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ENT Surgical Associates Michigan

(248)-541-0100

Snoring & Sleep Apnea

Treatment for Snoring and Obstructive Sleep Apnea

We provide complete evaluations and treatment for snoring and obstructive sleep apnea. Sleep studies are scheduled and interpreted, coupled with a thorough physical evaluation of the patient. Non-surgical and surgical treatment options are available.

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Obstructive Sleep Apnea

Obstructive sleep apnea (OSA) is a serious health condition characterized by a repetitive stopping or slowing of breathing that can occur hundreds of times during the night. This often leads to poor quality sleep and excessive daytime sleepiness. Risks of untreated sleep apnea include high blood pressure, stroke, heart disease, and motor vehicle accidents. It is estimated that 1 in 5 Americans have at least mild OSA. The following symptoms are commonly associated with obstructive sleep apnea:

    1. Daytime sleepiness & irritability
    2. Snoring
    3. Poor concentration
    4. Irregular sleep patterns
    5. Awaking with shortness of breath
    6. Morning headaches

A variety of surgical and non-surgical options are available for the treatment of snoring and sleep apnea.  Medical options include positive pressure (i.e. CPAP), oral appliances, and weight loss.  Many of these treatment options depend on regular, long-term adherence to be effective.  In patients having difficulty with other treatments, surgical procedures for the nose and throat can be a beneficial alternative.  Surgical therapy can also be effective when used as an adjunct to improve tolerance and success with CPAP or an oral appliance

Surgical Treatments

Nose

ncreased nasal congestion has been shown to cause or contribute to snoring, disrupted sleep, and even sleep apnea. It is also a leading cause of failure of medical treatments for OSA, such as CPAP or an oral appliance. Nasal obstruction may result from many causes including allergies, polyps, deviated septum, enlarged adenoids, and enlarged turbinates.
Medical treatment options, such as a nasal steroid spray or allergy management, may be helpful in some patients. Structural problems, such as a deviated septum, often benefit from surgical treatment. One surgical option, known as radiofrequency turbinate reduction (RFTR), can be performed in the office under local anesthesia. RFTR uses radiofrequency to shrink swollen tissues in each side of the nose.

Upper throat (palate, tonsils, uvula)


In many patients with OSA, airway narrowing and collapse occurs in the area of the soft palate (back part of the roof of the mouth), tonsils, and uvula.  The specific type and combination of procedures that are indicated depend on each individual’s unique anatomy and pattern of collapse.  Therefore the procedure selection and surgical plan must be customized to each patient.  In general, these procedures aim to enlarge and stabilize the airway in the upper portion of the throat.

The tonsils and adenoids may be the sole cause of snoring and sleep apnea in some patients, particularly children.  In children, and in select adults, with OSA and enlarged tonsils/adenoids, tonsillectomy/adenoidectomy alone can provide excellent resolution of snoring, sleep apnea, and associated symptoms.

What should I know before considering surgery?

Surgery is an effective and safe treatment option for many patients with snoring and sleep apnea, particularly those who are unable to use or tolerate CPAP.  Proper patient and procedure selection is critical to successful surgical management of obstructive sleep apnea. Make an appointment to see one of the Ear, Nose, and Throat specialists at E.N.T. Surgical Associates for a complete evaluation and to learn what treatment may be best for you.

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