Sleep Apnea Surgery

Healing Sleep Apnea and Snoring

December 31, 2013
by Sleep Apnea
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Radiofrequency Volumetric Tissue Reduction

Radiofrequency volumetric tissue reduction (RFTR) is minimally invasive as a surgical option and can minimize tissue volume in a targeted and precise manner. The method utilizes radiofrequency to make lesions inside the submucosal tissue within the turbinate to reduce tissue volume with minimum impact on the surrounding tissue. This kind of surgery is fundamentally different from the usual methods that utilize low-powered radiofrequency energy to offer a fairly painless and quick procedure on the tissue coagulation.

Mucosal hypertrophy of the lower turbinate is a very common reason there is nasal obstruction, which is the reason for structural deformity along the nasal airways. Various interventions can be opted for treating nasal obstruction, which is second to turbinate hypertrophy. They include medical treatments like immunotherapy, use of intranasal corticosteroid sprays, taking of antihistamines and decongestants, and surgical choices like injections, corticosteroid turbinate injections, electrocautery, cryosurgery, microdebrider-assisted turbinoplasty, turbinate outfracture, submucous resection, and excision.

The goal of RFTR includes reduction of nasal obstruction, volume reduction, and maintaining of the nasal function to minimize complications. There is presently no designated most effective technique for doing this, and there have been a lot of studies done to analyze the results of radiofrequency-assited (RFA) turbinoplasty.

Additionally, there have been many reviews comparing RFA with microdebrider-assisted inferior turbinoplasty (MAIT). A number of experts find no significant differences in the results of the techniques within six months. But maintenance and improvement were significantly much better after three years. Results suggest that though MAIT and RFA both have statistically significant results in reducing nasal blockage, it has been discovered that MAIT is more efficient in reducing nasal volume.

Radiofrequency Volumetric Tissue Reduction

Studies that focus on how RFA affects nasal histology discovered increases in mucociliary loss and times of nasal sensation. In spite of the unfavorable effects that have been reported, more research is still needed due to the short follow-ups during the early studies, which reported no bodily changes.

November 20, 2013
by Sleep Apnea
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Overview of Septoplasty and Turbinate Reduction

Septoplasty and turbinate reduction surgery is done to make a crooked, deviated nasal septum straight. The bone and cartilage are the septum wall that divides two separate passages inside the nose. The nasal septum can be crooked since birth or damaged due to previous surgery or nasal injury. Nasal septum deviation can lead to complete or partial blockage of one or both nostrils so that the patient becomes incapable of breathing comfortably through the nose.

The main goal in septoplasty is to enhance breathing with the nose. This can reduce other signs and symptoms like postnasal drip, nasal discharge, recurrent sinus infections, sinus pressure, or impaired smelling.

Septoplasty and the reduction of turbinate are done with the reinforcement of anesthesia. With an incision that is set within the nostril, the underlining tissue that covers the septum is lifted up to enable the surgeon to view the cartilage and bone directly. The crooked parts of the cartilage and bone are then either reshaped or removed to leave enough nondeviated cartilage and bone to maintain the nose’s configuration. The incision is then closed and stitched.

Overview of Septoplasty and Turbinate Reduction

Structures called “turbinates” can also obstruct nasal breathing. These are structures that act as natural radiations of the nose, humidifying and warming the air so that cold or dry air doesn’t go to the lungs. As a radiator operates due to running hot water within the pipes, the turbinate works in obtaining blood channels with warm blood.

The surgeon then puts splints and plastic sheets in the nose to straighten it and to reduce turbinate and the chances of scar formation. In a number of cases, gauze packing can be set in the nose to prevent bleeding. The surgeon will inform the patient when the splints or packing should be removed. Surgical time is set between one and three hours. After the effect of anesthesia has worn out, the patient is then discharged the same day.

November 14, 2013
by Sleep Apnea
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What You Need to Know about Hyoid Suspension

Hyoid suspension is a treatment procedure intended for patients who have obstructive sleep apnea. The hyoid bone is a U-shaped bone in a person’s neck located above the level of the thyroid, which has attachments to the muscles of the tongue and also other muscles and soft tissues in the throat region. The hyoid bone can move around freely rather than being fixed in a certain position. This mobility could cause the airways to collapse and allow a person to sleep more easily. The procedure helps stabilize the upper region of the airways.

What You Need to Know about Hyoid Suspension

The procedure is usually done in an operating room with the use of general anesthesia. A small incision is usually created in a neck skin crease that camouflages the scar. The incision is usually about 3 inches wide. The procedure is usually done by placing four stitches around the hyoid bone, and the upper portion of the cartilage stabilizes the hyoid bone.

There is also a risk of bleeding like any other procedure. A drain is placed to allow bleeding to escape from the wound. Usually, the drainage of the wound is minor. A huge factor in stopping the bleeding is to avoid using aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs), vitamin supplements, or herbal medications within two weeks before and after the surgery.

Infection is usually rare but could happen if there is drainage or bleeding that accumulates within the wound. Patients also have a drain placed and receive antibiotics during the time of the surgery, which reduces the chance of infection. The tongue part of the throat is very useful in swallowing, which happens after a tongue procedure and could happen after surgery. It is caused by many factors including swelling of the region.

September 10, 2013
by Sleep Apnea
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Different Types Of Effective Fat Surgery

Many people are not conscious about what they eat. They just enjoy eating foods not knowing the various health outcomes and effects they have. Stored fat or being obese will likely happen if you are not careful of your food intake. If this will be the case, you’ll end up going to a surgeon and undergo a surgery to improve your overall health. Here are the different types of effective fat surgeries that you will want to know:

Different Types Of Effective Fat Surgery
  • Laser liposuction – is the most common procedure that enables the surgeon to practice in the less invasive surgery in the medical field. The procedure utilizes a sedative and local anaesthesia.
  • Fat melting injection – involves off-label injection medication which attempts to destroy fat cells. Some procedure names call it mesotherapy or lipodissolve.
  • Cryolipolysis – it’s a device that acts by freezing the skin to such extremes that the fat under the skin is damaged and will eventually be cleared out of the bloodstreams. Studies found out that there is at least 25% reduction in the thickness of fat after the treatment.
  • Zerona – this treatment procedure uses low-light laser and studies show that after undergoing 6 treatments, an average of 3-4 inches fat is burned with the help of exercise and taking niacin and other supplements, and drinking lots of water.
  • Adjustable gastric banding – a hollow band made of silicon rubber is positioned around the stomach near its upper end wherein a small pouch is created to make a narrow passage into the rest of the stomach.
  • Vertical sleeve gastrectomy – removal of vertical gastrectomy restricting the amount of food that can be eaten without bypassing of intestines.
  • Vertical banded gastroplasty – uses both staple and band to create a small pouch that results in quick weight loss.
Different Types Of Effective Fat Surgery

There are still different procedures of burning your fat. Every surgical procedure involves some risk that may also lead to infection. Talk to a surgeon now and ask about the best procedure that your body can have.

August 22, 2013
by Sleep Apnea
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Nonmedical Treatments That May Alleviate Snoring

The major cause of snoring is the vibration of tissues when breathing. Medications and alcohol can enhance the relaxation of muscles while sleeping. As the muscles of the tongue, palate, pharynx, and neck relax more, the airways collapse more.

This leads to smaller airways and more tissue vibrations. A number of medications promote better levels of sleep that may worsen snoring. Therefore, a safer and better option to alleviate snoring would be nonmedical treatments.

There are major categories of nonmedical treatments, and the most obvious of them are behavioral changes. There are also over-the-counter products that are nonmedical and can be used to reduce the frequency of snoring.

Proper Evaluation Leads to Prevention

To carefully evaluate a number of these snoring problems, it is crucial to talk with an individual’s partner in bed and other family members. A complete physical examination and history may often be performed.

Nonmedical Treatments That May Alleviate Snoring

Besides that, more information on sleep problems and snoring should be gathered. Individuals with sleeping and snoring problems may be asked about their sleep hygiene, sleeping pattern, sleepiness, daytime symptoms, frequency of sleep disruption, and frequency of daytime napping.

Behavioral Change Is a Needed Treatment

Treatment of snoring problems is futile if you don’t start within yourself. Perhaps behavioral changes are all that is needed to effect relief. Although a change of behaviour is difficult to start, attain, and maintain, this is the fastest, easiest, and cheapest treatment for snoring, Behavioral changes include altering sleeping positions, losing weight, quitting smoking, avoiding alcohol, and altering medications that could cause snoring.

Snoring is generally at its worse when you are sleeping flat on your back, as is often the case. To eliminate this problem, you can sew a pock at the back part of the snorer’s pajama top. A golf or tennis ball inside the pocket will “provoke” the snorer to sleep on a sideways position. Sedative and alcohol worsen snoring, so these must be avoided if possible.

Weight loss helps prevent snoring. It reduces fatty tissue in the throat and eases any constriction of the upper airway. Quitting smoking is also helpful. Cigarette smoke causes airways to be blocked by irritating the lining of the nasal cavity and throat.

Over-the-Counter Products Can Reduce Snoring

There are a lot of products over the counter such as mouthpieces that can be easily purchased and utilized to lessen snoring. They are not usually and necessarily recommended and studied, but they are useful to some people in a subjective sense. Nevertheless, if snoring happens, you must be completely evaluated by a doctor to ensure that there’s no underlying medical condition and that only the efficient procedures for treatment are applied.