Obstructive Sleep Apnea Depression

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 Apnea Dim Light May Lead to Depression

CLARK POWELL: After years of struggling with the symptomsof sleep apnea, Jack Chapman says using a CPAP machine has changed his life overnight. JACK CHAPMAN: A complete difference in how you feel all day you wake up refreshed. POWELL: While this machinemay have helped Jack with his physical symptoms, a new study is shedding light on the psychologicalsymptoms of sleep apnea. DR. MAGALANG: In patients with obstructive sleep apnea, there is a very highincidence of having depression.

POWELL: Ulysses Magalang is a sleep expert at the Ohio StateUniversity Wexner Medical Center. He says half of all patients with obstructive sleepapnea also have depression. And now, as subtle as it may seem, they may have found one ofthe reasons. DR. MAGALANG: Light at night, even low levels of light, may actively suppress the secretionof melatonin. POWELL: And in lab experiments with mice, that led to depression and anxiety.Rooms like this may seem fit for sleep, but

there are several problems. TV's can causesignificant sleep disruption, and even when they're off, lights from control boxes cancause problems. So can alarm clocks. Even though the experiments were done in mice,researchers say the evidence is compelling enough to prompt changes in humans. DR. MAGALANG: If youhave obstructive sleep apnea, it would be better if you can sleep in a darkened environmentand avoid even low levels of light. POWELL: Jack says his sleep apnea hasn't caused depression,but he appreciates the fact that researchers

are shedding new light on how important itmight be to sleep in the dark. At Ohio State's Wexner Medical Center, this is Clark Powellreporting.

Depressed and Exhausted It Could Be Something More

A bad night's sleep can make you feel tiredand unfocused during the day. If left untreated, that cycle may become more than just an inconvenience.I'm Shelby Cullinan with your latest health news. A new study found that untreated sleep apneamay be linked to depression in adult men. Obstructive sleep apnea, or OSA, is a disorderin which breathing stops or is interrupted periodically during sleep. It is usually causedby an obstruction in the airway — often due to the jaw sinking into the throat, closingoff the airway. The researchers found that men with undiagnosed severe OSA were twiceas likely to have depression than men without

OSA. Men with excessive sleepiness duringthe day also had a higher risk of depression. Additionally, men with both OSA and daytimesleepiness were almost five times as likely to have depression as men without OSA anddaytime sleepiness. If you have trouble sleeping, speak with your about the right treatmentfor you.

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