Snoring and OSA

Snoring is a common problem which can disturb sleep of both snorer and his family Members. Snoring occurs when palate, uvula part of pharynx relax during sleep. Thereby narrowing the upper airway when air passes through this narrow passage. This leads to vibration of this part which causes snoring.

 Snoring can be improved by:
 bullet Sleeping on one side. So tongue moves out increasing the space in the throat.
 bullet Opening nose by medicines or surgery when there is nose obstruction.
 bullet Tongue holding devices.
 bullet Tissue stiffening
 bullet Some snorers can have OBSTRUCTIVE SLEEP

 APNEA – OSA Where in person serve 5 or more respiratory events.

APNEA HYPOPNEAS
bullet Respiratory effort—Related arousal
bullet Excessive day time sleeping
bullet Gaspring and Chocking sensation

OSA can lead to cardiac vascular problems
bullet Hypertension, GERD, decreased attention, at work, motor accidents, Decreased memory,
bullet Decrease in libido.

Trigerring Factors
bullet Over Weight
bullet Smokers, Alcohol intake
bullet Sedative pills

Diagnosis
bullet Proper history taking
bullet Sleep study - We do sleep study in hospital as well as home sleep study which tells the severity of OSA
bullet Sleep Encloscopy We do sleep endoscopy to assess the level of obstruction.

Treatment Depending on clinical examination, sleepstudy and sleep endoscopy treatment is planned.

Treatment can be
bullet Nasal surgery—In case of nasal obstruction like deviated nasal septum, hypertropic turbinates nasal polyps.
bullet Paratal surgery Uvulopataloplasty,Expansion sphincter palatoplasty, Zetapalatoplasty
bullet Bare tongue Reduction Either by or for coablation.
bullet Maxima Mardible Advancements
bullet Hyoid suspension
bullet CPAP, BIPAP
bullet It acts as pneumatic splint and prevents upper air way collapse by providing constant positive intraluminal pressure during inspiration and expiration