Benefits Of Airlift Sleep Apnea Implant:
- The implant begins working right away
- Relief from sleep apnea symptoms including snoring
- Implantation is low-pain and easily tolerated
- Short post-operative recovery
- Long-lasting solution
- Reduced risk of cardiovascular & all-cause death mortality
Restful, restorative sleep is critically important for nearly every bodily function. If you struggle with the discomfort of wearing your CPAP mask at night or are interested in a more permanent solution for obstructive sleep apnea, ask your Ogden Clinic ENT about the AIRLIFT sleep apnea implant today or schedule a consultation online.
Inspire Upper Airway Stimulation
Information source: Inspire Medical Systems
How it works: Inspire therapy is an implanted system that senses breathing patterns and delivers mild stimulation to key airway muscles keeping the airway open during sleep.
When to try it: After CPAP refusal or failure.
Appropriate AHI: 15 to 65.
Other considerations: In addition to the AHI consideration, patients might be candidates for Inspire therapy if they are unable to use or get consistent benefit from CPAP, are not significantly overweight, and are over the age of 22. An Inspire therapy-trained doctor will also evaluate the patients overall health status and perform a physical examination of the airway to determine if Inspire therapy might be a suitable CPAP alternative.
Patients who should NOT try it: Those with central + mixed apneas > 25% of the total AHI any anatomical finding that would compromise the performance of upper airway stimulation, such as the presence of complete concentric collapse of the soft palate
New developments in 2017: In May 2017, the FDA approved the next generation Inspire device. The Inspire 3028 is 40% smaller and 18% thinner than the original device and includes MRI conditional labeling.
Also in 2017, the 5-year STAR trial results were published that demonstrated the significant objective and subjective patient outcomes seen at 12, 24, and 48 months were sustained at 60 months.
Sree Roy is editor of Sleep Review.
What Are The Benefits Of Inspire For Sleep Apnea
As weve mentioned, the primary treatment for sleep apnea is continuous positive airway pressure therapy .
This is a highly effective treatment that uses a machine attached to a hose and a face mask which the patient wears during sleep. The device sends air through the mask to the patient, which continuously keeps the airways open to prevent sleep apnea.
The problem with CPAP therapy is many patients find the treatment invasive and disturbing to their sleep. Furthermore, patients who rely on CPAP treatment need to take the machine with them on overnight trips.
Inspire for sleep apnea solves all of these problems because the device is implanted into the patient. Patients only need to take the small remote controller with them when going on holiday or sleeping away from home, so it is far more convenient than CPAP treatment.
After surgery, patients return home to begin recovery.
Most patients experience mild to moderate pain where Dr. Schalch Lepe inserts the device and can take over-the-counter pain medication to address this pain. While full recovery takes around 2weeks, patients generally resume less strenuous activities within a couple of days.
We strongly recommend waiting at least a few weeks before considering more strenuous exercise and activities.
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Siesta Medicals Airlift Hyoid Suspension Study Shows 74% Reduction In Ahi
Siesta Medical, Inc. announced the online publication of a recent study of the AIRLIFT procedure titled Hyoid Suspension With UPPP for the Treatment of Obstructive Sleep Apnea in the Ear, Nose & Throat Journal.
This multicenter study evaluated the safety and efficacy of AIRLIFT hyoid suspension when combined with procedures for the palate on 39 patients treated at 3 centers. The median apnea-hypopnea index reduction was 74% while the AHI was reduced from 49.9 preoperatively to 15.4 after treatment. All patients saw a positive drop in their AHI assessment and 84% of patients with severe sleep apnea, the riskiest level of sleep apnea, improved to mild or moderate sleep apnea. In addition, the efficacy of the procedure appeared to be independent of BMI, even in very high BMI patients.
AIRLIFT® hyoid suspension, which does not have indication limitations for airway anatomy, body mass index, or obstructive sleep apnea severity, is used to treat airway obstructions primarily in the hypopharynx. With thousands of patients treated, AIRLIFT hyoid suspension provides immediate therapy, treats the entire hypopharynx and works without the need for ongoing patient compliance.
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How Can Uts Dream Team Help
If you have sleep or snoring issues, wed love to hear from you! Please call for an appointment to see if you qualify for this procedure:
Schedule your appointment today!
Explore Your Snoring Treatment Options With Dr Goldberg
If you are concerned about snoring and/or sleep apnea, our experts will work with you to find a personalized solution. Serving the Greater Philadelphia area, snoring specialist Dr. Goldberg is proud to offer a range of advanced treatment modalities to help every patient overcome their snoring difficulties, comfortably and safely. To find out if AirLift could be beneficial to you, or if another snoring treatment is a better match, call us at 215-659-8805 to schedule a consultation.
Key Advantages Of The Airlift Procedure For Sleep Apnea
As compared to CPAP therapy, the AirLift procedure offers numerous benefits for many patients with sleep apnea:
- Performed in as little as 30 minutes
- Involves minimal discomfort
- Generally has a short post-operative recovery time
- Provides both immediate and long-lasting symptom relief
- Reduces risk of cardiovascular & all-cause death
- Can be removed, adjusted or reversed, if needed
- Typically covered by insurance
Looking For A True Alternative To Cpap In Woburn Ma
If you have sleep apnea and cant adapt to CPAP, we can help. Dont just stop using your CPAP: find a true alternative that resolves your sleep apnea.
To learn more about oral appliance therapy, please call today for an appointment with a sleep dentist at Divine Smiles in Woburn, MA.
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Continued Excessive Daytime Sleepiness
Sometimes individuals with treated sleep apnea still experience excessive daytime sleepiness , a chronic condition, and need help with improving wakefulness. We know this sleep deficit is contributing to worsening co-existing medical conditions and impacts human performance as well as cognitive abilities.
For this reason, physicians may prescribe medications, after diagnosing EDS, to improve daytime functioning for those who suffer from this chronic condition.
Treatment of EDS relies on identifying and treating the underlying disorder which may alleviate the symptoms from EDS. The medications used to treat EDS work in the brain to help keep an individual alert and awake during the day. There is declining usage of older, previously prescribed medications to treat EDS due to several adverse effects risk of dependency, especially when illicitly misused. A new generation of medications, more specifically targeted to treat EDS cases is becoming the standard of care.
New Sleep Apnea Surgeries
Recently, doctors have started promoting more minimally invasive surgical techniques to help people overcome sleep apnea. One of these that has been around for a few years, is called AIRLIFT. Practitioners describe this as a facelift for your throat. The goal is to suspend your airway further forward to help expand your airway so that you can breathe easier. Surgeons do this by putting stitches around your hyoid bone, holding it forward. This should create extra space in the airway, reducing or eliminating sleep apnea.
However, actual studies show it doesnt actually eliminate sleep apnea. In one study, promoted by AIRLIFT, the surgery reduces a persons AHI from 40 to 22. This is a reduction from severe to moderate sleep apnea, but moderate sleep apnea is still dangerous and needs treatment. People need to reduce their AHI below 15 to significantly reduce their risk, although even lower is better.
Another surgical technique being promoted is a less invasive form of traditional surgery reducing the volume of mouth and throat structures to expand the airway. Preliminary trial results for this surgery were published just last week. They show patients saw their AHI reduce from about 50 to 20, again from severe to moderate. In addition, there were two serious complications among the surgery patients.
Neither of these treatments can eliminate the need for further sleep apnea treatment.
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How Does Inspire For Sleep Apnea Work
Inspire treatment for sleep apnea begins with a comprehensive evaluation, including a procedure called Drug Induced Sleep Endoscopy , that involves examining the upper airway while under general anesthesia, and it is aimed at establishing the areas of obstruction in the upper airway and determining candidacy for the Inspire procedure.
In candidates that are appropriate and decide to proceed with Inspire, the surgical procedure will involve inserting the Inspire device just under your clavicle, similar to a cardiac pacemaker.
The device is composed of three elements: the generator, the breathing sensor lead, and the stimulation lead.
While you sleep, the breathing sensor lead monitors your breath rate. If there is a cessation in your breathing, the generator sends a pulse of energy through the stimulation lead, which is attached to the hypoglossal nerve. The hypoglossal nerve is responsible for moving the tongue and other muscles of the airway.
When the stimulation lead of the Inspire device triggers the hypoglossal nerve, your airway is held open by your own tongue and throat muscles, which prevents it from collapsing and causing obstruction.
The device is turned on and off with a small remote controller patients turn the Inspire device on as they go to bed and turn it off when they wake up. The device doesnt require any changes in behavior other than turning the device on and off, which is one reason it is such a popular treatment for sleep apnea.
New Sleep Apnea Treatment Offers Cpap Alternative
People with obstructive sleep apnea who havent found relief may benefit from a new pacemaker-like device that keeps the airway open during sleep. When other options have failed, this treatment has allowed us to achieve a whole new level of success, said Matthew Ellison, MD, an otolaryngologist at Duke, the first center in North Carolina to implant the Inspire hypoglossal nerve stimulator system.
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Potential Difficulties When Using Cpap Equipment
Although CPAP equipment is the most effective treatment for OSA, there can be an adjustment period and some people experience difficulties when they first start using them. Potential difficulties include:
- Dry nose and sore throat
- Congestion and runny nose
- Irritation of eyes and skin on the face
- Leaking around the mask
- Mild discomfort in the mornings
- Nightmares and excessive dreaming
It is common for patients to experience some or all of these symptoms when they first start using a CPAP machine, but as long as you follow the advice of your ENT doctor, they will subside. However, there are some simple things that you can try to help you adjust to your new CPAP machine.
Speak to your ENT doctor and they will be able to help you ensure that the mask fits correctly, which should alleviate a lot of these potential problems. You can also use a humidifier or a nasal spray to reduce nasal irritation.
If you are finding it hard to adjust to your new CPAP equipment, ask your ENT doctor about a machine that starts with very low air pressure and slowly increases the pressure as you sleep. This makes it a lot easier to adjust when you first start using a CPAP machine.
If you think you may have sleep apnea, you need to see an ENT doctor right away. You can get in touch with ENT Physicians Inc. today at 419-776-5028 and learn more about sleep apnea treatments like CPAP equipment.
B Latest Sleep Apnea Devices
With more options than ever before, were living in a golden age for sleep apnea treatment.
They include more comfortable air pressure-based systems, body positioners, new nerve stimulation technologies, and surgically implanted suspension lines.
As you read through the list of treatment options, here are some things to keep in mind:
Who is it recommended for?
Many of the treatments are for obstructive sleep apnea which is the type that most people have. Some will also work for central sleep apnea.
You need a treatment that works for your specific sleep apnea type. If youre not sure about this, get diagnosed.
Most of the treatments are medical devices which by law require a prescription in the US and many other countries. For this reason, youll have to work with a doctor to get properly diagnosed and a recommendation for a specific treatment.
Depending on your diagnosis, some are covered by insurance while others are covered partially or not all.
A sleep specialist can help you:
- figure out which devices to try
- get a prescription
- qualify for insurance
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Whats Your Sleep Apnea Type
Obstructive Sleep Apnea, the most common type, is mechanical problem in which the muscles in the throat relax during sleep causing the airway to collapse.
Central Sleep Apnea is less common and occurs when the brain fails to sent the right signals to the muscles that control breathing.
Complex Sleep Apnea is when you have symptoms of both obstructive and central sleep apnea.
Asv And Other Machines
The adapto servo ventilation machine adapts and adjusts airflow based on your breathing. The variable positive airway pressure machine gives you different amounts of air during your breathing process. All the choices in PAP machines can seem daunting, as can getting comfortable with masks and straps. But in the end, these options work for many people. Talk to your doctor about what might be the best choice for you.
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Over 18 Million People In The Us Experience Some Form Of Obstructive Sleep Apnea
This notorious cessation in breathing while sleeping is caused by a blocked airway or collapse of the pharynx .
While several treatments are available to patients with sleep apnea, such as continuous positive airway pressure or oral appliance therapy, some patients get the maximum benefit from Inspire therapy. Below, Silenso Clinics Dr. Paul Schalch Lepe, a board-certified otolaryngologist and sleep medicine specialist affiliated with UC San Diego, explains everything you need to know about Inspire therapy for sleep apnea.
If youre experiencing sleep apnea and arent compatible with CPAP or other forms of treatment, then reach out to Dr. Schalch Lepe at or fill in his contact form to arrange your consultation for Inspire for sleep apnea in San Diego today.Silenso Clinic is located in Carmel Valley in North San Diego County and serves many communities throughout the greater San Diego area, including La Jolla, Carlsbad, Encinitas, Del Mar, Coronado, Eastlake, Chula Vista, and more.
How To Know If You Have Sleep Apnea
The signs and symptoms of different types of sleep apnea can overlap, making it hard to ascertain which kind you have sometimes. Your physician will be able to tell you what kind of sleep apnea you have after running some tests, but the most frequent symptoms and signs of central and obstructive sleep apneas come with:
- Loud snoring during sleep
- Short periods where you dont breathe during sleep that you dont remember that your partner or family member brings your attention to
- Gasping for air during sleep
- Waking up with a dry mouth
- Morning headache
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Anterior Inferior Mandibular Osteotomy
This procedure divides your chin bone into two parts, allowing your tongue to move forward. This helps open up your airway while stabilizing your jaw and mouth. This procedure has a shorter recovery time than others, but its usually less effective. Your doctor might also suggest doing this procedure in conjunction with another type of surgery.
Severe Sleep Apnea Treatment
Once the nose is maximized, attention is turned to the area of the Palate and oropharynx. If a patients sleep apnea is moderate to severe and is impacting their quality of life adversely, Dr. Cilento offers several surgeries to improve the airflow in this area. Surgery is usually an option if other sleep apnea treatments have failed to improve the patients symptoms.
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Mouthguards And Oral Devices
Mandibular advancing devices are oral devices that resemble sports mouth guards and work in the same way as snoring mouthpieces. They are specially adjusted by sleep apnea dentists to move the lower jaw forward and open the airway wider during sleep. Many of these devices are adjustable as they are often made of plastic or silicone. Some are hinged, meaning that you can open your mouth with the device still in place.
Although sleep apnea oral appliances can be a simple and cost-effective CPAP alternative, they may cause tooth shifting and temporal mandibular joint pain.
Our New Sleep Surgery Clinic
M. Boyd Gillespie, M.D. is the chair of our ENT department and director of our new Sleep Surgery Clinic. Recently, Dr. Gillespie moved the clinic to a beautiful Germantown location, perfectly-located near our patients out east.
Our Sleep Surgery Clinic is the only one of its kind in the region, offering cutting-edge procedures and technologies from our fellowship-trained specialist. We recently highlighted the Inspire device, a game-changing technology for patients with snoring and sleep apnea issues.
Now, were thrilled to introduce the Airlift procedure!
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