Sleep Apnea Board

Snoring Obstructive Sleep Apnea and Treatment Animation

Snoring and sleep apnea.In normal breathing, air enters the nostrils and goes through the throat and the tracheato the lungs. In people who snore this airway is partiallyobstructed by excess tissue of the throat, such as large tonsils, large soft palate ortongue. Another common cause of obstruction is the dropping of the tongue into the throatdue to over relaxation of tongue muscles during sleep. Air currents competing throughnarrow spaces in the throat cause the soft palate essentially a piece of soft tissuehanging in the throat to vibrate. This vibration is the source of the noise we hear when someoneis snoring.

Sleep apnea happens when the airway is completelyobstructed, no air can go through and the person stops breathing. This cessation ofbreathing triggers the brain to respond by waking up the person just enough to take abreath. This repeats itself again and again during the course of the night and may resultin sleep deprivation. Snoring and mild sleep apnea may be treatedwith a mandibular advancement device. This device is designed to move the lower jaw andthe tongue slightly forward and thus making the space in the back of the throat larger.

Weight Loss Surgery Success Can Weight Loss Cure Sleep Apnea

Hello everyone this is Clark from the Center for Weight Loss Success in Newport New, VA. And on this podcast of Weight Loss Surgery Success we're going to be talking to Timothy Queen who is one of the ENT surgeons here inNewport News, VA. We're going to discuss a little bit aboutsleep apnea and weight loss. Stay tuned, we'll be right back. Welcome back everyone. This is Clark again and we are talking to Timothy Queen.

is where the ENT surgeons here inNewport News Reader talk a little bit about sleep apnea Queen, tell us a little bit aboutyourself. Thank you, Tom I'm Tim Queen and grain I'm practicing here in Newport News in the Oyster Point area. I've been in practice since 1995 I grew up in Virginia, went to school at UVA and went out to Southern California for residency and then came back to the great Commonwealth. I've been practicing ever since.

Queen and I go way back. We have kids about the sameage and we're good friends here in Newport News. Today we're going to talk a little bitabout sleep apnea and how does sleep apnea affect weight. Tim whydon't you discuss a little bit about what sleepapnea is, how do we evaluated it, and that kind of thing. Well sleep apnea basically is when you stop

breathing while you're sleeping.I There are different forms. It can be a central nervous systemproblem, called a neurologic issue. And then there's obstructive sleep apneawhich is what we tend to deal with when there's some type of obstructioninsider the upper airway that can keep the airflow in your lungs. When you fall asleep muscles relax and so it closes off your airway.

If you already have some type of previous obstruction, it tends to block your airway. When you fall asleep and your not breathing your oxygen level starts to fall and you wake up to start to breathe again. And then you increase so you can get more air in. you to wake up to start breathing again. People who have sleep apnea may have theseepisodes multiple times during the hour

where they stop breathing and they wake upagain to catch a breathe. That can leadto numerous medical problems including cardiopulmonary failure. Obviously the danger of being sleepy during the day, auto accidents are more common with sleep apnea patients. So a lot of different medical problemscan come up from sleep apnea. So it's not just that all these other problems exist and they're by themselves but actually the sleep apneaitself can make these problems worse.

InHome versus InLab Sleep Disorder Studies

Typically everyone used to be evaluated inthe al setting versus at home. But as things are evolving with insurance companies,fewer companies are actually paying for the in lab studies. So I would say the majorityof our practice has become using the inhome sleep studies. If we're just looking for primarysleep disorders such as obstructive sleep apnea that in home study is very effective.If we are concerned about some other type of parasomnia, movement disorders, those typesof things, those would need to be done in lab where we have more extensive monitoring.Also things like narcolepsy we would send somebody to the lab. If we decide to do aninhome sleep study we would set you up for

an appointment to come back to meet with ourrespiratory therapist and she would help you determine where to put all of the little electrodesthat we use. You have some that go on your chest and some that go under your nose. Soshe would teach you how to set that up for yourself when you get home as well as a littleflow sheet on what to do. You can bring a family member as well to help you remember.Then you take the the equipment home that night with you and basically just do whatshe told you to do as far as hooking everything up and then you go to sleep in your own bedand sleep normally how you would normally do and then the next morning you would getup, take everything off and return the equipment

to us. We would download the information thatwe were able to obtain from that and determine whether you met criteria to diagnose you withsleep apnea or another sleep disorder. The main things that we measure for a home sleepstudy is we measure your oxygen levels and we also measure if we have decreased in yourflow of your breathing or if your breathing actually stops altogether.

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