Obstructive Sleep Apnea (OSA) is very personal. Each person has several of their own factors that lead up to OSA. The reasons vary greatly, but there seems to be a cure for almost every cause.
People suffering from sleep apnea have many treatment options available which include invasive and non-invasive options. The challenge is finding the right treatment. Each one needs to address factors contributing to a person's individual disorder.
Soft palate surgeries are becoming very popular and can help tremendously. After healing from soft palate revisions targeting sleep apnea, external appliance use such as CPAP or mouth guards may be unnecessary for many people.
The soft palette contributes to OSA in numerous people. When a person breathes, the uvula and soft palate gently vibrate. In OSA, they do so to a much higher degree causing loud snoring.
Sometimes the reason for the snoring is because the soft palate is too big due to anatomy. Other times tissue becomes big from excessive vibrating which causes "trauma" and swelling.
When the soft palate is over sized, it can partially or completely block the airway. This results in OSA. The treatment options for this particular cause of OSA are often surgical in nature, the most popular being surgeries to reduce the size of the soft palette. Soft palate revisions for sleep apnea seem to have good outcomes when they are performed on patients that actually need it.
LAUP - Laser assisted Uvulopalatoplasty, removes extra tissue from the uvula and soft palate with a laser over the course of several appointments until snoring has been decreased or no more tissue can be removed. This can be done in most offices under a local anesthesia.
Somnoplasty has basically the same outcome, removal of extra tissue, as LAUP, but radio frequency reduction methods are used instead of lasers. The tissue is burned away, by high radio frequencies, then the body absorbs to dead tissue over time. This procedure can be done several times until the desired outcome has been achieved or no more tissue can be safely removed. Patients report this method is less painful than LAUP.
Other soft palate revisions used for sleep apnea are the palate stiffening procedures. Some of these surgeries involve creating scar tissue that will function as rigid splints. Another stiffening surgery uses implants to create firmness of the soft palate which should keep it from collapsing during sleep. The implants are synthetic fibers that are placed midline to, and parallel to the midline of, the soft palate.
Three implant are inserted with a hollow needle under a local anesthesia. They can be removed with relative ease if necessary.
Soft palate revisions used for treatment of sleep apnea are minor surgeries and are mostly effective. In cases where they haven't been successful in alleviating sleep apnea symptoms, it has been either because there have been other causes along with the oversized soft palate or the soft palate hasn't been the reason for the obstruction.
The importance of a good investigative doctor well experienced in sleep apnea cannot be stressed enough when considering body altering surgeries involving the mouth and airway.
Dental Appliance For Sleep Apnea
A person who snores must be monitored for breathing irregularity. When there are long pauses between snores, it indicates that the person is not getting oxygen. The brain sends signals to alert him that oxygen levels in the bloodstream are dangerously low. On cue, the person wakes up, gasping for air.
Usually, in most cases, sleep apnea sufferers have large tonsils, and tongues that block the air passages during sleep. In other instances, the throat muscles collapse and prevent the flow of air to the lungs from the nose and mouth.
To help him cope with the Obstructive Sleep Apnea or OSA, the doctor recommends the use of a device, the Continuous Positive Airway Pressure or CPAP and Bi-PAP machines. These devices provide measured amount of air that prevents the collapse of the throat tissues and muscles during sleep.
Opting for Surgery
There are several remedies for sleep apnea, including surgeries. For sleep apnea sufferers, surgery is the last result if they want to ease the condition, and prevent dire consequences. Surgeries for sleep apnea will vary according to the extent of the condition.
In cases of OSA, the airways become blocked during sleep. This causes breathing cessation for a minute, and even longer. The surgery for this situation will involve the opening of the airway by reconstructing the soft tissues of the mouth and the bony parts of the throat.
One of the surgeries for sleep apnea is uvulopalatopharyngoplasty or UPPP. The surgery removes the tonsils and adenoids and part of the soft palate of the mouth. This procedure was rated in 1996 as 40.7% effective by the American Sleep Disorders Association. The new laser procedure still lacks substantial feedback to confirm its effectiveness.
Surgeries for sleep apnea of serious nature include tracheotomy, laser midline glossectomy, lingualplasty, and maxillmonadibular osteotomy, sagittal mandibular osteotomy, and genioglossal advancement with hyoid myotomy and suspension.
In lingualplasty, part of the tongue is removed. In tracheotomy, a hole is made in the throat. This hole is unplugged during sleep and plugged during waking hours. The hole in the throat is always be disinfected regularly to prevent infections.
New Surgical Procedures
There are two new procedures adding up to the list of surgeries for sleep apnea. Radio frequency tissue ablation or RFTA or Somnoplasty shrinks the size of the tongue or palate. However, the patient must undergo several sessions before the desired effect is achieved.
Another new procedure is the tongue suspension, which employs the insertion of a small screw into the lower jaw bone. The procedure will prevent the tongue from blocking the air ways to the lungs. Both procedures have been approved by the FDA.
Should You Go for Surgeries for Sleep Apnea?
Depending on the severity of the condition, it is advised to go for surgery which must be done by an experienced surgeon. The downside though, you will have to undergo several surgeries. For sleep apnea sufferers, they face the dilemma - will it be worth all the trouble and the pain?
Before you decide on a surgery, consider the options. If sleep apnea is left untreated, it may lead to serious conditions; however, some sleep apnea cases have gone from bad to worse with surgical applications.
Knowing the risks involved and the state of your general physical will help you decide if you should go for surgery, or use the devices to alleviate sleep apnea. Discuss the matter with your doctor, and seek other opinions as well.
Both Jonni Good & Alexes Lebeau are contributors for EditorialToday. The above articles have been edited for relevancy and timeliness. All write-ups, reviews, tips and guides published by EditorialToday.com and its partners or affiliates are for informational purposes only. They should not be used for any legal or any other type of advice. We do not endorse any author, contributor, writer or article posted by our team.
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