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.
What Is Provent Therapy Snoring Relief Los Angeles Malibu Thousand Oaks Ronald Popper
Provent is a relatively new treatment option for the treatment of obstructive sleep apnea syndrome. This is an example of Provent. Provent consists of two valves that areinserted into the nostrils and held in placeby a nonallergic adhesive bandage. If one looks closely, you can see a meshlikevalve with a little hole in each side. Provent works by being open during inhalationthrough the nose so there is no resistance to airflow. When one exhales through the nose, the valvesclose and you're exhaling through those tiny holes. This creates resistance to airflow. This thencauses pressure to back up into the upper airway much in the same way as positive airway pressureis delivered through the use of nasal CPAP.
This pressure splints the airway open. There are several other proposed mechanismsof action for Provent as well. Provent, in my personal experience, has beeneffective in approximately 60 to 70 percent of my patients, who show a reduction in theirobstructive sleep apnea syndrome by about 50 to 90 percent. I'm Ronald Popper, medical director ofthe Southern California Pulmonary and Sleep Disorders Medical Center in Thousand Oaks,California. To view more tutorials that help to address allof your questions about sleep apnea and other sleep disorders, please visit our websiteat SleepMD4You .
Thank you for watching and always remember,sleep well tonight for a better day tomorrow.
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