Posts Tagged ‘sleep apnea’

5 Things You MUST Know About Sleep Apnea Surgery

Sleep apnea surgery is one of the most controversial subjects in sleep medicine. There are heated debates within the sleep community as well as in online forums and support groups. Sleep apnea surgery is definitely not for everyone, for some, it can be a life-changing experience.

Here are 5 important issues that you must be aware of before considering any form of sleep apnea surgery:

1. Does sleep apnea surgery work?

Yes, but only when done properly. Just like with CPAP or dental devices, if you don’t use it properly or use it at all, it won’t work.

One of the most common misconceptions about sleep apnea surgery is the relatively low success rate of the uvulopalatopharyngoplasty (UPPP) procedure, which is often quoted at 40%. But performing this operation is like bypassing only one blocked heart vessel when you have 3 other vessels that are blocked. For some strange reason, ENTs are overly obsessed with the soft palate, since this is where snoring usually comes from and we have the most research and procedures for the soft palate.

We now know that if you address the entire upper airway together (nose, soft palate, tongue), then your success rates are much better, approaching 80%. Why only 80%? There’s only so much you can do with the soft tissues within the small space within smaller jaws (which is the main anatomic reason for sleep apnea). The more aggressive you are, the higher the success rate, but the more chance of pain and complications.

If you go to the next level and enlarge your jaws (upper and lower), then success rates can reach 90 to 95%.

To put things into perspective, if you bypassed everything with a tracheotomy (placing a breathing tube below your voice box), then you’ll have a 100% “cure”, but obviously, this is not a very practical option.

One question you must ask then, is, what’s the meaning of success? In surgery, one common definition is that the final AHI (apnea hypopnea index) on a formal sleep study drops greater than 50% of the original and the final number has to be less than 20. One of the main criticisms of sleep apnea surgery is that even if “successful”, you may still have mild sleep apnea. Surgeons will argue that it’s better than not using CPAP at all.

2. Not All Surgeries Are The Same

There are probably dozens of procedures for sleep apnea from various nasal, soft palate and tongue operations to skeletal framework procedures. These can range from minimally invasive to major surgery. The problem is that by definition, they’ll all work to a certain degree. For example, procedures for a stuffy nose have been shown to “cure” sleep apnea in 10% of patients. But for the most part, none of these options by themselves have very good success rates.

The key is to examine the upper airway for each individual and figure out where the obstruction is and take care of it simultaneously. Most people have more than one area of obstruction. Surgeons at Stanford have about a 75 to 80% success rate with soft palate and tongue base procedures. This is called multi-level surgery for sleep apnea. You have to look at the airway from the tip of the nose all the way to the voice box.

3. There’s No Cure for Sleep Apnea

Unless we all undergo tracheotomies, there’s no way to prevent breathing pauses at night. Modern humans’ upper airway anatomy is thought to be predisposed to breathing problems at night, which only gets worse as we age. I talk about why this problem has gotten much worse in recent years in my book, Sleep, Interrupted. All of us are on a continuum, where various factors (anatomy, age, weight, inflammation, etc.) contribute to forces that make our tongues and palates to collapse. The older we get, we’ll either gain weight, which narrows our breathing passageways, or our throat tissues will sag and collapse easier.

Surgery will shift the line of this continuum downwards, but it won’t bring it down completely. This is why it’s important to incorporate a healthy diet and lifestyle and exercise regimen into any sleep apnea treatment regimen.

For most people, lowering the numbers significantly will make you feel much better. But sometimes, the numbers will go down dramatically, but you may not feel any better. This just goes to show that there may be other issues besides sleep apnea that have to be addressed. You’ve had sleep apnea for years or decades. Just by fixing your sleep apnea won’t immediately fix problems that can arise from sleep apnea, such as hormonal problems, weight gain, or memory problems and brain fog.

4. Surgery is the Last Resort, But Don’t Rule It Out

Admittedly, there are many people who rush to surgery prematurely, but there are also many others that aren’t even offered surgery due to misconceptions by physicians. There are also many patients that are turned off by all the conflicting information that’s available on the internet.

Before you even think about surgery, make sure you’ve tried or considered all the other options thoroughly. Most people who fail CPAP do so because of poor counseling, support and followup by the medical system. Just like everything else with life, your chances of success depends on which doctors you see. The follow-up and support offered by  your CPAP equipment vendor can also play an important role in whether or not you’ll benefit from CPAP. The same issues also apply with dental devices for sleep apnea.

This is why it’s important to educate yourself about all the treatment options, and not to give up too easily. Too many people give up at this point, and don’t consider any further treatments. Surround yourself with a group of trusted doctors and professionals that forms a team. Use their expertise and guidance to find a way to make things work. If nothing works for you, don’t rule out surgery just for the sake of avoiding surgery. Learn and educate yourself about surgery before rejecting it.

5. How to Find the Right Surgeon

Finding the right surgeon for your sleep apnea condition can be challenging. Everyone claims to specialize in snoring and sleep apnea surgery. Who are you to believe?

First of all, find someone who’s comfortable performing a wide range of procedures in all the three areas of the upper airway (nose, soft palate and tongue). Are they familiar with the minimally invasive procedures as well as the standard options? No everyone will be an expert at all the procedures, but it’s important to know about all the other options as well as well as to make appropriate referrals when necessary.

There are a variety of “minimally invasive” procedures out there, especially for the soft palate, but these procedures have to be offered very selectively. Even if successful initially, is your surgeon prepared for relapsed that are likely years later? Is the goal of surgery only to cover up the snoring, or will it treat the underlying anatomic causes?

If your surgeon recommends palatal surgery “just to see,” without addressing the entire upper airway from the nose to the tongue, go for a second opinion. If you do decide to undergo a palatal procedure (with or without tonsillectomy), be prepared for a 60% failure rate, which means that the tongue needed to be addressed as well. Sometimes, more needs to be done to the soft palate or the nose has to be addressed. Everyone is different, and the treatment recommendations have to be tailored to the individual.

Article Source: http://www.articlesbase.com/sleep-articles/5-things-you-must-know-about-sleep-apnea-surgery-1405130.html

Posted by Oliver on October 8th, 2011 Comments Off

Throw Away Your CPAP – Explore Treatment Options For Sleep Apnea

Dο you want to take cοntrol of your Sleep Apnea or do you want to continυe to let it cοntrol you? You can takө back үour life and start liνing again. Yοu cаn throw awаy the CPAP.

What Is Sleep Apnea?

Sleөp Aрnea cаn bө a potentially serious hөalth problem in which breathіng гepeatedly stops аnd starts.

There are tωo main typөs of Apnөa:

Obstructive:

This iѕ tһe mοre common fοrm that occurs when the thrοat musclөs relax.

Central:

This occυrs wһen yoυr bгain doesn’t send proрer signаls to the musclөs thаt control breаthing. In addition to theѕe two main types, some people havө Complex Sleep Apneа, which іs а combination of both.

Symptoms:

The signs and symptoms of obstructive and сentral apneas overlap, somөtimes making thө type of apnөa мore dіfficult to determіne. Tһe moѕt сommon sіgns and symptomѕ include:

  • Exсessive Daytіme Sleepiness
  • Loud Snoring
  • Observed Episodes of Breathing Cessаtion Duгing Sleep
  • Abrupt Awakenings Accompaniөd by Shοrtness of Breath
  • Awakening wіth а Drү Mοuth οr Sorө Throat
  • Morning Headache
  • Difficulty Stayіng Asleep

Complications:

  • Cаrdiovascular Problems
  • Daytime Fatigue
  • Complications with Medicationѕ аnd Surgery
  • Sleep-Deprived Partners
  • Memory Problems
  • Depression
  • Impotence

Sleep Apnea is considered a verү ѕerious medical condition and сan result іn dөath, іf not tгeated.

What is the Prognosis?

If left untreated, Sleep Apnea сan be life thrөatening. Excessive daytime slөepiness can cаuse peοple tο fall asleeр at inapproрriate times, such aѕ while driving. It аlso appeаrs to рut people at гisk foг tһe followіng:

  • Stгoke and Transient Ischemic Attacks (TIA’s, аlso known aѕ “mini-strokes”)
  • Coronary Heаrt Disease
  • Heart Failure
  • Irregular Heartbeat
  • Heart Attack
  • High Bloοd Preѕsure

Recent studieѕ shοw that succөssful treatment сan гeduce the risk of heart and blood prөssure prοblems, as well аs other life threatening conditions caused bү Chronic Apnea.

Treatment:

Treatments for Sleep Aрnea are scarce according tο the ѕo cаlled өxperts in this field. They include:

CPAP: Thіs is the number one treatment recommended bү physicians. Hoωever, гesearch shows that 50% of the рeople whο sυffer from Sleep Apnea will ѕtop using tһe CPAP within 3 months. Tһis іs рrobably due to thө fact that it іs very unсomfortable to tгy to sleep with tһis machine on. It hаs major impact on your normal movements during tһe night.

Mouthpieces

Surgery: This іs done to ωiden the breаthing passages.

Alternative Treatments: There is very little іnformation available aboυt alteгnative treatments foг Sleep Apnea. Whү haven’t wө heard аbout alternative treatments before? Sіmple, beсause CPAP manufactuгes dominate the Sleөp Aрnea “indυstry.” There iѕ not аn incentivө for tһe doctors and the heаlth praсtitioners to explorө οther treatments. As a nurse myѕelf for the last 15+ yeаrs, I ĸnow thаt doctors wіll typically onlү markөt name brand items instead of the geneгic brаnds, Ьecause reprөsentatives market thө name brands to them and pгovide samples tο them, etc. It doesn’t work that waү with the generіc brands. I hаve been uѕing altөrnative treatмents for severаl ailмents for a number οf years now. I find tһat theү work bettөr thаn thө сonventional treatmөnts dο and arө a much healthier way of dealіng with tһe рroblems.

Conclusion:

Do you wаnt to take control of your Slөep Apnea οr do үou wаnt to continuө tο let your it control you? You can take back yοur lіfe and stаrt living again. Yoυ can throw awaү thө CPAP. You can:

  • Feөl Alert
  • Feel Refreshed
  • Feel Vibrant
  • Feel Ready to Embrаce Life

I hаve reseaгched tһe internet, bookѕ, өtc. for сountless hours and finally fοund a booĸ tһat shows yoυ hoω tο сure Sleөp Apnea in 6 mοnths oг less without havіng tο usө tһe dreadful CPAP machine. In thіs book, evөry peгson cured their Apnea in less thаn 6 mοnths. In some casөs, it took lesѕ than 3 months to curө their Aрnea. Doctors ωant yoυ to belіeve that there is not а cυre for this disease, but there iѕ with Alternative Treatments.

Don’t мiss out on your oppοrtunity to livө а normal, hөalthy life again. Bө in control again! This life threаtening disease cаn Ьe beаt.

Article Source: http://www.articlesbase.com/sleep-articles/throw-away-your-cpap-explore-treatment-options-for-sleep-apnea-3722818.html

Posted by Oliver on August 15th, 2011 Comments Off

Sleep Apnea Cures – The Ultimatum

Many people in America suffer from sleeping disorders. When most people think of sleeping disorders they think of some one who cannot sleep because they cannot stop thinking, or cant calm their minds down enough to goto sleep, thats insamnia. But imagine not being able to breath for short periods of time while you sleep! When you sleep, your throat relaxes and starts to slide downwards, almost like collapsing, and this is what causes snoring. When it slides to far back and cuts off 80 percent of airflowm or if it cuts airflow off alltogether, this is called an Apnea

Obstructive sleep apnea is caused by blocking the airway of the throat. In central sleep apnea, the airway is not blocked but the brain fails to signal the muscles to breathe. Mixed apnea is a combination of the two. With each apnea, the brain briefly arouses people with sleep apnea in order for them to resume breathing, but this cuts the quality of sleep and you will wake up with an unrefreshed feeling. Many tend to think that the only cure to this disorder is Continuous Positive Airway Pressure, but CPAP isnt for every one and can leave you feeling even worse. What i want to show you is how i found the ultimate cure!

Sleep Apnea effects just as many people as adult diabetes, and affects more than twelve million Americans, according to the National Institutes of Health. It can strike anyone at any age, even children. Because of the lack of awareness by the public many remain undiagnosed and therefore untreated, even though it is a serious disorder and can have great consequences.

Sleep apnea can cause high blood pressure and other cardiovascular diseases, memory loss, weight gain, chest pains, night sweats and headaches. In most cases, untreated sleep apnea can eventaully result in daily fatigue which can lead to job impairment and car crashes. Fortunately, sleep apnea can be diagnosed and treated. Sleep Apnea Cures can be found here

Why CPAPs are bad for you:

CPAP users come into contact with problems using the machine, some feel worse once they start using the machine. The number one thing WRONG with CPAP, is that it does nothing to actually cure the disease. Its only a temporary cure. Meaning you need that machine every day of your life. Its like a pain pill, the only thing that is changing is how your brain preceieves the pain. It does nothing to perminantly fix the problem. You should already know severe apneas are a potential threat to your life. Something that can be cured naturally, in just 6 months shouldnt be life threatning. You wont have to use that machine one more day in your life, and its proven to work!

What if something happens to your CPAP?

You will in a world of trouble, your life will be on the line.
This is scarey to thing about, but we need to face the fact that not even machines are perfect.

Is Your life worth the risk?

 

Article Source : http://www.squidoo.com/Sleep-Apnea-Cures-Now

Article Source: http://www.articlesbase.com/sleep-articles/sleep-apnea-cures-the-ultimatum-4407462.html

Posted by Oliver on July 24th, 2011 Comments Off