Severe Obstructive Sleep Apnea Sleep Apnea Treatment
Severe Obstructive Sleep ApneaSleep Apnea TreatmentMayo .
Is surgery the only option for treating sleep apnea or snoring
I do predominantly the line share of sleep apnea surgery in our department. I collaborate closely with the pulmonologists, who are the sleep medicine s. Those are the s that help diagnose and treat sleep apnea, as well. If those patients fail their, their medical or their conservative therapy, that's typically when they get sent to see me for surgical considerations to, to look at potential cures for their apnea. It's not uncommon for me to see a lot of patients for, who come in for snoring complaints and, you know, are wondering whether or not they have sleep apnea. So sleep apnea is condition where you actually stop breathing at night.
Snoring is somewhere on that spectrum, towards the more mild, you know, milder end of that spectrum. But, you know, really the only way to determine if you have sleep apnea, the gold standard of testing, is really getting a sleep study. And that's an overnight, monitored study where patients, you know, sleep in a room that's similar to a hotel room but they're being monitored and they're hooked up, you know, for sound so to speak with different monitors and cables on them. And that's really our best test to diagnose sleep apnea. The treatment for sleep apnea is typically a nonsurgical therapy; something called CPAP,
which stands for Continuous Positive Airway Pressure. And it's the patients that don't tolerate their CPAP who end up seeing me for surgical considerations. And there's a number of reasons why patients may not tolerate their CPAP. But there are some surgeries that can be helpful in patients who are not tolerant of their medical therapy. And I offer a variety of surgeries including nasal surgery, a variety of palatal surgeries for the kind of tonsil and soft pallet region and then also a variety of tonguebased procedures, as well. But we typically see a patient back after their procedure in about three weeks to recheck everything, make sure that they're healing okay.
After that, I normally recheck a sleep study in about three months after their surgery, just to give everything a chance to heal and to scar. And we, you know, make further recommendations based on the result of their followup sleep study after their surgery. We're exploring the, a new technology now which is actually a nerve stimulator for sleep apnea. It's an implantable device, very similar to a pacemaker that goes into the patient's chest. And there's an electrode that will actually stimulate the nerve that goes to the tongue to provide the tongue with a little bit of more tone when they're sleeping at night, and thereby eliminating their sleep apnea.
Sleep Should be Silent
Thanks for coming tonight, guys. So tonight's topic,quot;Sleeping Should Be Silent.quot; And why do I say thaté It's because it's true. There's no such thingas normal snoring. So let's talk about thatright off the bat, righté You should not besnoring at all.
No such thing as normal snoring. All righté And I see you nudging eachother and looking around. LAUGHTER The reason I got into sleepmy background by the way is I trained as achild neurologist. So I did pediatricsand neurology back in the east coast, and thencame to Stanford in 1993.
And a common story you hearoften I came to Stanford. Planned to be herejust one year. And it's hard to goback to the Bronx once you've been inPalo Alto, righté So as you know, I'm here. And I've been here since '93. So I'm a child neurologistworking fulltime in the Department of Psychiatry,taking care of mostly adults.
But I take care ofadults and kids. I like to take care offamilies with sleep issues. Because when one persondoesn't sleep well, it affects everybody else,as kind of the picture shows. So I like to think about thedynamics of how people sleep. So just last night Imentioned to some of you earlier I gave a talkat the Children's mostly on the topicof sleep of infants.
And most of the audience wereexpecting mothers couples who were expecting, was prettyeverybody I spoke to. And a few sixweek old babieswere there, sevenweek old, twomonth olds. The oldest was threemonths last night. So it's a contrast totalk to you guys tonight and see how you guys are doing. LAUGHTER
But it is fun to think alittle bit about sleep works. And what I like aboutsleep is that we don't have to separatethe mind from the brain. A lot of times people talkabout the mind and the brain as two different things. And sleep kind ofgrabs both things. So I do neurology. I trained as a neurologist.