Does Nasal Surgery For Snoring Work
This past weekend, I gave a lecture at the USC Advanced Endoscopic Sinus Surgery Course on the impact of nasal surgery for snoring and obstructive sleep apnea. A previous blog post examined recent research showing that studies show that nasal surgery, by itself, does not alleviate sleep apnea in most patients but that it can improve sleep quality and symptoms like sleepiness. I want to expand on that previous post to discuss the role of nasal surgery for snoring.
Snoring surgery success depends on determining what areas of the breathing passages are causing the snoring, whether in the Nasal, Palate, or Tongue Regions that I outline on my main website: sleep-doctor.com. Often an individual will have more than one of these Regions involved, leading to my recommendation of a combination of surgical procedures. One of the most common questions I face with my patients is how much benefit a more-limited approach that focuses on the nose only would offer for curing snoring.
What Are The Treatment Options For Snoring
Snoring may be related to something as short-term and simple as a cold, but chronic snoring can be an indication that youre not getting the restful sleep you need. It could be a sign that you have sleep apnea, a serious sleep disorder that requires treatment.
In this blog, Dr. Cecil Yeung, a top Houston ear, nose, and throat physician, outlines the best treatment options for snoring.
What Are The Procedures For Snoring And Sleep Apnoea
The surgeons at ENT Associates perform a wide range of snoring and obstructive sleep apnoea surgery. Our goal is to achieve the best results with the lowest risks, and this is possible through the appropriate use of everything from minimally-invasive options like radiofrequency treatment to combined multi-stage operations on nose, palate and tongue.
How To Stop Snoring
There are plenty of options that can help put a stop to your snoring, however not every method is right for every person. The best treatment for your snoring will ultimately depend on the anatomy of your upper airway, the severity of your snoring, your body weight, your age, presence of sleep apnoea, alcohol consumption, medical history, and allergies.
What Are The Cons Of Cpap Machines
- The better ones are expensive
- Must be used every night
- They are uncomfortable for some people
- It takes light sleepers time to get used to the mask, the tube, and the machine itself
- Air may leak from the mask
- Causes a dry nose, a dry mouth, a sore throat, nasal congestion, sneezing, runny nose, and eye, skin & face irritation
- Requires a sleep study at a sleep research facility before you can get one
- Feels claustrophobic to some people
- Abdominal bloating
- Youll have to use this machine for the rest of your life
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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
Whats The History Of Snoring Treatments
Up until recently, the two main treatment options for getting snoring relief in adults have been limited to CPAP machines or an intensely painful invasive surgery to reduce the airway obstruction by literally cutting off soft tissue and bone on the roof of the patients mouth.
In the 1990s, Surgical Laser Snoring Treatments came on line as a third alternative for providing relief for snorers, and for their families. However, these surgical laser snoring treatments are painful enough to require narcotic drugs after the procedure, dont help people stop snoring, and often do more harm than good.
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Surgical Treatment For Snoring And Sleep Apnea
The goal of most surgeries for breathing problems is to widen the airway. This is done by taking out or shrinking excess tissue where the mouth meets the throat. Nasal and jaw surgery can help correct nose or jaw problems that contribute to snoring and apnea. This sheet describes procedures that may be recommended for you.
Key Points To Remember
- It’s important to treat obstructive sleep apnea, because sleep apnea makes you more likely to have high blood pressure, depression, irregular heart rhythms, heart failure, coronary artery disease, and stroke.
- Your doctor will probably have you try lifestyle changes and CPAP first. Surgery might be a choice if you have tried and cannot tolerate CPAP. Or you might have surgery to improve an airway blockage so that you can tolerate CPAP better.
- Uvulopalatopharyngoplasty surgery may reduce sleep apnea and snoring for some people. But apnea episodes and snoring may return over time. You may still need CPAP after surgery.
- The surgery called tracheostomy almost always cures sleep apnea that is caused by blockage of the upper airway. But other treatments work almost as well in most people. And the surgery can cause many complications.
- Other types of surgery that may be used to treat sleep apnea include:
- Maxillo-mandibular advancement, which moves the upper and lower jaw forward to increase the size of the airway.
- Radiofrequency ablation, which reduces the size of the tongue or other tissue that may be blocking airflow to the lungs.
- Nerve stimulation. A device is implanted in the upper chest. It senses the breathing pattern and mildly stimulates the airway muscles to keep the airway open.
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What Happens During Laser Surgery
In other circumstances laser surgery for snoring may be used to reduce the amount of soft tissue hanging from the roof of the mouth. During laser surgery for snoring the tissue of the uvula and soft palate is not actually removed, but simply burned with a laser to create scar tissue, which helps tighten the tissue and prevent it from hanging down into the throat.
LAUP, when administered as a stand-alone procedure, would appear to have a success rate of less than 40% and often has to be followed by maxillomandibular advancement where the jaw is moved forward and the tongue muscle is anchored to the chin.
Most of the methods used in laser surgery for snoring are performed on an outpatient basis with a relatively quick recovery time although many patients experience considerable residual pain once the local anesthetic wears off.
Do You Snore? Or Do You Have A Partner Who Snores?
If your answer to either of these questions is yes, then I strongly recommend that you check out the Best Way To Ending Snoring. There may be a solution here and that can help you avoid laser surgery for your snoring.
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.
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Medical Treatments For Snoring
For mild forms of snoring caused by swelling of the lining of your nose, a doctor may prescribe a steroid nasal spray to take before going to sleep. They may also suggest dental appliances or nasal strips. For more severe forms of snoring due to sleep apnea, surgical procedures or continuous positive airway pressure may be prescribed.
Continuous positive airway pressure
Continuous positive airway pressure is a treatment in which a mask is worn over the nose and/or mouth while you sleep. The mask is hooked up to a machine that delivers a continuous flow of air into the nostrils. The pressure from air flowing into the nostrils helps keep the airways open so that breathing is not impaired. Other PAP machines are also available, including the BiPAP, which has two levels of air pressure, and the VPAP for varying levels of air pressure.
Surgery may be needed to correct a physical problem that is causing you to snore. Surgical options include:
Quality Assessment And Evidence Grading
A modified JADAD ranking scale from 05 was used to assess the quality of randomized, controlled trials., We used questions on single blinding instead of double blinding, with the following questions: Was the trial described as randomized? Was the allocation concealed? Were patients blinded to treatment alternative? Were investigators blinded to treatment alternative? Was there a description of withdrawals? A score of 02 was rated as poor quality, 3 as medium quality, and 45 as high quality.
The following scores were used for observational studies reporting side-effects. High quality required a prospective study before and after data for adverse effects defined groups of patients and a detailed description of methods and adverse effects loss to follow-up of less than 30%. Medium quality required a prospective design or consecutive patients a summary description of patients and methods a detailed description of adverse effects loss to follow-up of less than 30%.
Strong evidence required at least two studies of high quality reporting the same result. Moderate evidence required at least one study of high quality and two of medium quality, while limited evidence required at least two studies of medium quality.
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Lose Weight If You Are Overweight
This will help reduce the amount of tissue in the throat that might be causing your snoring. You can lose weight by reducing your overall caloric intake by eating smaller portions and more healthy foods. Make sure you get regular exercise daily. You may also consider seeing your doctor or a nutritionist for help.
How Is Snoring Diagnosed
Your provider will ask you several questions, including how often you snore, what it sounds like and how your diet and lifestyle affect your sleep. During an exam, your provider will check your blood pressure, listen to your heart and look in your mouth, nose and throat.
To evaluate your sleep patterns, your provider may order a sleep study . You might be able to do a sleep study at home, or you may need to spend the night in a sleep center. A sleep study evaluates:
- Brain wave activity.
- Breathing patterns, including any periods when you stop breathing or gasp for air.
- Heart rate and oxygen levels.
- Movements during sleep, such as arm or leg movements or tossing and turning.
- Sleep cycles and snoring.
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What Are The Common Side Effects Of Surgery For Snoring
Similar to how theres a different surgery recommended to every patient, the side effects of the surgery differ depending on the type of snoring surgery you received.
Yet, there are a few common side effects that show up in most, if not all, cases of snoring surgeries.
Let us have a look at them:
- Pain and stiffness
- Feeling the presence of a foreign object in your throat
- Soreness in your throat
Here are a few long-term side effects of snoring surgeries:
- Dry nose, mouth, and throat
- Continued or resumed snoring issues
- Physical discomfort that may last for a long time
- Troubled breathing
- Changes in your voice
Fact: According to research, as a side effect of snoring surgery, you may have difficulty swallowing.
If you have a fever or excruciating pain after a snoring surgery, immediately seek medical care. Fever and pain after surgery are usually signs of an infection.
Surgery For Sleep Apnea
If you are unable to sleep comfortably using CPAP in spite of your best efforts, obstructive sleep apnea surgery may be an option. Before diving into details concerning surgery for sleep apnea, there are three important considerations you should know. One, not all surgeries are the same. Two, sleep apnea patients should only consider procedures that are well-suited to them. Three, not everyone is a good candidate for surgery.
Treatments for sleep apnea that directly target obstructive sleep apnea address blockage of breathing in the throat, either in the area behind the soft palate or behind the tongue and epiglottis. Procedures can be broadly classified by the area of the throat that they treat. These procedures can either be performed alone or, if you are thought to have blockage in more than one area of the throat, in combination.
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What Lifestyle Modifications Should I Consider
You can make certain lifestyle changes on your own that may help reduce your snoring, including:
- Smoking may promote snoring as it causes swelling and irritation of the breathing passages, and should be avoided.
- Alcohol lowers the tone of the throat muscles, making snoring more frequent and may even cause sleep apnea to occur. Avoiding alcohol close to bedtime and limiting the amount you consume is important.
- Muscle relaxants and sedatives can also worsen snoring.
- Losing five to 10 percent of your body weight may also help reduce snoring.
How To Treat Snoring Without Surgery
Snoring can be a lifelong issue for many people, affecting themselves as well as their partner and family. Not only can snoring be a nuisance in the bedroom, but it can also result in poor sleep which can impact energy levels, health, and productivity at work.
The good news is that today multiple non-surgical treatment avenues exist to alleviate snoring problems. Specific types of procedures can be performed here in the office without surgery as outpatient office procedures, says Kiran Tipirneni, M.D., F.A.C.S., a board-certified otolaryngologist at The Ear, Nose, Throat & Plastic Surgery Associates.
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Inspire Upper Airway Stimulation
Inspire upper airway stimulation is a new and exciting OSA surgery that involves placing a medical device inside the body so that it can function somewhat like a pacemaker for the tongue during sleep. The system is controlled by a small remote device that you can turn on and off yourself. The surgery is done under general anesthesia, but most patients are able to go home as quick as the next day.
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.
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Surgeries Used To Treat Snoring
If youre like most people who snore, youve probably tried plenty of snoring aids and remedies, only to find that none of them worked for you.
Or maybe one or two of the remedies you tried did work. But you want a more permanent, more hassle-free solution.
A solution like surgery.
Have you considered having surgery to stop snoring? If so, you have plenty of options. In fact, you have more options than you probably realize.
So what are those options?
Read on to find out.
8 Surgeries Used to Treat Snoring?
The first thing to keep in mind is that there isnt just one snoring surgery. Instead, there are many different surgical procedures used to treat snoring.
Or, rather, these surgical procedures are used to treat what might be causing you to snore. And there are a lot of things that might be causing you to snore. This means a surgery that might work wonderfully for someone else might not work for you.
So the first step when considering surgery for snoring is figuring out what is causing you, specifically, to snore.
In general, snoring is caused by a partial obstruction of your breathing. When certain tissues block or obstruct your airway while you sleep, the flow of air through your nose or throat can cause those tissues to vibrate.
This vibration is responsible for the buzzing sound associated with snoring. And the more narrow or obstructed that airway is, the louder and more disruptive your snoring will be.
Head And Neck Specialists At The London Clinic
The London Clinics priority is to provide our patients with support, comfort and expert care. We have the largest group of ear, nose and throat surgeons working in the private sector of any hospital in London.
ENT surgeons within The London Clinic work closely in multi-disciplinary teams with experts from other specialists, to offer the best care.
Our dedicated head and neck nursing team are led by Nilam Heer. They will maintain your physical health, support your emotional wellbeing and help you and your family, every step of the way.
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What Are The Surgical Treatments For Snoring
In some cases, snoring and sleep disordered breathing are treated with surgery to shrink or remove excess tissue or correct a structural problem. Many of these procedures are minimally invasive. Your provider uses small incisions, and you may be able to go home the same day. Surgery for snoring includes:
- Laser-assisted uvulapalatoplasty : LAUP reduces tissue in the soft palate and improves airflow.
- Radiofrequency ablation: Also called Somnoplasty®, this technique uses radiofrequency energy to shrink excess tissue in the soft palate and tongue.
- This procedure straightens a deviated septum in the nose. A improves airflow through the nose by reshaping the cartilage and bone.
- Tonsillectomy and adenoidectomy: The surgeon removes excess tissue from the back of the throat or the back of the nose .