Surgical Treatments For Sleep Apnea

sleep apnea surgery

Weight loss, or bariatric surgeries, suggested for people with OSA may include gastric bypass and gastric band surgery. Studies show that weight loss effectively reduces the severity of OSA, but may not cure it completely. An implant that electrically stimulates the phrenic nerve is available as a treatment for moderate to severe CSA. The phrenic nerve connects to the diaphragm, so phrenic nerve stimulation (PNS) helps regulate breathing.

sleep apnea surgery

To optimize the effectiveness and safety of a sleep apnea surgery, surgeons are constantly tweaking and refining their techniques. For example, techniques for performing UPPP have evolved to include less resection (cutting and removal of tissues) and more reconstruction. Bariatric surgery, like Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy, usually reverses or at least significantly improves sleep apnea and may also be considered. However, weight loss surgery is not indicated for a diagnosis of OSA alone. OSA is a serious medical condition that can result not only in daytime fatigue, but chronic health issues like hypertension, diabetes, and more. Sleep apnea surgery may be the solution for reducing these risks, and knowing what’s involved can help you feel more prepared if this procedure is recommended for you.

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With CPAP, you wear a mask over your nose or mouth while you sleep. The mask is hooked up to a machine that delivers a constant flow of air into your nose. This airflow keeps your throat open so you can breathe the way you should. Another risk of these details is the potential need for multiple procedures. Several surgical procedures may be performed during the same visit, or doctors may recommend a multistage approach in which surgeries are performed consecutively at multiple visits. Weight loss surgery may be recommended for people with obstructive sleep apnea who are also diagnosed with obesity.

When deciding whether to pursue surgery for obstructive sleep apnea, it can be helpful to understand the benefits and drawbacks of UPPP. In the past, UPPP focused primarily on removing additional reading tissue to expand the airway. Newer variations of UPPP have helped reduce the side effects of the surgery by attempting to reposition or rebuild tissues when possible.

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Surgery may be an option for people with OSA, but usually only after other treatments have failed. Generally, at least a three-month trial of other treatment options is suggested before considering surgery. However, for a small number of people with certain jaw structure problems, surgery is a good first option. Your health care provider may make an evaluation based on your symptoms and a sleep history, which you can provide with help from someone who shares your bed or your household, if possible.

Any treatment can only be as good as a patient’s adherence to it, so surgery may be considered if compliance is a concern. Surgery may also be used to improve a patient’s use of CPAP/oral appliance. The physical exam involves an examination of the back of your throat, mouth and nose. The best operation for you will depend in part on the cause of your sleep apnea. After waking up from uvulopalatopharyngoplasty, patients are monitored by a medical professional to ensure that the side effects of anesthesia diminish. An overnight hospital stay is often needed to make sure that a person can swallow before they are discharged.

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UPPP surgery can be conducted in a traditional manner or by using minimally invasive radiofrequency. Studies of radiofrequency UPPP together with complete tonsil removal have shown 60% to 70% success rates. There are many surgeries given to try this people with obstructive sleep apnea (OSA) and one for people with central sleep apnea (CSA). Depending on the procedure you underwent, you may be discharged home from the recovery room or taken to a hospital room for an overnight stay.

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