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How To Cure Snoring With Surgery

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Sleep Endoscopy And Pharyngeal Manometry

How to Treat Snoring without Surgery

Drug-induced sleep endoscopy offers the advantage of observing the upper respiratory tract while the patient is in a sleep-like state. DISE can be performed for the purposes of: topographical diagnosis of the upper respiratory tract in the case of snoring alone, differentiation from OSA, and establishing the indication for surgical treatment of the soft palate . However, studies on the superiority of this procedure compared to clinical investigation with regard to patient selection for treatment interventions for snoring are not available. Due to the lack of external evidence, it is not possible to make a statement on the use of pressure transducers in the diagnostic work-up of snoring . While pharyngeal manometry is a complementary outpatient examination, the question of whether DISE should be performed on an outpatient or inpatient basis and whether the costs are covered is still largely unresolved.

How Is Snoring Treated

The treatment used will depend on the cause.

Anatomical blockages can be fixed with surgery. Dr Singh specialises in correcting all of the blockages in one combined procedure. You will be asleep during the procedure . Please follow the links to find out more about each procedure:

Nose

  • Deviated septum: This is fixed with a operation
  • Large Inferior Turbinates: These are fixed with a Turbinoplasty operation
  • Nasal polyps: These are fixed with a Polypectomy operation
  • Nasal valve collapse : This is fixed with a Functional Rhinoplasty operation
  • Bent or twisted nose: This is fixed with a Rhinoplasty operation

Adenoids

Tonsils

Soft palate

  • Soft palate that is too far back: This is fixed with a Modified-UPPP operation

Uvula

Tongue base

Lingual tonsil

If you are overweight, you will also need to lose weight. Your GP can help with this and may recommend a diet and exercise program.

Snoring And Sleep Apnea

Snoring by itself isnt harmful. But it can be a sign of obstructive sleep apnea. This sleep disorder causes you to stop breathing for a few seconds at a time, over and over, night after night.

If you have sleep apnea, you likely wake up after a nights sleep still feeling tired. You might be drowsy during the day and have trouble concentrating at work or school. Some people nod off during the day, increasing the risk of car crashes or work-related accidents.

For people with sleep apnea, treating snoring is a matter of health. If left untreated, sleep apnea can lead to serious health problems, including:

  • Heart problems, including heart failure and heart attacks.

Read Also: Which Of The Following Statements Regarding Rem Sleep Is True

The Pros And Cons Having Surgery For Snoring

Having surgery to alleviate snoring can have many benefits. If the surgery is successful, youll be able to enjoy many nights of peaceful, uninterrupted sleep.

Since you wont be so sleep deprived, youll have more energy during the day. Your overall health will improve. And your relationship just might improve too.

However, having surgery for snoring does have its potential downsides.

Surgery of any kind can be expensive. And getting surgery to stop snoring might not be covered by your insurance. This means you might have to pay for the surgery out of your own pocket.

With any surgery you risk complications, like infection, or other unpleasant side effects. Most surgeries involve pain of some kind. Its unavoidable. It can be weeks, or even months, before you are truly healed and pain-free after surgery.

And, if there are unforeseen complications, that could make your recovery time even longer.

The biggest downside of getting surgery to alleviate snoring is that it might not work.

For the most part, these surgeries wont eliminate snoring completely. Often, the best you can hope for is that a surgery will make your snoring less frequent and severe. But even thats not guaranteed.

This is largely why having surgery to treat snoring is considered a last resort, something only done when nothing else works or the patients health is at risk.

If your snoring is extremely severe, and no other remedy has worked for you, you might decide the risks are worth it.

Tonsillectomy Adenoidectomy Or Uvulectomy

New Laser snoring surgery cost, Pre

Some surgeries for snoring involve removing specific soft tissue to reduce vibration and make the air passage less narrow.

For example, if the tonsils or adenoids are enlarged and blocking your airway while you sleep, you could have a tonsillectomy to remove your tonsils, or an adenoidectomy to remove the adenoids.

A more drastic option might be to remove the uvula.

The uvula is the triangular shaped flap of tissue that dangles at the back of the throat. If this flap of tissue is blocking your airway, it could be responsible for your snoring.

During a uvulectomy, the uvula, or perhaps just part of it, is removed.

Many consider removing the uvula to be a drastic course of action, largely because no-ones exactly sure what the uvula does, and what the affects of losing it might be.

This form of laser surgery is another outpatient procedure.

During a LAUPPP, a laser beam is used to remove the uvula. The soft palate is also shortened. The result is an enlarged airway and reduced vibration.

One of the downsides of choosing LAUPPP is that more than one treatment might be needed to get the desired results.

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Wear A Nasal Strip Or Dilator

Internal and external nasal dilators are geared toward improving airflow as you sleep. As a result, they may reduce snoring. These small devices are available over-the-counter online and in most drug stores for relatively low prices.

Both types of nasal dilators are small, flexible strips that use tension to open the nasal passages. A nasal strip, or external dilator, sticks to the outside of the nose with adhesive. As it tries to retain its shape, it pulls outward, lifting skin on the nose and opening the nasal passages. An internal nasal dilator operates similarly, but from the inside. Instead of pulling on the outside of the nose, it pushes outward. Studies show that both types of dilators reduce snoring, but internal dilators tend to be more effective.

What Are The Symptoms Of Snoring

Snoring sounds range from quiet vibrations or whistles to very loud grumbling, snorting or rumbling. Some people might not realize theyre snoring when they sleep. People who snore may toss and turn at night, have a dry, sore throat when they wake up and feel tired during the day. Lack of sleep can cause headaches, difficulty focusing and moodiness. Besides snoring, some people gasp for air and stop breathing for a few seconds while theyre asleep. These are signs of sleep apnea, a disorder that leads to serious health problems if it isnt treated.

Also Check: Vivofit Sleep Tracking

Are There Any Alternative Treatments To Surgery

Yes. There are always options and it is always your choice as to whether to have surgery. In general, you can try other options first and choose surgery if nothing else works. Non-surgical options include:

  • Do Nothing. If your problem is not severe, you may choose not to have any treatment at all.
  • Medications. Try Nasal steroid sprays and antihistamine tablets/ sprays from your pharmacy or from your GP. They work best for people with allergy but may sometimes help people without allergy.
  • CPAP: This is high-pressure air that is forced into your nose and mouth using a mask strapped to your face every night. It is used for people with obstructive sleep apnoea . It is overkill for people with simple snoring alone.
  • Unproven treatments : There is very little to no scientific evidence that any of these treatments work. You may choose to try these treatments, but, in general we do not support their use.
  • We recommend that you see your GP first and consider trying these non-surgical options . Then see Dr Singh when you are ready for surgery. There is a long waiting list to see Dr Singh and it is best if you see Dr Singh for surgery after the non-surgical treatments have failed.

    Snoring Surgery: Try Conservative Steps First

    What types of surgery can cure snoring? – Dr. Anita Krishnan

    Try the more conservative steps described above before considering one of these outpatient surgical procedures to alleviate snoring.

    • LAUP. In laser-assisted uvulopalatoplasty, the physician uses a carbon dioxide laser to shorten the uvula and also make small cuts in the soft palate on either side of the uvula. As these nicks heal, the surrounding tissue stiffens.

    • Palatal implants. Also known as the Pillar procedure, this treatment involves implanting up to three matchstick-sized plastic stiffening rods into the soft palate. The rods help prevent collapse of the soft palate that can trigger snoring.

    • Somnoplasty. Also known as radiofrequency tissue volume reduction, somnoplasty uses radio waves to heat and shrink soft tissue that vibrates during snoring. It takes a few minutes to perform and doesn’t cause bleeding, but it may have to be repeated to achieve results.

    Recommended Reading: Can A Fitbit Detect Sleep Apnea

    How Do Snoring Surgery Treatments Work

    Here at The London Clinic, we offer three different forms of snoring surgery:

    Laser-assisted uvulopalatoplasty

    Laser-assisted uvulopalatoplasty is typically performed in milder cases of snoring.

    Your surgeon will use a laser to make cuts on portions of your soft palate and may also remove your uvula.

    These incisions are usually done over time rather than in a single procedure.

    LAUP is performed with a local anaesthetic so you can go home straight afterwards. In most cases, LAUP will require three to five treatments around four to six weeks apart.ENT specialists at The London Clinic perform LAUP in order to:

    • Lessen the loudness of snoring
    • Reduce uvula vibration during breathing
    • Manage mild to moderate sleep apnoea

    Uvulopalatopharyngoplasty

    Uvulopalatopharyngoplasty is usually performed in more severe cases of snoring.

    Using surgical instruments, your surgeon will remove parts of your throat tissue including your tonsils and uvula.

    They may cut away parts of your tongue and soft palate. Since UPPP is performed while youre asleep , youll need to stay in hospital to recover for at least one to two nights afterwards.

    ENT specialists at The London Clinic perform UPPP to treat:

    • An enlarged or elongated uvula
    • Excess soft tissue in the palate and throat
    • Loud snoring caused by uvula and soft tissue vibrations

    Tonsillectomy

    If your snoring is caused by enlarged tonsils or adenoids, these can be removed in an operation called a tonsillectomy.

    How To Treat Snoring Without Surgery

    • Snoring is a very common condition that affects about 45% of adults. Its frequently not taken very seriously, but it can disrupt your sleep as well as that of your loved ones. In fact, it can even be a possible symptom of obstructive sleep apnea, a serious sleep disorder.

    In this blog, the board-certified sleep doctors at eos sleep explain how snoring can be treated, particularly without surgery.

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    What Can I Expect After The Operation

    Post operative pain can be expected and is managed with a combination of three different painkillers. It is important to maintain nutrition and hydration with fluids and soft diet. Most discomfort resolves in 7-10 days or so. It usually does not stop you from performing routine activities including work that is not too physically demanding. Excessive physical exertion is not advised for two weeks.

    Avoid Alcohol Before Bed

    5 Best And Effective Ways For Snoring Treatments

    Not only does alcohol increase snoring, drinking before bed can even induce obstructive sleep apnea in people who dont have the disorder. Alcohols effect on snoring and sleep is dose-related, so if you tend to drink multiple drinks, start by cutting back. If that doesnt reduce your snoring, try to stop drinking a few hours before bed or consider cutting out alcohol altogether.

    Recommended Reading: Va Rating For Sleep Apnea With Cpap

    How Can I Tell If I Have Simple Snoring Alone Or Obstructive Sleep Apnoea

    This requires assessment by a trained medical professional. However, tell-tale signs that you MAY have OSA include:

    • Heavy snoring
    • Feeling tired, drowsy and unrefreshed on waking up, even after a good 8 hours sleep
    • Excessive tiredness or sleepiness during the day
    • Taking naps during the day
    • Falling asleep while watching TV
    • Falling asleep during the day when left alone in a quiet place
    • Falling asleep when a passenger in a car, or when driving and stopped at traffic lights

    How Much Does Snoring Surgery Treatment Cost

    Snoring surgery treatment at The London Clinic costs from £2,955

    • Enhanced pre-admission assessment
    • Your treatment with our complete care team at your fingertips
    • Personalised aftercare and follow-up

    We want you to be in control of your health. That’s why we also offer optional services such as comprehensive recover packages and extra touches for you to choose from during your stay with us.

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    So What Are The Results For Nasal Surgery For Snoring

    There are many studies evaluating the impact of nasal surgery by itself in the treatment of sleep apnea. However, relatively few studies have examined the results for snoring. The previous blog post I mentioned discussed an article in the September 2015 issue of OtolaryngologyHead and Neck Surgery examining nasal surgery for sleep apnea. In short, the study showed that nasal surgery can improve important symptoms such as sleepiness and a measure of sleep apnea called the respiratory disturbance index but does not generally achieve a significant improvement in the apnea-hypopnea index that measures more-substantial blockage of breathing. For anyone interested in hearing more, the journal has posted a podcast concerning the study and the perspectives from Dr. Lisa Ishii and me.

    How To Alleviate Snoring

    Non-surgical laser treatment to combat snoring

    Here are some factors that contribute to snoring and what you can do to alleviate them.

    Alcohol. Alcohol, a muscle relaxant, can slacken the tissues of your throat while you sleep. “We see this all the time,” Dr. Patel says. “Spouses say the snoring is tolerable except for the nights when their partner has had a couple of beers.”

    Body weight. Extra fat tissue in the neck and throat can narrow the airways. Losing some weight could help to open the airways if the person is overweight or obese, although many people who are lean also snore.

    Medications. Medications that relax muscles can make snoring worse. For example, tranquilizers such as lorazepam and diazepam can have this effect. In contrast, antihistamines may actually alleviate snoring by reducing nasal congestion.

    Nasal congestion. Mucus constricts the nasal airways. Before bed, rinse stuffy sinuses with saline. If you have allergies, reduce dust mites and pet dander in your bedroom or use an allergy medication. If swollen nasal tissues are the problem, a humidifier or medication may reduce swelling.

    Sleep position. When you lie on your back, slack tissues in the upper airways may droop and constrict breathing. Sleeping on your side may alleviate this. You can also try raising your torso with an extra pillow or by propping up the head of the bed a few inches.

    Read Also: Snoring Respirations Definition

    Midline Glossectomy And Lingualplasty

    Midline glossectomy surgery is used to reduce the size of the tongue and increase the size of your airway. One common midline glossectomy procedure involves removing parts of the middle and back of the tongue. Sometimes, a surgeon will also trim the tonsils and partially remove the epiglottis.

    Side effects differ depending on which type of snoring surgery you receive. However, some common side effects of these surgeries overlap, including:

    • pain and soreness
    • infection
    • physical discomfort, such as the feeling of having something in your throat or on top of your mouth
    • sore throat

    While most side effects last only a few weeks after surgery, some can be more long-lasting. This may include:

    • dryness in your nose, mouth, and throat
    • snoring that continues
    • trouble breathing
    • change in voice

    If you develop a fever after surgery or experience severe pain, call your doctor right away. These are signs of a possible infection.

    Types Of Surgeries That Are Commonly Undertaken To Cure Snoring

    Do you know that besides the natural treatment options to cure snoring, there are various other cures as well. Surgery amongst all options is regarded to be a relatively permanent solution for curing this problem. More information about the different types of surgeries has been discussed in this article.

    Do you know that besides the natural treatment options to cure snoring, there are various other cures as well. Surgery amongst all options is regarded to be a relatively permanent solution for curing this problem. More information about the different types of surgeries has been discussed in this article.

    The intensity of your snoring may force you to leave your bedroom and sleep in another room, without your partner. It is a frustrating experience and if you have been trying various treatment options, only to find them ineffective, then you need not worry. It has become possible to cure snoring in this age of advanced medical development. While you must be done after trying numerous treatment methods, surgery can be a good option for you. Only those people are recommended surgery who have faced this problem for long and it has reached severe stages.

    Read Also: Garmin Vivofit Sleep Tracking

    Do Not Consume Together With Sleep

    When you drink alcohol, your muscular tissues are much more kicked back, which can bring about your throat closing while you sleep. Stay clear of drinking as well near bedtime so that you do not experience this issue.

    Consuming in moderation is still great, provided it is done at dinner or in the evening as opposed to at nighttime. Snoring can often be decreased by avoiding alcohol for 3-4 hours before going to bed.

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