Tissue Removal Or Suturing Techniques
Many soft palate procedures for snoring can be performed in the office. The many different techniques have never been compared directly against each other, but they share a common approach to removing or repositioning tissue with a combination of cutting or specific use of stitches.
Dr. Eric Kezirian, MD, MPH is a sleep surgeon and Professor in the USC Caruso Department of Otolaryngology Head & Neck Surgery at the Keck School of Medicine of USC in Los Angeles, California. He is also the immediate past President of the International Surgical Sleep Society.
Try Not To Sleep On Your Back
Some people toss and turn all night along, but snoring is often worse when you are sleeping on your back. You can use pillows to prevent you from rolling onto your back. Some people prefer wearing a T-shirt at night with a pocket sewn on the middle of the back to hold two tennis balls and make it physically uncomfortable to sleep on your back. There are also some new wearable devices that attempt to use vibration delivered only when someone is sleeping on their back, specifically designed for people suffering from positional snoring.
When Does Snoring Indicate Surgery
Well, when some kind surgical abnormality is the source of the problem, then, the snoring indicated the surgery. The obstructive surgical apnea is one of the indications of surgery to stop snoring. These types of abnormality are only surgically cured and corrected. The other forms of indications include when non-invasive forms of treatments without an incision in the skin or breaking and removal of tissues do not cure or reduce the snoring, surgeries are taken into consideration.
Moreover, if the blocking of tissues or the heavy snoring becomes difficult to tolerate, it is then surgery becomes the ultimate option. The option of surgery is usually done in the upper airway which includes the correction of one or more structures like nasal septum, adenoids, tonsils and even uvula. In some extraordinary cases, the obstructions occur at the level of the larynx.
Read Also: Do Betta Fish Sleep A Lot
When Does Snoring Become Problematic
Otolaryngologists take a measured approach when snoring patients come in for an evaluation. Their primary goal is to ascertain why someone is snoring and then to recommend the best course of treatment.
It is critical to assess whether a patient is experiencing snoring by itself or if it is related to obstructive sleep apnea. Sleep apnea is a chronic condition disrupting ones sleep and causing people to drift between deep and light sleep as their breathing alternates between shallow and blocked breathing. The result is inadequate sleep, leaving patients fatigued during the day. Sleep apnea can lead to a higher risk of other medical conditions down the road, including hypertension, heart disease and stroke.
What Is Obstructive Sleep Apnoea
Obstructive Sleep Apnoea is a severe form of snoring, when the air passages become completely blocked, stopping the flow of oxygen.
Typically, the complete blockage only occurs for an instant. When the blockage occurs, the level of oxygen in the blood drops. The body detects the low oxygen level and causes a mini-wake-up. The mini-wake-up opens the air passages and the oxygen level returns to normal.
In severe cases of OSA, this cycle can occur 50-100 times per hour!
Recommended Reading: Which Of The Following Is Correct Concerning Rem Deprivation
What Is A Somnoplasty
During normal breathing, air passes through the throat on its way to the lungs. The air travels past the tongue, soft palate, uvula, and tonsils. The soft palate is the back of the roof of the mouth. The uvula is the prominent anatomic structure dangling downward visibly at the back of the mouth . When a person is awake, the muscles in the back of the throat tighten to hold these structures in place preventing them from collapsing and/or vibrating in the airway. During sleep, the uvula and soft palate frequently vibrate causing the distinctive sounds of snoring. Snoring may also originate from the walls of the throat and further down around the tongue base.
The most important aspect of snoring treatment is to first rule out the presence of obstructive sleep apnea. Obstructive sleep apnea is well known to be associated with significant medical problems such as heart disease, risk for stroke, increased somnolence, and increased risk for motor vehicle accidents. Snoring is a hallmark sign of obstructive sleep apnea for many patients. However, just because someone snores, it does not mean they have sleep apnea. To rule out obstructive sleep apnea, they require an overnight sleep study. The test is usually conducted in a lab or at home with specialized equipment and should be evaluated by a sleep medicine physician. When snoring is present without obstructive sleep apnea, it is called primary snoring.
How Can I Stop Snoring
You might be able to prevent snoring by changing your lifestyle, diet and daily activities. To reduce snoring, you should:
- Ask your provider about medications to relieve nasal congestion.
- Avoid alcohol and other sedatives before bed.
- Maintain a healthy weight, stay active and get plenty of exercise.
- Raise the head of your bed a few inches to change the angle and improve airflow.
- Sleep on your side, not your back.
- Try a snore-reducing pillow that keeps your head and neck in the proper position when you sleep.
Don’t Miss: Nac Insomnia
What Type Of Snorer Are You
There are 3 types of snorers and each need their own treatment. Take our 40 second test to see what type you are.
During this procedure, an electrode is inserted into the soft palate, and an energy burst is applied to the tissue. The electrical current stiffens and shrinks both the soft palate and the uvula, making them less likely to vibrate.
It can take a month or more to completely heal from a radiofrequency palatoplasty. And some common side effects include sore throat and swelling.
Why Do Some People Snore And Others Dont
So why do some people snore and others dont? To find the answer to this common question, we will need to have a closer look at the typical characteristics of habitual night-time snorers:
- bulky nasal and throat tissues
- deformities of the nose such as a deviated septum or nasal polyps
- poor muscle tone in the tongue and throat
- long soft palate and/or uvula
- overweight or out of shape
- alcohol, smoking, and medications
Don’t Miss: What To Do To Make Someone Stop Snoring
Breathing Through Your Nose
Many people will snore when they breathe through their mouth while asleep. Converting to breathing through the nose can just require breaking the habit of mouth breathing, but often people cannot make the change because they cannot breathe easily through their nose. What I recommend is that people think about using an external nasal dilator like a Breathe Right® strip, especially if the sides of their nose collapse when they breathe in through their nose. If someone has allergies , they can also try a nasal corticosteroid spray that is now available over-the-counter. If those do not work, it may be worth seeing a physician to determine why someone cannot breathe easily through their nose, as there are many good treatments available, depending on the cause.
Oral Devices And Appliances
Oral appliances are designed to reduce snoring by changing the shape of the mouth or preventing the tongue from blocking the airways.There are three basic types of mouthpiece: push the jaw forward improve the smooth taste and a mouthpiece that prevents the tongue from falling behind during sleep.For normal work, the oral device should be installed by an experienced dentist or orthodontist and regularly check for proper fit. Its main disadvantage is the low compliance of patients a German study found that only 30% of patients still use these devices after four years. Also, oral appliances can not be used in patients with gum disease, dental implants or defective teeth.
Recommended Reading: How To Track My Sleep On Fitbit Charge Hr
I Have Already Seen A Surgeon And Had An Operation It Didn’t Work What Should I Do
Most cases of snoring can be fixed or significantly improved. Dr Singh specialises in treating snoring and has expertise in performing revision surgery.
We recommend that you consider returning to see your original surgeon first. If nothing further can be done and you still have problems, consider asking your original surgeon or your GP for a referral to see Dr Singh. Dr Singh always works together with your GP and your other specialists to achieve your best health outcome.
Septoplasty And Turbinate Reduction
Sometimes, snoring may be a result of a structural deformity in your nose. Deformities in your nose structure may even be the reason behind Obstructive sleep apnea.
When doctors recognize this, they recommend a snoring surgery called or Turbinate Reduction.
In septoplasty, the surgeon will straighten out the bones and tissues at the center of your nose.
Turbinate Reduction involves cutting down the size of the tissue in your nose that cleanses and humidifies the air passing through the nasal passage. Doctors perform this procedure using radiofrequency .
Most surgeons will perform these two surgeries at the same time. The snoring surgeries will open up your nasal airway and allow you to breathe easily and snore less.
The History Of Snoring Surgery
Before we talk about snoring surgery options, lets take a brief look at the history of snoring surgery in-general.
Did you know that, at one time in history, shock therapy was used to treat snoring? Of course, it didnt work because snoring is involuntary. But it goes to show that humans have been dealing with the problem for probably almost as long as we have existed.
The truth of the matter is that snoring and sleep apnea are both dangerous. Sleep apnea, however, is much more than a nuisance. It is actually a life-threatening medical condition that can put you at an increased risk for many debilitating health problems later on in life.
Until the late 20th century, there really werent any good treatment options for OSA, aside from basic lifestyle changes.
Permanent tracheostomy was one of the first surgical procedures to be used to treat obstructive sleep apnea, but there were a number of reasons for why this was not a desirable procedure to undergo.
During a tracheostomy, an incision is made in the windpipe to help relieve obstructions and to make breathing possible in situations where it would otherwise not be possible.
This procedure is more often used as a temporary means to assist a breathing-impaired patient when the upper respiratory system is compromised but there are some select occasions when it is performed and left in permanently.
But that was still not the end of it.
What Are The Various Types Of Surgeries For Snoring
There are several surgical options which are available as the ultimate option. There are lots of other steps of treatment which when fails to work, surgery is taken the ultimate weapon to cure or reduce the snoring. The well-known and safe surgery to stop snoring is Septoplasty. The other options are Soft palate surgery, pillar surgery, Somnoplasty, and Coblation. Each surgery has its own target area to stop or correct the tissues for reducing the snoring.
Don’t Miss: Can Quitting Smoking Cause Insomnia
Surgery For Snoring And Sleep Apnea
Surgery is perhaps the most drastic snoring remedy available and has the potential to be very effective for some people. There are a number of surgical interventions to reduce snoring and sleep apnea.
In this article, we summarise the different types of surgery for snoring and sleep apnea, as well as exploring some of the important considerations to be made before opting for surgery.
Jump to the different types of anti-snoring surgery:
Surgery should be a last resort
Surgical intervention should only be considered if other methods you have tried have failed.
Surgery is invasive and sometimes irreversible, so careful consideration should be given as to whether alternatives have been pursued to their full capacity.
Though it will usually be discussed in any consultation prior to surgery, some of the most effective methods of treating snoring are non-surgical and always worth mentioning. These include:
- Changing your evening eating habits
Surgery types vary and what is most suitable depends on YOU
There are several different types of surgery that can reduce snoring. Like non-surgical snoring remedies, there is no one solution that will work for everybody.
The most effective type of surgery depends on your snoring and what is causing it in the first place.
Your suitability will need to be assessed with a physical examination
Initial examinations will include basic observations of your nose, tongue and throat. The procedure is also likely to involve flexible endoscopy.
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.
Don’t Miss: Does The Garmin Vivofit 4 Track Sleep
Do Snoring Strips Work
Like many other OTC treatments, these products may temporarily reduce snoring due to infrequent nasal blockage or sinus congestion, often associated with temporary illnesses such as the flu or a cold, but there is little evidence to suggest that nasal strips help treat or prevent more chronic snoring related to
Health Risks Associated With Snoring
Snoring is not considered an illness in fact, it is a symptom. However, habitual snoring can be a sign of a serious health issue, one that if left unattended could have major health complications: Obstructive sleep apnoea is characterised by chronic snoring, frequent waking, labored breathing, and repetitive obstructed pauses in a persons breathing during sleep. Sleep apnoea can prevent you from enjoying a good nights sleep which is necessary to lead a healthy, energetic life. So, whether you are a habitual snorer or snore occasionally, it is worth consulting your doctor for advice and correct treatment. Here is a list of some of the serious health risks associated with obstructive sleep apnoea:
- irregular heart rhythms
- mental health issues
- headaches and migraines
Recommended Reading: Fitbit Change Sleep Sensitivity
Does Laser Treatment For Snoringwork
This is definitely the biggest question, andit deserves a solid answer.
Now, there are several different snoringtreatments available and the confusing thing about online research is that a lot of laser treatment information isoutdated.
Simply stated, laser treatments for snoring have come a long way in the last 20 years.
So, lets take a look at one example of amodern solution, offered in Australia.
The SleepTight Laser Procedure, offered by Specialist Clinics of Australia.
The awesome thing about this program isthat it has a success rate of over 90%! It is also one of the few lasertreatment programs to show improvement in symptoms for sleep apnea in addition to snoring and that isactually a big deal!
A lot of snoring treatments dont even helpwith sleep apnea.
So yes, laser treatments do work but you need to do your research and think carefully aboutwhere you are going to get them, and you need to make sure that you are gettinga laser treatment that has a proven track record of results.
Stop Snoring Surgery What Procedures Are Available
Stop snoring surgery is a last resort treatment for someone who has a snoring problem. In order to understand why such a drastic measure might be necessary its important that we first understand the underlying cause of the problem.
Snoring is known to be the end result of the vibration happening in the upper airway which includes the throat, mouth and the nose. Due to blockages, turbulence is caused during respiration. While we breathe throughout the day, we only snore at night because our muscle tone is very much reduced when we are sleeping which encourages the collapse of these tissues.
Snoring can basically originate anywhere from the nose down to the vocal chords. Recently, researchers have grown aware of the role that the tongue has in increasing an individuals likelihood of snoring. The tongue can roll back and cause a physical obstruction in the airway, making a collapsed airway even worse. In circumstances where the airway is blocked due to a severe physical obstruction often times stop snoring surgery is the only permanent solution.
Snoring is an involuntary activity and it can not be controlled simply by a strong will and a good head on your shoulders. Any one who has ever spent a night snoring knows that often times snoring remedies can be even more bothersome than the snoring itself. The key to dealing with snoring is to treat the problem effectively and with the least amount of nighttime discomfort.
Recommended Reading: Can Tramadol Cause Insomnia
How Effective Is It
The good news is that LAUP is actually prettyeffective.
According to this study, it shows an 84% cure rate, with 7% of patients reporting significant improvement in the loudness of their snore.
The bad news about this particular surgicaltreatment is that it is really only effective when an excessively large orflopping soft palate/uvula is the culprit.
If your tongue is the primary cause of yourconstricted airway, as can absolutely be the case in some instances, thisprocedure is unlikely to work.
It is also true that non-surgical options,such as NightLase, are actually more common and readily available nowadays.
NightLase is considered by many to be superiorto LAUP in most cases so there are far more clinics in Australia that areoffering that than are offering LAUPnowadays.
LAUP is, in truth, a bit of a dated procedurebut it is still one that is performed regularly, and it still works!