Your doctor may make an evaluation based on your signs and symptoms and a sleep history, which you can provide with help from someone who shares your bed or your household, if possible. No Cpap Needed Cpap Alternative Sleep Apnea Cure You're likely to be referred to a sleep disorder center. There, a sleep specialist can help you determine your need for further evaluation. An evaluation often involves overnight monitoring at a sleep center of your breathing and other body functions during sleep. Home sleep testing also might be an option.
A mask that delivers pressurized air during sleep, CPAP is a standard treatment for obstructive sleep apnea. But other options, when necessary, are available. Patients with obstructive sleep apnea OSA experience obstructed or restricted breathing for periods of 10 seconds or longer during sleep. Doctors typically can diagnose OSA in two ways : via an overnight sleep study at a clinic or an at-home test.
Left untreated, OSA may raise the risk of high blood pressure, stroke, heart attack, heart arrhythmia or insulin resistance.
Apr 9, An alternative form of C.P.A.P. is gaining popularity for sleep apnea patients: a patch that fits over the nostrils.
The device conducts pressurized air through the nose, or through the nose and mouth, to the throat. That pressure keeps the throat from collapsing during sleep to enable normal breathing.
Some patients experience less airway obstruction when sleeping on their sides, making positional therapy an option for them. A mouth device known as a mandibular advancement appliance works by moving the jaw forward, which increases the size of the upper airway and reduces air resistance that leads to sleep apnea and snoring. It may be effective for some patients, especially those with mild or moderate OSA. Tonsils behind the palate and tongue are most likely to require removal when they are contributing to airway obstruction or snoring.
Some patients can have a long palate shortened with a procedure known as a UP3 uvulopalatopharyngoplasty or uvulectomy — a procedure used to remove excess tissue in the soft palate to widen the airway and allow air to move through the throat more easily.
This reduces snoring and may be effective in mild to moderate cases of OSA. When the airway collapses behind the tongue, a GGA genioglossus advancement may be recommended. The surgical procedure is designed to move a portion of the chin bone forward, thereby pulling the base of the tongue muscles forward to increase airway size.
Those with a backward collapse of the tongue, diagnosed via a nasal endoscopy, can also be treated using an Inspire hypoglossal nerve stimulator.
This consists of a breathing sensor and a stimulation lead powered by a small battery. It delivers mild stimulation to key airway muscles and gently moves the tongue and other soft tissues out of the airway to enable breathing during sleep.
Patients with shortened upper or lower jawbones may benefit from MMA surgery maxillomandibular advancementin which the upper jaw maxilla and the lower jaw mandible are lengthened and moved forward. This surgery is reserved for patients with moderate to severe OSA. This option requires a combination of orthodontic appliances and surgery to expand the jawbones, with the goal of enlarging the airway and increasing the space available for the tongue.
Weight gain can cause fat tissue to build up around the throat and at the base of the tongue. Medical weight loss or bariatric surgery may be indicated in certain cases.
Tongue reduction surgery may be helpful when the tongue is abnormally enlarged. Health Management. Jane Racey Gleeson.
August 22, AM. Sleep Apnea. Sleep Disorders Treatment.
Sleep Disorders Testing. Press Member of the press? Contact our media team for more information.But the mask is like something from a bad science fiction movie: big, bulky and obtrusive. Studies show that about half of all people prescribed C. Joseph Golish, the former chief of sleep medicine at the Cleveland Clinic and now a professor with the MetroHealth System in Cleveland. Many patients simply refuse to wear it or rip it off while asleep. About 28 million Americans have sleep apnea , which causes repeated awakenings and pauses in breathing during the night, sometimes resulting in loud snoring and gasps for air.