Doctor insights on:
Last resort: If you've been properly diagnosed, what other solutions have you tried? There is CPAP of various types and mandibular advancement appliances, made by dentists. These approaches can be very effective, alone or in combination. Surgery is highly invasive, painful and not always successful. In addition, there is often surgical relapse, and you return to pre surgical condition. Last resort for me. ...Read moreSee 6 more doctor answers
Ent found deviated septum, nasal obstruction, damage from gerd. Needs to do endoscopic septoplasty. Scared. Risks? Any life threatening risks?
Not big risk : Septoplasty is correction of the deviated or crooked septum. The basic risks include bleeding, infection , not getting a satisfactory correction of deviation, a septal perforation(hole), changes in smell/ taste temporarily. No life threatening risks from surgery. Most ENT doctors do 100's of these a year. Quite common and routine procedure. ...Read moreSee 1 more doctor answer
Complications of OSA: Cardiovascular: chf, arrhythmias, hypertension lungs: pulmonary hypertension mood: depression extremities: fluid retention abdomen: heart burn sleep: insomnia, hypersomnia, daytime sleepiness, urogenital: decrease libido, nocturia brain: headaches, short term memory, stroke. ...Read moreSee 1 more doctor answer
Depends: Outcomes depend on the procedure/combination of procedures, as well as the anatomy of the airway. Soft tissue surgery (on the palate, nose, etc) have roughly a 50-70% success rate. Jaw surgery, although a bit more drastic, has approximately a 90-95% success rate. Best to see a surgeon in your area trained in sleep surgery to discuss this at length and choose the right procedure for you. ...Read moreSee 2 more doctor answers
Chosen well, it may.: You might not want the surgery though or you may not be an ideal candidate. The surgery with the highest rate of success is an mma procedure. This stands for maxillo-mandibilar advancement. The success rate for a cure is 85%. It does involve surgically changing the alignment of both your upper and lower jaws, possibly changing your facial appearance. It is done to open up your airway. ...Read moreSee 6 more doctor answers
Good Question!: No, not always. However, those who snore loudly should be screened for sleep apnea with a detailed history and possibly a sleep study. Those who snore without sleep apnea do report that their sleep is better after treatment because their bed partner no longer has to kick, punch, pinch, etc while they are sleeping and everyone is happier after treatment :). ...Read moreSee 3 more doctor answers
Many different types: The surgery depends on where the anatomical problem is. If the only problem is extremely large tonsils then tonsillectomy can be curative. More often it is a combination of airway problems including the back of the throat and the tongue. The most successful operations move the tongue forward or reduce the size of the back of the tongue opening the airway. An ENT evaluation can be helpful. ...Read moreSee 2 more doctor answers
2.5y/o with noisy breathing, snoring, short pauses in breathing during sleep. Tonsillar hypertrophy= 2-3+. Does this indicate tonsillectomy?
Yes if Multi-Level : Multi-level surgery has been shown to be more effective than traditional methods. Depending on the severity of osa, treating the palate/tonsils in combination with the base of tongue and/or sinonasal obstruction is quite successful in reducing patient symptoms and osa severity. Latest minimally-invasive techniques has reduced pain. 50% success is based on old uppp-alone surgical data. ...Read moreSee 3 more doctor answers
Yes, probably: Caveat: I'm not a dentist. I'm an M.D. specializing in sleep disorders. Mouth-breathing during sleep is very common in patients with obstructive sleep apnea. The more time the mouth is dry, the greater the likelihood that bacteria will remain on teeth and cause problems (which is why meth addicts have bad teeth). This causes dental problems and, I presume, can also problems with the gums. ...Read more
What quality of life issues can be improved from septoplasty? Have asthma, apnea, UARS, hearing issues, fatigue, poor sleep. What do patients say?
Septoplasty: Do the surgery. It will help your breathing and the sleep apnea as you will breathe better, and if you have cpap, you will tolerate it much better. All of my patients use their cpap on the first post op day as I do not pack the nose after surgery unless you are bleeding. Good luck and feel better! ...Read more
Indirectly: Untreated sleep apnea causes drops in oxygen levels during sleep, this causes a release of catecholamines which are of "stress hormones". Over time this can increase the risk of high blood pressure, diabetes, heart disease, and pulmonary hypertension. Overtime these can lead to death. In addition the sleep deprivation leads to increase car accidents, which can be fatal. Treatment helps avoid this. ...Read moreSee 2 more doctor answers
Fairly: Snoring used to just be "a thing" but we're realizing it's a bigger deal. When kids are having restless sleep, mouth breathing, bad snoring, and waking at night, it can affect deep and rem sleep. Not achieving these can affect concentration, memory and alertness during the day. ...Read moreSee 1 more doctor answer