Surgical Treatments to Treat Snoring

Posted by Apnea
Categorized Under: General
Dated: 18 Mar 2011
Comments: 0

Snoring is brought on by the oscillations from the top airway consisting of the mouth, throat and nasal area. Whenever these locations are blocked they ultimately result in disturbance during breathing. The reason for these types of occurences can be caused by the loosening of muscles in the areas of the top air passage and the reduced muscle tone. This only occurs while sleeping.

Heavy snoring could be brought on by the obstruction of your nose down through the vocal chords. Researchers have recently learned that the tongue as well can cause snoring.

Snoring is involuntary, so there’s no use attempting to manage it as you desire. This cannot be also cured making use of simple procedures. Nevertheless, it can be governed by way of various products and techniques.

But for the more severe instances of snoring, it is best to turn to surgical procedures. There are various surgical treatments open to cure snoring. The surgical treatments however will not work with certain kinds of analysis on snoring.

Discussion together with specialists will have an effective diagnosis and treatment strategy for the patient. Actual physical and physiological aspects will probably be evaluated. An otolaryngologist is actually a person who specializes in throat, mouth and also the nose.

Another recognized therapy for snoring is the Tongue Suspension Procedure or Repose. This works by inserting a small screw under the tongue in the jaw. This way, the tongue is going to be stopped from falling back while asleep. While many report of its effectivity in managing the reason for snores, most physicians concurs that this is definitely an irreversible option so cautious planning is necessary.

The nasal surgery is used for blockage of the nasal area or another related issues with this particular area. This cosmetic type of surgery is claimed to be effective with the remedy for snoring.

This method can also be used for individuals that are suffering from deviated nasal septum. It doesn’t only help the person who snores in the course of his sleep but could also include comfort in breathing during the day.

The LAUP or Laser-Assisted Uvulopalatoplasty is the advanced customization of the conventional treatment called Uvulopalatopharyngoplasty or UPPP. This procedure functions by trimming the uvula (which is the hanging part that most often than not causes the obstruction of your air passage) which is located in the back part of the roof of the oral cavity. This process works best if the continual problem depends on the uvula.

The newest procedure called Samnoplasty, authorized by the Food and Drug Administration makes use of very low radio frequency waves in getting rid of extra tissues from the uvula.

While there is very little information released in relation with Coblation-Channeling, we are sure this technique utilizes the theory of getting rid of any tissue which hinders the oxygen passageway by way of radio frequency. On certain cases, tissues are fully eliminated when the need occurs.

Using surgery as an option for snoring remedy ought to be first evaluated meticulously before carrying on. Seek a doctor to ascertain diagnosis and guidance for any procedures.

The author is a multifaceted writer. She writes articles for a variety of topics like marriage and relationship advices, CPAP and Respironics ComfortGel nasal mask, family and parenting concerns, fashion and beauty tips and a lot more.

7 Habits of Highly Successful Sleep Apnea Patients

Posted by Apnea
Categorized Under: Cures For Sleep Apnea
Dated: 17 Nov 2009
Comments: 0

Some patients with sleep apnea do remarkably well, despite all the hurdles and obstacles that arise. Then there are others that procrastinate, or refuse to take any action at all. I’ve noticed 7 commonalities amongst the ones that do succeed in the end:

1. They take responsibility for their own health, and not rely on doctors alone. They surround themselves with a team of medical professionals, constantly reading and learning, asking questions, and staying up to date on the latest in new sleep apnea treatments and research. They are willing to make major changes their lives, daily habits and diets to achieve set goals.

There are some people who are unwilling to make any changes, such as with eating late or going out 2-3 times per week and drinking alcohol. These are the same type of people who say they don’t have time to read an important book to help them along. These are the people who want only a quick fix. They are unwilling to commit to a life change.

2. They are willing to pay extra. Unfortunately, insurance will typically cover only the bare essentials for sleep apnea treatment. Most durable medical goods vendors will give a basic model, and typically won’t cover any additional add-ons or extras or a more full-featured CPAP machine. Depending solely on insurance to cover for everything will lessen your chances for achieving success. Sometimes, you have to pay for a new mask, or a dental device. Yes, you should maximize your insurance benefits, but you should also not hesitate to go outside of medical insurance to invest in your health.

Successful people also are willing to invest in gym memberships, yoga classes, books and information products that complement standard sleep apnea treatments.

3. They take action. The people that succeed typically have tried multiple different options and have failed more often than once. But because they are persistent and take massive action, eventually, they find something that works for them.

There are many patients research everything but can’t make up their mind. This is called paralysis by analysis.

4. They do everything possible to breathe well through the nose. Being able to breathe well through the nose, although not a cure for sleep apnea, helps every other form of treatment option. Whether it’s with CPAP, dental devices or surgery, not being able to breathe well through your nose will ultimately diminish the quality of your results. Through trial and error or by working with your doctor, you can usually figure out what’s causing your stuffy nose, and take care of it in one way or another.

Many successful CPAP patients get into the habit of irrigating their noses with nasal saline. There are various ways of getting saline into your nose, so you’ll have to try different options to see which one you like.

5. They set aside time for regular exercise or relaxation. Paradoxically, exercise is a great form of relaxation. When you take the time to exercise, you have to focus on your exercise activities, which forces you not to stress about work, life and other distracting things. Not to mention the cardiovascular benefits. The more advanced people discover that active forms of relaxation or meditation helps to calm the overstimulated stress part of the nervous system, or the sympathetic nervous system. They routinely practice yoga, meditation, tai chi, which are all disciplines where proper breathing techniques are stressed.

6. They join a community of other sleep apnea patients. There’s a saying in business, “Teamwork makes the dream work.” Surrounding yourself with other successful people’s perspectives will help you to grow, learn. There are live groups such as AWAKE, or various internet forums and support groups.

7. They accept sleep apnea rather than fight it. At a certain point, all these habits will be a regular part of your life. If you’re constantly resisting it and fighting it, always looking for a “cure,” you’re in for a long and frustrating battle. Unless you undergo a tracheotomy, you’ll never be cured. Your ultimate goal should be to reach a point where you’re able to function normally, gain satisfaction from the work that you do, and ultimately, to be able to enjoy life.

10 Tips on Finding the Right Surgeon For Your Sleep Apnea

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

Finding the right surgeon for you can be a challenge in any situation, but finding the right sleep apnea surgeon can be even more challenging since there are so many different procedures and there are no standard operations. I’m asked quite often by people in other states or other countries who they should go see to treat their sleep apnea condition, and over the years, I’ve come up with the following 10 thoughts and tips. These are suggestions that I would offer to a friend or relative in a remote state if they asked for my advice.

In most cases, an ENT surgeon will be the most appropriate person to see, as they are most qualified to perform surgical procedures of the upper airway. By definition, ENTs (otolaryngologists) are trained in plastic and reconstructive surgery of the soft tissues of the head and neck region. They are the specialists that other doctors call to manage complications of the upper airway. However, there are situations where oro-maxillo-facial surgeons and general plastic surgeons may also play a role.

1. Did you exhaust every other possible option for sleep apnea? Did you try CPAP? How much effort did you put into making sure you gave CPAP a chance to work? Did you consider dental appliances? A good surgeon doesn’t rush into surgery without trying conservative options first.

2. Can you breathe through your nose? Having a stuffy nose can definitely prevent you from benefitting from either CPAP or dental devices. Often, after optimizing nasal breathing via medical or surgical means, people are able to use CPAP or dental devices more effectively.

3. Make sure the surgeon is confident to a reasonable degree where your obstruction is happening. Performing major surgery to “see what happens” is not a reason to do surgery. There are three major areas: the nose, the soft palate and the tongue. The surgeon must be comfortable operating in all three areas. How thoroughly do they examine your upper airway? Do they look with the fiberoptic camera with you sitting up and lying flat? Do they look for movement of the space behind the tongue by having you thrust your lower jaw forward?

4. Can they give you their success rates and complication rates? What is their definition of success? What are their long-term success rates? Compare this with current success rates for uvulopalatopharyngoplasty (UPPP), which has published success rates around 40%. Multilevel surgery approaches around 75 to 80%.

Can they honestly give you their complication rates? If they have no complications whatsoever, I’d be suspicious. Are they prepared to handle anything that may arise? Ask what his or her last complication was and how it was managed. It may seem counterintuitive, but if they don’t have any experience managing complications, you don’t want to be the first one.

5. Do they have a plan in case the surgery doesn’t work as planned? If the post-op sleep study shows less than a significant drop in the AHI score, what are your options? This should be discussed before your initial surgery. Do you stop there, or do you go back and do more (if there’s an obvious area to address), or do you go back to CPAP? Is a referral to an oro-maxillofacial surgeon an option?

6. Don’t focus too much on volume of cases. What’s important is how well it’s done and the appropriate location of the procedure, rather than total number of cases performed. Thousands of UPPPs alone are performed every year by surgeons with only a 40% success rate. If this is the only operation that’s offered, without a plan to address the tongue either simultaneously or at a later point, then your chances of success is no better than 40%.

7. Do they use the Friedman staging system? This is a simple screening tool where by looking at the size of your tonsils and your tongue position, you can predict whether or not a UPPP alone can have an 80% chance of success. Most people will fall into the “unfavorable” category, but if you meet the “favorable” criteria, a UPPP alone may be a good option, as long as you understand that there’s still about a 20% chance of failure.

8. How comfortable are they performing tongue base procedures? Do they have experience with multiple procedures or are they very good at just one? Are they able to perform any of the minimally invasive tongue base procedures in addition to the standard techniques?

9. How well do they work with your sleep doctor and/or dentist to coordinate your care? Is he or she willing to combine multiple treatment options if necessary? Sometimes dental devices or surgery can make CPAP more tolerable by lowering the necessary pressure.

10. Do you trust your surgeon? You must be comfortable and have a good rapport before you undergo any invasive procedure. Get second or third opinions. No matter how technically skilled the surgeon is, if there’s no bedside manner or if the staff is rude, it will eventually show in the quality of your care. As with any doctor, the focus must be on you as a whole person, rather than an isolated surgical procedure.

As you can see there’s no one best solution for treating sleep apnea. There are general recommended guidelines and conservative options must be tried before surgery, but even with surgery, many different paths can be taken, since every patient is different with individual needs. If you’re considering surgery, find someone that you’re comfortable with, and develop a good relationship with that surgeon.

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.