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 .
The Consequences Of Snoring
Mild snoring may have little effect on the quality of your sleep. However, as the airway becomes more obstructed, the effort to breathe likewise increases. If breathing is compromised, oxygen levels in the blood will drop. This may lead to temporary arousals and, therefore, disrupted sleep.
Snoring has been found to increase the risk of narrowing of the blood vessels within the neck, a phenomenon called carotid atherosclerosis. In a study of 110 patients, the total sleep time spent snoring, the higher the risk of narrowing. It is thought that direct vibratory damage of the carotid arteries within the neck may lead to increased plaque formation within these blood vessels.
A study published in the journal Sleep in 2016 found that snorers had a reduction in telomere lengtha marker of cellular aging and inflammation.
Perhaps the biggest problem with snoring is the disruption of the sleep of others, including your bed partner. This may require special sleep arrangements, such as sleeping in the guest bedroom or on the couch.
What Can You Do About Snoring
You can alleviate some causes of snoring with certain lifestyle changes. If, for example, you snore after having a glass of wine or two in the evening, try skipping it or drinking it earlier, and seeing if that works to end the snoring. If you carry excess weight, especially in the neck area, try losing weight to allow your airways to open up more. If you snore while sleeping on your back, try changing sleep positions or raising your head on a pillow.
If none of these changes seems to work or your snoring gets louder or more frequent, talk with your healthcare provider, who can evaluate your symptoms and may order a home sleep test or an overnight laboratory sleep study for further analysis. They can also examine whether the anatomy of your mouth, throat, or nasal septum might be causing your snoring. If so, surgery may be another option. Again, talk with your healthcare provider to explore the best possible approach for you.
Since snoring sometimes has negative health consequences, dont just laugh it off. If you or your bed partner is a chronic snorer, find out if its a sign of a more serious medical condition and get the treatment you may need.
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Sleep Apnea And Cardiovascular Disease: Role Of The Metabolic Syndrome
The relationships between sleep apnea and cardiovascular disease are rather complex. Several systematic studies are necessary to explicate fully the nature of those relationships. These complexities are further compounded by findings suggesting that conditions comprising the metabolic syndrome might mediate effects of sleep apnea on cardiovascular disease .
Prevalence of metabolic syndrome components and cardiovascular disease among patients with a diagnosis of sleep apnea risks of cardiovascular disease for patients with sleep apnea are also indicated.
A direct link between the metabolic syndrome and sleep apnea has not been established, as previous research has considered linkage analysis only for individual components of the metabolic syndrome. Recent preliminary evidence from the Mayo Clinic suggests that the metabolic syndrome might be more prevalent among patients with obstructive sleep apnea than among individuals without OSA. Clinical data show that 60% of patients with sleep apnea had the metabolic syndrome, compared with 40% of patients without sleep apnea. In the following sections, we consider the role of each component of the metabolic syndrome namely obesity, hypertension, diabetes, and dyslipidemia but first, issues pertaining to definition and prevalence of the metabolic syndrome are presented.
Importance Of Confounding Factors
Early studies showing associations between obstructive sleep apnea and cardiovascular disease were questioned, as some could not account for the influence of confounding factors since samples were too small. Critics pointed out that obstructive sleep apnea and cardiovascular disease have common risk factors including, age, gender, race/ethnicity, and obesity, which could confound the observed associations. Studies also needed to take into account that patients with obstructive sleep apnea were generally unhealthy. One analysis indicated that the 10-year risk of coronary heart disease and stroke, for instance, was approximately 30% among patients with sleep apnea.
More recent large-scale epidemiologic studies have confirmed associations between obstructive sleep apnea and cardiovascular disease, with adequate statistical control for known confounding factors. In one of those studies, sleep apnea significantly increased the risk for stroke or death independently of other risk factors . This finding is consistent with a cross-sectional study showing that patients with an apnea hypopnea index 20 had significantly greater odds for stroke than individuals without sleep apnea .
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Snoring Diagnosis And Treatment
Your partner might be the person who tells you that you snore. Your doctor will ask both of you about your symptoms.
Your doctor will also ask about your medical history and do a physical exam to look for things that could block your airways, like chronic nasal congestion due to rhinitis or sinusitis, a deviated septum, or swollen tonsils. They might also give you some tests:
- Imaging tests. An X-ray, MRI scan, or CT scan can look for problems in your airways.
- Sleep study. You might need to have a machine monitor your sleep while youâre at home or spend the night in a lab for a test called polysomnography. It will measure things like your heart rate, breathing, and brain activity while you sleep.
Treatments for snoring include:
- Lifestyle changes. Your doctor might tell you to lose weight, quit smoking, or stop drinking alcohol before bed.
- Oral appliances. You wear a small plastic device in your mouth while you sleep. It keeps your airways open by moving your jaw or tongue.
- Surgery. Several kinds of procedures can help stop snoring. Your doctor might remove or shrink tissues in your throat, or make your soft palate stiffer.
- CPAP. A continuous positive airway pressure machine treats sleep apnea and might reduce snoring by blowing air into your airways while you sleep.
Is Snoring A Sign Of Sleep Apnea
Snoring can be a sign that you have a condition called sleep apnea . Sleep apnea is a serious condition that can have an adverse effect on your health. It can make you sleepy during the day, causing fatigue, weight gain, sexual problems, raised blood pressure and frequent night time bathroom visits .1,2 In other words, it can prevent you from enjoying a full, active life.
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When To Talk To Your Doctor
Sometimes you cant resolve snoring by addressing it directly because its due to an underlying medical issue. People who snore in addition to other symptoms, such as gasping or choking while asleep, daytime tiredness, morning headaches, and feeling unrefreshed upon waking, might have obstructive sleep apnea.
If you believe your snoring is a symptom of obstructive sleep apnea, see a doctor. Receiving a diagnosis and treatment for this disorder can resolve or significantly reduce your snoring while relieving other symptoms.
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Doctor’s Notes On Snoring
Snoring is the noise or sounds produced during sleep by turbulent airflow through narrowed passages with vibrations of the soft tissues at the back of the nose and throat. Signs and symptoms of snoring are a person, while asleep, producing sounds of various intensities while breathing in or out. Sometimes the noise will cause the person to wake up. For others, the noise awakes whoever is trying to sleep in the same bed or room. Snoring is also a symptom of another more serious disorder, sleep apnea .
What Are the Treatments for Snoring?
Treatments for snoring include the following lifestyle changes:
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How Is Snoring Treated
If your snoring is affecting your sleep , your doctor may fit you with a dental device to keep your tongue from blocking your airway. Losing weight can also help treat snoring. Some people may need surgery to correct a blockage in the airway that’s causing the snoring.
If sleep apnea is the cause of your snoring, you may need to sleep in a mask connected to a CPAP device. This device helps minimize snoring and maintain breathing while you sleep.
What Are The Surgical Options For Snoring
Surgery to treat snoring is designed to reduce obstruction or narrowing in the anatomic area that is causing the snoring. There may be more than one involved area, so surgery on only one of the narrowed areas may decrease snoring but not eliminate it entirely. Decreasing palatal and uvular flutter are also believed to help in reducing the snoring sounds.
Surgical treatment of snoring is generally focused on the nasal passages, palate and uvula, and tongue. Most of the surgical procedures are performed in a doctor’s office. In general, individual insurance carriers determine what medical conditions are covered as a benefit of the plan. Insurance is frequently changing, and, therefore, coverage policies may vary. As always, it is important to check with your own insurance carrier and pre-confirm the estimated cost and coverage for any planned medical treatment or surgery.
It is prudent to undergo a formal sleep study prior to performing surgery to assure that snoring is not a manifestation of obstructive sleep apnea. If sleep apnea is the case, then more conservative CPAP needs to be prescribed and attempted first. In addition, if snoring is associated with obstructive sleep apnea, then a surgical correction may mask the obvious symptom of a potentially serious condition and leave sleep apnea undiagnosed.
Nasal surgery options for snoring
Oral surgery options for snoring
Laser assisted uvulopalatoplasty
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Treatment For Snoring Depends On The Cause
Talk to a doctor about the best treatment for you.
|Tongue partially blocking the back of your throat||a device you wear in your mouth to bring your tongue forward|
|Mouth falling open when you’re asleep||a chin strap to hold your mouth closed, or a device you wear in your mouth to make you breathe through your nose while you sleep|
|Blocked or narrow airways in your nose||special devices or strips that hold your nose open while you sleep, or sprays to reduce swelling inside your nose|
What The Research Shows
Early identification and treatment of sleep apnea are key, he says. Several studies now link severe obstructive sleep apnea to higher mortality even after accounting for risk factors such as obesity.
In a five-year study of nearly 11,000 people, those with obstructive sleep apnea had a higher risk of sudden cardiac death. At greatest risk were those aged 60 and older with moderate to severe apnea .
When their oxygen saturation levels dipped below 78% preventing air from flowing into the lungs their risk increased by 80%.
In addition, our group has shown that people with severe obstructive sleep apnea have a two-to-fourfold greater risk of abnormal heart rhythms than people without sleep apnea, he says.
Other researchers have found that patients with obstructive sleep apnea are more than 2.5 times as likely to experience sudden cardiac death between 12 a.m. and 6 a.m. as those without obstructive apnea.
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Causes Of Snoring So Loud
Snoring can be caused by multiple factors such as allergies, sinus, alcohol consumption, and many more. Snoring occurs when you take a deep sleep. The muscles of the soft palate, tongue, and throat relax. The tissues present in the throat relax so well that it blocks the passage of the airway and vibrates which results in snoring.
The passage of the airway becomes narrow due to which the airflow of air is so powerful which results in vibration and causes snoring. Reasons for the passage of airway becomes narrow
Drinking Alcohol:- Drinking alcohol too much before bedtime results in snoring. Because alcohol helps in relaxing the throat muscles and reduce your natural defense against airway impediment.
Being Overweight: People who are overweight or heavy obesity may suffer from obstructive snoring sleep apnea and it increases snoring at night.
Nasal Problems:- Nasal congestion or a partition between your nostrils results in snoring.
Sleep Deprivation:- A body does not get enough sleep that results in throat relaxation.
Sleeping position:- Snoring became loudest when sleeping on your back. Because of the effect of gravity in the throat narrows the airway.
Mouth Anatomy:- Thick soft palate can narrow your passage of the airway. People with overweight have extra tissues in their throats that results in narrowing airways.
Sleep Apnea & Exactly How It Can Wreck Your Life
Many people with sleep apnea have no concept just how it can destroy their lives. Because of this, they dont recognize that they have health issue and require to transform their way of living to resolve the issue.
One of one of the most common signs and symptoms of sleep apnea is snoring. As long as 30% of grownups snore in the evening, people struggling with sleep apnea have a 2-5 times higher threat of heart disease, stroke, as well as high blood pressure. This can likewise result in clinical depression as well as problems with mental health and wellness. Top Signs And Symptoms Of Sleep Apnea
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How To Treat Snoring
You may be able to reduce your snoring by making certain lifestyle changes. These include losing weight, avoiding alcohol and sedative medications at night, and always sleeping on your back. Since nasal congestion can cause breathing, treating this with decongestants or corticosteroid sprays may be effective if your doctor approves them.
People who see their doctor about snoring may be evaluated for sleep apnea. The examination may include an examination of the nose and mouth to check for a physical obstruction, as well as other warning signs such as nasal polyps, a high or narrow arched palate, a displaced jaw, or enlarged tonsils or adenoids.
Anti-snoring mouthguards have proven effective for some people. Tongue-retaining devices form a seal around the tongue and hold it in place. These appliances can alleviate snoring for people whose tongues tend to fall in the back of their throat when they sleep. Mandibular advancement devices physically move the tongue and jaw forward, allowing for maximum airflow.
In certain cases, surgery may be advised. During a uvulopalatopharyngoplasty procedure, the patients uvula, palate, and pharyngeal walls are removed to create more space for the upper airway. However, this is a procedure that requires general anesthesia and may not be the most practical or cost-effective way to correct snoring.
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What Are Different Levels Of Snoring
Mild resistance to airflow for any of the above reasons in the upper airways may result in some snoring that is not associated with any sleep disturbance.
- If resistance to airflow increases, the efforts to maintain adequate ventilation and breathing may cause transient arousal from sleep that is typically not severe enough to cause the level of oxygen in the blood to decrease . This is called the respiratory effort related arousal .
- When the resistance increases even further, the ventilatory efforts cannot keep up with the degree of resistance to maintain adequate levels of oxygen, and airflow decreases or stops. This often leads to a decrease in the level of oxygen in the blood. As a result, sleep becomes more fragmented and arousal more frequent. The events are referred to as obstructive hypopneas or apneas , and the condition is termed obstructive sleep apnea-hypopnea syndrome.
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Ignored Signs Of Heart Trouble
When it comes to heart problems, a common question often arises: How can we know if something is going wrong with our hearts?
The fact is that not all heart trouble comes with clear warning signs. The alarming chest clutch that they show in movies doesnt always happen in reality. In fact, some symptoms of heart problems dont even occur in your chest. So its not always easy to be sure about whats happening.
You experience many symptoms every day, but you often brush it off or neglect to get it checked, which is a very risky move. If you experience any out-of-the-blue symptoms undiagnosed, you should instantly get a medical checkup since it might be related to your heart. This especially applies to those above the age of 60, overweight, or those who have high cholesterol, diabetes, or hypertension. The more risk factors you notice, the more you need to be concerned that it might be heart-related.
Here are some ignored signs of heart trouble that you should watch out for.