Top
30
Doctor insights on: Tonsillectomy For Sleep Apnea

Share
1

1
Does a tonsillectomy cure sleep apnea?

Does a tonsillectomy cure sleep apnea?

It might: If the tonsils are huge and obstruct the airway then removing them might cure apnea. Usually though apnea is due to airway obstruction caused by different areas including the nose palate and tongue. Best to see and ENT for an airway evaluation. ...Read more

Dr. Patricia Mcgarry
446 Doctors shared insights

Obstructive Sleep Apnea (Definition)

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


2

2
How effectively does a tonsillectomy cure sleep apnea?

How effectively does a tonsillectomy cure sleep apnea?

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

3

3
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?

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

4

4
I have obstructive sleep apnea. Can a tonsillectomy completely improve my quality of life?

I have obstructive sleep apnea. Can a tonsillectomy completely improve my quality of life?

Likely not: Tonsillectomy works well for osa for children, but not so much for adults. Cpap, oral airway devices or jaw surgery are much more likely to help out. ...Read more

5

5
What to do if I have obstructive sleep apnea. Will a tonsillectomy completely improve my quality of life?

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

6

6
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

8

8
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?

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

10

10
22 month son had tonsilectomy 2wks ago due to obstructive sleep apnea. Still waking 4 + times a night. Improvement in sleep habits & behavior soon?

22 month son had tonsilectomy 2wks ago due to obstructive sleep apnea. Still waking 4 + times a night. Improvement in sleep habits & behavior soon?

Depends: Still could be going through healing and has some inflammation talk to ur ent, or it could be a behavioural issue why is he waking up? ...Read more

11

11
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. ....

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

12

12
Is removal of tonsils a "must" for sleep apnea?

Is removal of tonsils a "must" for sleep apnea?

Only for children: Tonsillectomy is the first line treatment for sleep apnea in children. For adults, tonsillectomy will not cure sleep apnea, it is not normally recommended unless tonsils are unusually enlarged. ...Read more

13

13
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.. ..

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

14

14
Cure of sleep apnea?

Cure of sleep apnea?

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

15

15
Is sleep apnea common?

Is sleep apnea common?

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

16

16
Symptoms if sleep apnea?

Symptoms if sleep apnea?

Sleep apnea: Fatigue, snoring, daytime sleepiness, stop breathing for a few seconds while sleeping- are a few symptoms of sleep apnea.
Sleep apnea, is frequently associated with increase level of hemoglobin and htn. Sleep study is indicated. CPAP will be the treatment of sleep apnea. ...Read more

17

17
Is sleep apnea reversible?

Is sleep apnea reversible?

Yes: Sleep apnea can have a number of causes, from being overweight to septal deviations. It is best to be evaluated and see what your issues are. ...Read more

18

18
What is organic sleep apnea?

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

19

19
What's done for sleep apnea?

What's done for sleep apnea?

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

20

20
What is done for sleep apnea?

What is done for sleep apnea?

Sleep apnea: Options for treatment include CPAP. For patients with mild to moderate sleep apnea oral appliances can be used and are as effective as CPAP. Other options are surgery, weight loss, ...Read more

21

21
How can sleep apnea be cured?

Apnea: Treating the cause, whether obstructive or central apnea. Consult a neurologist. ...Read more

22

22
What is the cause of sleep apnea?

What is the cause of sleep apnea?

Several: 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

23

23
What are symptoms of sleep apnea?

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

24

24
What causes you to get sleep apnea?

What causes you to get sleep apnea?

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

25

25
Is sleep apnea considered a disease?

Is sleep apnea considered a disease?

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

26

26
How to determine if I have sleep apnea?

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

27

27
What are signs of sleep apnea in children?

What are signs of sleep apnea in children?

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

28

28
Is sleep apnea considered to be a disability?

Is sleep apnea considered to be a disability?

No: Sleep apnea is a treatable disease. Weight loss is the cornerstone of treatment in pt's with a BMI above 30. CPAP is the first line therapy and there are surgical options as well as mandibular advancement devices that can be used. Sleep apnea is a treatable condition. ...Read more

29

29
Which is the optimum solution for sleep apnea?

Which is the optimum solution for sleep apnea?

Severity: Depends on whether central or obstructive
how severe it is CPAP machine or oral appliance or combination, surgery
there are a lot of options. ...Read more

30

30
What is meant by sleep apnea? And the symptoms?

Reduced breathing: 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

Dr. Patrick Melder
1,062 Doctors shared insights

Apnea (Definition)

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


Dr. Carlo Hatem
1,207 Doctors shared insights

Sleep Apnea (Definition)

A condition in which you stop breathing during sleep. There are 2 main types. Obstructive the most common. Central the less common. When people speak about sleep apnea they usually refer to obstructive where you cannot breathe due to ...Read more