Doctor insights on:
Tonsillectomy For Sleep Apnea
Sleep apnea has two causes. It may be 'central' or 'obstructive'. Central apnea occurs as a disorder in the way the brain controls breathing. Obstructive sleep apnea is much more common and involves an anatomical blockage of the airway. Usually, the tongue blocks the airway, preventing the passage of air between the a sleep study is needed to diagnose particular ...Read more
Depends: Often the narrowing of the airway is behind the tonsils (more the base of your tongue against the back of your throat) so depending where the problem is from can help determine if the tonsillectomy will help. ...Read more
Two weeks ago, my 22 month old son had tonsillectomy forobstructive sleep apnea. He still wakes four times a night. Would there be improvement in sleep habits and behavioursoon?
A bit of time yet: Expect to see improvements in your son's sleep habits and behavior in the next several weeks. Follow -up with your otolaryngologist and pediatric sleep specialist as scheduled so that his recovery can be monitored and a post operative sleep study performed if deemed necessary. The pediatric sleep specialist can also let you know specific issues that may be unique to 22 month olds. ...Read more
What to do if I have obstructive sleep apnea. Will a tonsillectomy completely improve my quality of life?
Perhaps: OSA anatomical problems are often multifactorial. Removing tonsils will help. Degree of improvement depends on how much that component contributes to the OSA. Other procedures may be indicated. Good question to ask your ENT doc. ...Read more
I am suffering from sleep apnea and have a tonsillectomy scheduled for later this year. How well does this fix sleep apnea?
Surgery: Last resort: In most adult patients, the primary source of obstruction is the normal relaxation of the tongue and palatal muscles while asleep. Though the tonsils can obstruct the airway, that is usually the case in children, not adults. Before surgery, I encourage my patients to try an inexpensive jaw advancement appliance to rule out the tongue and prevent a possibly unnecessary surgery. ...Read more
I have chronic severe tonsillar hypertrophy (4+) resulting in sleep apnea. Will I be OK if I left it untreated (no tonsillectomy or CPAP)?
I have grade 4 enlarged tonsils causing mild to moderate sleep apnea (AHI 10, nadir SpO2 88%). One dr said tonsillectomy other said CPAP. What's best?
Both: Unless you were born with extra tonsils you have 2 adult tonsils and adenoidal tissue. Either tonsillectomy/adenoidectomy plus C-PAP will be beneficial. ...Read more
I'm at my wits end. I'm mainly looking for an ENT I can talk with, I have been getting weird symptoms from sleep apnea, dirt like taste in back of throat, blocked nose, tonsillectomy didn't help.
22 month son had tonsilectomy 2wks ago due to obstructive sleep apnea. Still waking 4 + times a night. Improvement in sleep habits & behavior soon?
Is a tonsilectomy safe? If so how safe is it? I have mild sleep apnea and huge ttonsils and they want me to have this surgery. ....
Very safe: All surgical procedures have risks. Usually acceptable. You have to discuss with surgeon. Your decision. ...Read more
How safe is a tonsilectomy? I am having mine done at the mayo clinic by dr david lott in arizona.. People keep telling me how horrible it is. I am having it done for sleep apnea ans huge tonsils.. ..
Typically very safe: A tonsillectomy is typically a very safe procedure and has been performed on millions of people for many years. No procedure is completely safe, however, so your surgeon will go over all of the potential risks with you before the surgery. As with all procedures, you have to do a risk/benefit analysis. Since you have sleep apnea from large tonsils, it sounds like there could be benefit to you. ...Read more
No cure: There is high failure rate of surgical procedures for sleep apnea. Best treatment is the CPAP mask adjusted to the right pressure. There are some that automatically adjust themselves for the best pressure. Need to get the most comfortable mask & less noisy machine. Complications of surgery include airway obstruction, bleeding, hematoma, infection, pain, death, dysphagia, velopharyngeal etc... ...Read more
Yes: It has been published that it affects 4% of men and 2% of women, but personally, I think it is much higher. Unfortunately, it has been given lower priority than other medical conditions. That is now changing as we are discovering that is is associated with considerable medical and psychiatric morbidity and even mortality. ...Read more
Just another term: For sleep apnea. There are several types: obstructive, where the air is blocked from getting to your lungs by collapse of your upper airways during sleep, and central sleep apnea where your brain does not send the signals to your lungs to breathe, and the third type which is a mixture of the two. I cannot think of a sleep apnea that would not be organic, because there is no psychogenic sleep apnea. ...Read more
R/O OSA: OSA can be suggested by history and physical. Excess snoring/daytime sleepiness/apneic episodes/ aM headaches. And the Exam obesity/small oral airway/collar size>18. The definitive test is a PSG with split night/CPAP titration. I would request copy of sleep study and get a second opinion if you are not satisfied with the options. You are young CPAP can be difficult to tolerate. ENT FOR UPP EVAL. ...Read more
Being over weight is probably the biggest risk factor. A loss of muscle tone in neck muscles as we get older. Heredity undoubtedly plays a role. Having a large tongue. Other contributing factors are an underdeveloped lower jaw, a narrow upper jaw and a high palate. These all tend to block the airway and lead to obstructive sleep apnea.
In central sleep apnea the brain doesn't say to breath. ...Read more
Snoring: The symptoms are daytime fatigue, snoring, frequent waking, frequency of night time urination, but tiredness during the day very hard to deal with. Get diagnosed by sleep study and treated. Apnea carries risk of heart attack, stroke and other nasty things. Your family doctor can arrange the study and most insurances cover it. You will feel so much better after a good nights sleep. ...Read more
Not just weight: Anatomy is king. Obstructive sleep apnea happens in a small airway "box". The airway can be small if what's in it takes up space or if the box is smaller. Weight gain increases tongue size and the thickness of the side walls of the throat. Tonsils may be large. Small jaw size, often inherited, will increase the risk of osa. Low muscle tone is also a factor. ...Read more
R/O OSA: YES IT IS: OSA DX by history and physical. Excess snoring/daytime sleepiness/apneic episodes/ aM headaches. And the Exam obesity/small oral airway/collar size>18. The definitive test is a PSG with split night/CPAP titration. I would request copy of sleep study and get a second opinion if you are not satisfied with the options. You are young CPAP can be difficult to use. ENT CONSULT FOR UPP EVAL. ...Read more
NPSG: An npsg is a formal overnight sleep study. You would be monitored for breathing, muscle activity, heart rate, oxygen level and brainwave activity. Typically an ahi (apnea hypopnea index) is calculated to determine if you are positive. A minimum of an ahi = 5 is needed to be positive. An ahi of 5-14 is mild, 15-29 is moderate and >30 is severe. ...Read more
Sleep apnea: Sleep apnea in children is a pause in breathing while asleep. Many children who have sleep apnea will snore too. Babies with sleep apnea don't usually snore but may have other developmental problems or may have an illness (like whooping cough or respiratory syncytial virus -rsv) that causes them to become stop breathing. A pause of 20seconds or more is too much - talk to your doctor. ...Read more
Sleep apnea is when you stop breathing while you are asleep. This results in waking up at night many times over and/or having reduced blood oxygen levels. The primary symptom is sleepiness called "excessive daytime somnolence." you can take a simple questionairre here: http://www. Umm. Edu/sleep/epworth_sleep. Htm
if you believe that you have sleep apnea, see a sleep specialist right away. ...Read more
This is the cessation of breathing for 10 seconds or more. Most apnea is obstructive being caused by collapse or obstruction of the airway leading to lack of air flow. However, it can be a central process, where the respiratory center of the brain fails to signal the respiratory respiratory system to initiate a breath. Lastly, some apnea is mixed central ...Read more