Snoring and OSA
Snoring is a common problem which can disturb sleep of both snorer and his family Members. Snoring occurs when palate, uvula part of pharynx relax during sleep. Thereby narrowing the upper airway when air passes through this narrow passage. This leads to vibration of this part which causes snoring.
Snoring can be improved by:
Sleeping on one side. So tongue moves out increasing the space in the throat.
Opening nose by medicines or surgery when there is nose obstruction.
Tongue holding devices.
Tissue stiffening
Some snorers can have OBSTRUCTIVE SLEEP
APNEA HYPOPNEAS
Respiratory effort—Related arousal
Excessive day time sleeping
Gaspring and Chocking sensation OSA can lead to cardiac vascular problems
Hypertension, GERD, decreased attention, at work, motor accidents, Decreased memory,
Decrease in libido.
Trigerring Factors
Over Weight
Smokers, Alcohol intake
Sedative pills
Diagnosis
Proper history taking
Sleep study – We do sleep study in hospital as well as home sleep study which tells the severity of OSA
Sleep Encloscopy We do sleep endoscopy to assess the level of obstruction.
Treatment Depending on clinical examination, sleepstudy and sleep endoscopy treatment is planned.
Treatment can be
Nasal surgery—In case of nasal obstruction like deviated nasal septum, hypertropic turbinates nasal polyps.
Paratal surgery Uvulopataloplasty,Expansion sphincter palatoplasty, Zetapalatoplasty
Bare tongue Reduction Either by or for coablation.
Maxima Mardible Advancements
Hyoid suspension
CPAP, BIPAP
It acts as pneumatic splint and prevents upper air way collapse by providing constant positive intraluminal pressure during inspiration and expiration