Snoring And Sleep Apnea Treatment Centers

Omaha Sleep Apnea Treatment Roger Roubal

44 year old Jeremy Dankiw wakes up everyday ready to put his life of the line He's a Council Bluffs firefighter and there was something draining his energy. I was constantly fatigued and my wife and coworkers said, quot;You snore really loud.quot; It turns out Dankiw's snoring revealed a bigger problem. sleep apnea.

The soft palate or the tongue will collapse and actually stop the air from moving. Kind of like, picture a garden hose kinked, no flow, that's sleep apnea. Roger Roubal specializes in sleep apnea and he's finding success at treating it with something know as O.A.T., Oral Appliance Therapy.

When they come together, what they do is they limit the ability for one to open, typically. And it gently holds the lower jaw forward in a position to get the tongue out of the airway. Roubal says this small device is placed inside the mouth during sleep. It's much easier to tolerate for patients like Dankiw who tire at traditional and cumbersome

CPAP machine. The reality is when somebody sees this and sees this, there's a big difference. It will fall off in the middle of the night. Sometimes I would wake up in the morning and I would have taken it off and don't even remember. Dankiw has seen a dramatic difference using O.A.T. It's night and day.

I wake up in the morning and feel refreshed. I didn't even realize how tired I was all the time. Until this thing, until my body really adjusted to it. Literally it just changed my life completely. In Omaha, Jobeth Devera, KETV News Watch 7.

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.

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