnea include any congenital (present from birth) or acquired cause of upper airway obstruction.

The treatment of obstructive sleep apnea is directed to the cause of the obstruction.

As noted above, most cases of obstructive sleep apnea in children is caused by enlarged tonsils and adenoids. Surgical interventions are therefore directed to what is causing the obstruction. In the case of enlarged tonsils and adenoids, tonsillectomy and adenoidectomy is usually successful in relieving the problem. If the problem is not the tonsils and adenoids, the cause of the obstruction must be determined. For example, surgery of the jaw may be required. In some cases, even a tracheostomy is necessary. Non-surgical therapies include oral prostheses (difficult in children), medications (steroids, stimulants), and weight reduction.

In almost every case of obstructive sleep apnea in children who do not have unusual anatomic problems, tonsillectomy and adenoidectomy is a safe and effective treatment, and is highly recommended.

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Nasal & Radiofrequency Surgical Treatments for Patients with Sleep Apnea

Posted by Apnea
Categorized Under: Sleep Apnea
Dated: 13 Nov 2009
Comments: 0

Obstructive sleep apnea (OSA) is caused by an obstruction of your airways during sleep. What tends to be the reason for the restriction in the air flow is either naturally small air passages or more collapsible and floppy tissues making up and surrounding these passages.

Ideally people undergoing surgery to reduce sleep apnea should be below 60 years of age, not overweight, have a moderate to mild OSA severity (i.e. a respiratory disturbance index (RDI) of less than 30) and have an oropharyngeal (easier to operate regions of the palate, tonsils or uvula) instead of hypopharyngeal obstruction (more difficult to treat region of the head centered around the tongue base and hypopharyngeal structures).

Two (from a range of surgical treatment options) significant surgical sleep apnea operations are now detailed.

Nasal surgery

OSA sufferers commonly complain of obstructions within their own nose airways. Blockages may be from a collapsed or very narrow nasal valve. Surgery on the nose has been found to be very successful at furthering breathing, decreasing the turbinate size, enlarging the nasal valve or correcting deviations in the septum.

Mid to high severity OSA sufferers have been found to require more than nose surgery to alleviate their breathing problems. Nasal surgery can often be done to aid someone’s used of continuous positive airway pressure (CPAP) therapy.

Taking around one hour to complete, nasal surgery is conducted under general anaesthesia. When the patient awakens only a slight discomfort tends to be felt, easily controlled with a few medications over a couple of days. Sometimes modified areas require structural support in the form of small pieces of sponge that are placed deep inside temporarily. Although potentially slightly uncomfortable and requiring removal at a later date, this method is not always required or used.

Rare infections or heavy bleeding have been the commonest of possible associated complications.

Radiofrequency surgery

Radiowaves are used to decrease the volume of soft tissues in the nasal turbinates, tongue or soft palate. This surgical technique is accurate and uses temperatures of 60-90 degrees celcius, limited to the are being operated on.

Local anaesthetics are injected into the areas to be modified, treatment probes that release the high energy radiowaves then getting inserted where the tissue requires reduction. Only small levels of discomfort are generally experienced during and after this procedure.

Healing tends to take 1-3 weeks. Scar tissue that then ensues actually shrinks the tissue which helps enlarge the airways.

Nasal turbinates are operated on in around 15 minutes. After the operation people are generally able to immediately resume their normal activities without any hindrance’s. A low level of nasal stiffening is all that may be felt for 3-5 days after the surgery.

Reducing the volume of the tongue tends to take around 20 minutes, again involving low levels of discomfort. Complications that have been known to occur are infections and strong swellings. Since these complications are increased with time spent receiving radiotherapy multiple sessions of treatments are generally conducted.

Soft palate reduction is largely only beneficial to people suffering from low to mid levels of sleep apnea. Radiowaves stiffen the problem tissue therefore enlarging the airways. Local anaesthesia via injection is used, the operation takes on average 10 minutes to complete with minimal discomfort. After the operation the patient tends to be able to engage in all their usual activities. For around 2-3 days swallowing and sleeping may be slightly more difficult than usual since the swelling of the soft palate will at first be a noticeable obstruction.

Tracheostomy Surgery For Sleep Apnea Sufferers

Posted by Apnea
Categorized Under: Sleep Apnea
Dated: 13 Nov 2009
Comments: 0

A tracheostomy is a type of surgery used in the treatment of sleep apnea. It is a serious treatment, used as a last resort for people who either haven’t had success with any other types of treatment or whose sleep apnea is severe enough to be life-threatening.
This surgery has a high success rate but it can have some serious side effects. It involves an incision being cut in the throat, through the windpipe, roughly the size of a quarter. A tube is inserted into this incision to allow easier airflow in and out of the lungs. It can lead to other health problems, both medical and psychological.
The tube that is inserted allows the air to flow freely, eliminating the sleep apnea. During the day, a valve lets the patient shut the tube to allow them to breathe and speak naturally. The valve is opened at night while asleep to allow the air to flow.
Recovery from a tracheostomy can vary – some people will take longer than others.
There are multiple risks associated with this type of surgery. Scar tissue can form where the incision is made which can lead to changes in the appearance of the person’s neck.
Infections can sometimes develop where the incision is made, leading to swelling, redness and fluid drainage. Bleeding is also often a complication.
Some patients who have undergone this surgical procedure have difficulties with speech. Some have problems immediately after the surgery but show improvement with time while others have a permanent change in their speech.
A tracheostomy can also increase the chances of a lung infection.
Psychological and emotional problems can also be an issue for some patients who undergo the surgery. Self-consciousness can be an issue in some cases due to the appearance of the neck when the tube has been inserted.
After undergoing a tracheostomy, proper hygiene is very important. Keeping the neck clean and free of debris is paramount.

Should We Have General Sleep Apnea Screening for All Surgical Patients?

Posted by Apnea
Categorized Under: Sleep Apnea
Dated: 13 Nov 2009
Comments: 0

People who suffer from obstructive sleep apnea (experiencing repeated cessation of breathing during sleep) are at greater risk from surgery. For example, it is well known that surgical patients with obstructive sleep apnea often present difficulties with intubation in advance of surgery, run a higher risk of complications during and particularly after surgery, more often require admission to intensive care and frequently stay longer in hospital.The problem however is that in very many cases patients are not known to suffer from obstructive sleep apnea at the time of surgery and indeed it is only when complications arise as a result of their surgery that their condition comes to light and by then of course it is too late. So what can be done?The problem of course is that many people suffer from sleep apnea without even being aware of it and, although hospitals do screen patients for a variety of conditions, surgical patients are not routinely screened for sleep apnea because the only reliable way to diagnose it is using an overnight sleep study, which is far too time consuming and, of course, too expensive.The answer may however lie in a simple new questionnaire devised by a team of Canadian anesthesiologists.The four question form to be completed by surgical patients simply asks whether they snore loudly, they are tired and sleepy during the day, they have every had anybody witness the fact that they stop breathing during sleep and they are being (or have been) treated for high blood pressure. The answers to these questions are then taken together with other routinely collected information such as the patients gender, age and body mass index and an assessment is made about whether or not the patient is likely to pose a risk for surgery.In the case of high risk patients anesthesiologists can then not only select appropriate anesthetic techniques, but they can also ensure that the necessary equipment is to hand in the operating theater to cope with possible complications.Only time will tell how effective this new idea will work but, if the questionnaire proves successful it will certainly save hospitals a lot of time and money and patients a good deal of unnecessary suffering.

How Sleep Apnea Can Force A Person To Lose Weight

Posted by Apnea
Categorized Under: Sleep Apnea
Dated: 13 Nov 2009
Comments: 0

After a long week of work, there are a couple of things that people like to do in order to relax, and many of these things involve eating food that is high in fat. Sure, it is alright to indulge every so often in these kinds of foods if you are healthy to begin with, but it is very important that a person keep their weight in check to avoid obesity.There are many different kinds of health problems that can arise from obesity, and one of these things is sleep apnea. This is a sleeping disorder that is marked by the person stopping breathing for a minute (in some cases longer) at a time while they are asleep. Although sometimes the person might actually be awakened by their sleep apnea, often they continue sleeping. Thus, sleep apnea can prove fatal if it is not treated as soon as possible.Sometimes, the partner of the person might alert him or her to the possibility that they have a sleeping disorder, because the person will be snoring loudly, then all of a sudden stop. After a pause, the person might start up with the snoring again. However, people who sleep alone can also be alerted to the potential of having sleep apnea if they experience such symptoms as constantly feeling tired despite getting what they think is at least eight hours of sleep, as well as chronic forgetfulness. Sleep apnea is usually diagnosed via a sleep study. There are several different things that can contribute to this sleep disorder, but it is generally caused by obesity. When a person is overweight, their circulatory system is impaired, which can affect every organ in their body. The lack of appropriate circulation also affects the amount of oxygen that the brain gets. The brain is what sends the signals to the parasympathetic nervous system (which controls breathing). So, it only makes sense that the less efficient the oxygen intake of the brain, the more ineffectively the parasympathetic nervous system might work.Although this sleep disorder can be controlled by medication, it will also be very necessary for an obese person to lose weight. For some people, this is all the incentive that they needed and they get started right away on an exercise and diet program. For other people, they find it incredibly hard to stop eating the foods that they love in favor of healthier choices. And as for the exercise aspect? They do not even like to think about it.Well, it might be hard, but it is also necessary. So, the first thing that the person should do is enlist in a weight loss program. Some people feel embarrassed about doing such a thing, but they end up finding the encouragement that they receive very rewarding. Also, the person should hire a personal trainer to help them figure an exercise plan that they will be motivated to do. With hard work, the person will be able to start seeing results within a couple of months.

An Overview of Obstructive Sleep Apnea

Posted by Apnea
Categorized Under: Sleep Apnea
Dated: 13 Nov 2009
Comments: 0

Obstructive sleep apnea is the most common form of sleep apnea, and is caused by an obstruction within the airways as a person sleeps.

There may be many reasons why a person suffers from Obstructive Sleep Apnea, and here are some of them:
– Narrow Airways: A person may have narrow airways by nature, which although doesn’t affect them by day, as the body relaxes during the night, they tend to close up too much causing a person to wake up fighting for breath.
– Inflammation of the airways: A persons airways may become inflamed for many a reason. Smoking, for one, can cause the upper airways to become inflamed, thus narrower. Infections and scar tissue can also narrow the airways.
– Obesity: An obese person isn’t simply obese on the outside, but also the inside, and excessive fat in the throat tissues can cause a person breathing problems, particularly during the relaxed sleep period.

When a person suffers from obstructive sleep apnea, what happens is this: Due to the obstruction within the airways, a persons body will continue trying to draw air into the lungs, but will struggle until the brain, in a desperate attempt to re-open a persons airways, breaks a person out of their deep sleep thus tensing up the airways as in the conscious state to allow a person to draw breath. As a person drifts back into deep sleep and the airways relax and obstruct once more, the same thing happens. This may happen repeatedly throughout the night, thus never allowing a person to enter deep sleep for long periods of time.

The result is a person will wake up feeling drowsy and perhaps have a headache from the lack of oxygen. Whilst a person may know the morning they wake whether they have slept well or not according to how they feel, they may be completely unaware they experienced sporadic stoppages in breathing throughout the night, as it all happens in a sleep-like state.

Not only does a person with obstructive sleep apnea have a much higher risk of being involved in daytime accidents due to the inevitable effects of tiredness, but other health issues can develop over the longer term if this disorder isn’t treated. Some of the other health issues are:

-Heart failure: Because the lungs are working harder to surmount the obstruction and draw breath, the heart also has to work harder. The result is much stress is placed on the heart which after a long time may result in the heart failing.

-Increased Risk of Strokes / Heart Attacks: As already mentioned, the heart can become damaged which increases the susceptibility to strokes.

-Irregular Heart Beat

-Weakened Immune System: A person needs deep sleep to recharge their system. Without good sleep, the whole body begins to deteriorate, and this includes your immune system. A weaker immune system increases the risk of contracting viral infections and other infections.

-Type 2 Diabetes: Sleep apnea can lead to the onset of Type 2 Diabetes, where the body becomes resistant to insulin, this not allowing glucose to enter parts of the body to be used as energy.
– High Blood Pressure
– Arterial Disease (Hypertension): Due to prolonged high blood pressure, a person may develop arterial disease.
– Increased Carbon Dioxide in the Blood (Hypercapnia)
– Weight Gain
– Sexual Dysfunction
– Other Mental Problems: A person suffering from a lack of sleep is going to feel bad both physically and emotionally, and this can lead to depression, memory impairment, mood swings and more.

Sleep Apnea and Breathing

Posted by Apnea
Categorized Under: Sleep Apnea
Dated: 13 Nov 2009
Comments: 0

Obstructive sleep apnea is also called sleep apnea. Obstructive means there is something that is blocking your airway when you lie down to sleep. If you find it difficult to sleep, that you are gasping for breath, and you are always snoring, a sleep machine could give you results that you need to get the rest you need without interrupting your breathing patterns. The airway passages that are sealed or partially sealed as you sleep cause you to stop breathing. As you stop breathing you are adding stress on your heart, on your body and you will not feel rested in the morning.
A breathing machine can help you get the air you need, the oxygen that you need, and the rest you need to keep you going. The signs of sleep apnea include those of always being tired, that you are irritable because you are not sleeping good, and you have difficultly focusing your eyes, or your mind when concentrating during the day.
As you are unable to get the air you need, the oxygen you need to replenish your body you are putting your self at risk for additional medical conditions and problems. If you don’t treat your sleep apnea, or your obstructed airways you could have a heart attack, you could have a stroke, you could have high blood pressure and these conditions can also lead to diabetes. Associated with all of these symptoms are being overweight, and stressful work or family life.
Therapy can aid your situation. You can use a breathing machine or a dental item to open your airways. Using a breathing machine is going to give you additional higher oxygen levels. The dental item is going to open your jaw so you don’t have an obstruction. There are also over the counter medications, such as the breath right strips and similar items, that can open your passages so you can breath all night long, and get the rest you need. If over the counter medications and items don’t work, you could seek the help of your family doctor, take a sleep test, and consider a surgical procedure that will correct the obstruction and then open the airways while you are sleeping.
To get a good nights sleep please visit:www.disorders-sleep.info
Author Darren Mallory
C/O www.akashop.com

Update yourself on Sleep Apnea

Posted by Apnea
Categorized Under: Sleep Apnea
Dated: 13 Nov 2009
Comments: 0

Sleep Apnea is a sleep disorder in which patient stops breathing during sleep. In this disorder, patient’s brain alerts him/her to resume the breathing process. And it ultimately results in severe snoring making loud snorts and gasping noises irritating to ears.

People suffering from this problem do not enjoy a sound sleep and thus experience many ailments related to the sleeping disorders such as lack of concentration, fatigue, week immune system, and weight gain. Also, due to lack of sleep, they tend to fall asleep while driving, listening to their employers, or spouses, or at meetings.

This disorder can be caused by smoking and alcohol use, excessive weight, and having a large neck. Among these factors, family history of this disorder also contributes to the factors. As such, there are three types of Sleep Apnea that are ( obstructive ) ( central ) and ( mixed )

We shall discuss here all three types one by one. OSA is an acronym of Obstructive Sleep Apnea. It is one of the most common forms of . While you are asleep, the soft tissues in the back of the throat can collapse due to one or the other reasons. In this type of , you experience a stop in breathing process several times, often for a minute or longer. Central Sleep Apnea is a type in which brain stops alerting and messaging the muscles to breath. In this case brain is the main culprit. Then it is Mixed Sleep Apnea. As the name itself suggests, it is a combination of the other two above mentioned conditions/types. In this condition, your brain fails to remind your muscles to breathe by the fully or partially blockage of air passage.

If you have mild disorder, memory foam mattress significantly diminishes the chances. The memory foam mattress is a revolutionary mattress that helps you to sleep better at night. Apart from the memory foam mattress treatment, sleep apnea can also be treated by the changes in lifestyle, Surgery, medications, a mouthpiece, and a continuous positive airway pressure (CPAP).To wrap up, this perticular sleep disorder if left untreated can create nuisance and an embarrassing situation to the person who is suffering from this disorder.