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.
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.
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.