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    Old 12-26-2003, 11:52 AM   #1
    Rich / In2Bass
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    Sleep Apnea

    Iíll try to keep this short. I was recently diagnosed with sleep apnea. I tried the CPAP mask but I can not tolerate it. I went to my ENT and he said Iím a perfect candidate for tongue based reduction using Radio Frequency, shrinking the uvula, etc. Iím 45 and not overweigh (5í7Ē & 150 lbs.).

    Has anyone gone through this procedure?? Iím supposed to have this procedure done in about 30 days from today. Iím nervous as hell to have this done but Iím always tired and Iím worrying about health issues down the road if I donít take care of this.

    Appreciate any advice.

    Thank you.

     
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    Old 01-16-2004, 09:02 AM   #2
    llovell67
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    Re: Sleep Apnea

    I knew someone who had that done years ago and it totally helped him! No more (well very minimum at least) snoring and the sleep apnea has disappeared. I'm sure it is different for everyone, but it sure changed his (and his wife's!) life.

    Good luck!

     
    Old 01-18-2004, 09:22 PM   #3
    Danielw
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    Re: Sleep Apnea

    I have awaken in the middle of the night unable to breath for almost a minute. It was like I was choking. Finally, I was able to get some air through. I awoke in a panic. It has happened twice in the past couple years or so. It only happens within an hour of falling asleep. It also happens when I am very very tired.

    Here is some information I saw on Iwon today. I have started using the non-drowsy antihistamine. I have slept pretty good the past two nights.

    SATURDAY, Jan. 17 (HealthDayNews) -- Having trouble getting a good night's sleep? Are you rattling your spouse out of bed when you snore?

    If so, those restless nights may be a sign of a sinus problem.

    "It's more common than you think," says Dr. Keith Jay Wahl, an ear, nose and throat specialist and cosmetic surgeon in private practice in La Jolla, Calif.

    Wahl sees a number of patients with snoring and sleep problems that he traces back to an underlying sinus condition.

    Some patients come in with no obvious symptoms of a sinus disorder, such as thick mucus discharge or headache. If there's good reason to suspect sinus trouble, Wahl will order a CT scan. "And lo and behold, I'll pick up a lot of people who had a lot of underlying malady on X-ray," he says.

    If you're snoring or unable to sleep soundly, an undiagnosed case of sinusitis may be the culprit, explains Wahl, who is also a clinical attending physician at the University of California, San Diego.

    An estimated 37 million Americans each year suffer from sinusitis, an inflammation or infection of the sinus cavities that prevents mucus from draining properly. The blockage can cause headache; pain and pressure in the forehead, jaw, cheeks and teeth; swelling of the eyelids and tissues around the eyes; a loss of smell; and a stuffy nose. It can even cause earaches, neck pain and deep aching at the top of the head, according to the National Institute of Allergy and Infectious Diseases.

    Other nasal obstructions that can contribute to so-called "sleep-disordered breathing" include allergic rhinitis, commonly known as hay fever, and polyps, which are small growths of inflamed mucus membrane.

    Nearly 36 million people in the United States suffer from seasonal allergic rhinitis, the American Academy of Allergy, Asthma and Immunology says.

    Nasal polyps are more common in people who have asthma or chronic sinus infections, experts say, although the exact cause of these protrusions is unknown.

    It stands to reason that people who have sinus problems are sometimes sleep-deprived. Any airway obstruction can impede restful sleep.

    "Patients who do have nasal obstruction are more likely to breathe through the mouth, for example," says Dr. Jerry Schreibstein, president of the Massachusetts Society of Otolaryngology-Head and Neck Surgery.

    Researchers use the term "sleep-disordered breathing" to describe a group of disorders involving pauses in breathing or poor ventilation during sleep. The most common of these is sleep apnea, a potentially serious condition marked by intermittent periods during which a person's breathing actually stops or becomes very shallow due to a partial or complete closing of the upper airway. People with hay fever or allergies are more prone to experience sleep apnea.

    An estimated 50 million to 70 million Americans have a sleep problem, says Dr. Carl Hunt, director of the National Heart, Lung, and Blood Institute's National Center on Sleep Disorders Research. They include people with allergies, allergic rhinitis or sinusitis, he says.

    "Anybody who snores has some degree of narrowing of their upper airways during sleep," Hunt says. But it doesn't always mean a medical problem exists, he adds.

    A simple sinus infection that's keeping you from getting the shuteye your body requires, for example, "would be considered a sleep problem, but it would not be classified as a sleep disorder," he explains.

    Patients should consult their primary-care physician to determine whether an airway obstruction exists, Hunt says.

    The type of treatment a patient receives depends on the problem, its cause and severity. Someone diagnosed with acute sinusitis, for instance, might get a prescription for an antibiotic to wipe out the infection and a decongestant to reduce congestion. Chronic sinusitis is often more difficult to treat and may require stronger oral antibiotics or intranasal nebulized treatments. If these fail or patients have underlying physiological conditions, surgery may be necessary.

    Allergic rhinitis may be treated with medication or allergy shots. Surgery may be recommended to remove nasal polyps.

    If those causes are ruled out, a patient with excessive daytime sleepiness or snoring that is interfering with a bed partner's sleep may be referred to a sleep specialist.

    Rest assured that with appropriate treatment, you could be on your way to better slumber.

    More information

     
    Old 01-23-2004, 09:58 AM   #4
    DEBBIEANN
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    Re: Sleep Apnea

    Quote:
    Originally Posted by Rich / In2Bass
    Iíll try to keep this short. I was recently diagnosed with sleep apnea. I tried the CPAP mask but I can not tolerate it. I went to my ENT and he said Iím a perfect candidate for tongue based reduction using Radio Frequency, shrinking the uvula, etc. Iím 45 and not overweigh (5í7Ē & 150 lbs.).

    Has anyone gone through this procedure?? Iím supposed to have this procedure done in about 30 days from today. Iím nervous as hell to have this done but Iím always tired and Iím worrying about health issues down the road if I donít take care of this.

    Appreciate any advice.

    Thank you.
    Hi Rich:
    My husband has severe sleep apnea. He had surgery to straighten the wall of his nose, remove his uvula and they opened up the walls of his throat by sewing back the skin. He had this done last February. To date the snoring has almost ceased, however, his sleep apnea remains the same as it was and he always had the problem of keeping the mask on his face and went to using the tubes up the nostrils. The only improvement I have noticed is his snoring being not loud and him not dosing off while he is driving a short distance. He really regrets having his uvula removed due to all the problems with learning to eat and drink again. He said it was the most painful part of the surgery removing the uvula. It stayed sore for a long time. He would not recommend having the uvula removed and we are not sure about having it reduced. We have not heard of that or nor do we know anyone that has had it done. He just recently went in the hospital to have another sleep study performed and was told that his sleep apnea is still very severe and will probably need the same high pressure on his cpap as he had before the surgery. My husband said do some more research and get a few more opinions before having the surgery!!!!!!!

     
    Old 02-09-2004, 09:27 AM   #5
    Rich / In2Bass
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    Re: Sleep Apnea

    Thanks to all for the info.

     
    Old 04-19-2004, 11:30 AM   #6
    Rich / In2Bass
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    Re: Sleep Apnea

    Just a quick note to let everyone know that my surgery (UPPP) went well on March 24th. I was sore for about three weeks but feel great. Snoring is gone and my wife is happy! I still fell a "little" sore but total recovery is about 6 weeks according to my ENT.

     
    Old 05-30-2004, 10:08 AM   #7
    jeh rpsgt
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    Re: Sleep Apnea

    Quote:
    Originally Posted by Rich / In2Bass
    Iíll try to keep this short. I was recently diagnosed with sleep apnea. I tried the CPAP mask but I can not tolerate it. I went to my ENT and he said Iím a perfect candidate for tongue based reduction using Radio Frequency, shrinking the uvula, etc. Iím 45 and not overweigh (5í7Ē & 150 lbs.).

    Has anyone gone through this procedure?? Iím supposed to have this procedure done in about 30 days from today. Iím nervous as hell to have this done but Iím always tired and Iím worrying about health issues down the road if I donít take care of this.

    Appreciate any advice.

    Thank you.
    It might help you. Personally, I've dealt with probably a hundred patients who have had surgery to correct OSA and not a single one completely fixed it. It can stop snoring and sometimes lesson the severity of OSA, but look at what sleep apnea is...surgery does not keep the throat from collapsing! A sleep physician once told me that it only has a 50% success rate. I would say even less though.

     
    Old 05-31-2004, 05:18 AM   #8
    DEBBIEANN
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    Re: Sleep Apnea

    Hi-
    My husband had the UPPP surgery and they removed his uvula and he wishes that he would not have had it removed. He has too many problems while eating and drinking. He has to take alot more time to eat and drink slowly. His snoring is very minimal now and he does not fall asleep behind the wheel like before the surgery. That in itself is such a big improvement, but he still wishes he would not have had the uvual removed. He still cannot tolerate the CPAP machine due to his sinuses. We tried a heater and a humidifier and still no luck with using it. He can use it for about 20 minutes at the longest and his head gets so stuffed up he cannot use it.

     
    Old 05-31-2004, 11:55 PM   #9
    jeh rpsgt
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    Re: Sleep Apnea

    I forgot to mention having those tissues removed can cause or worsen acid reflux.

     
    Old 06-01-2004, 09:29 AM   #10
    DEBBIEANN
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    Re: Sleep Apnea

    Hi-
    My husband is bothered by acid reflux and has to take Nexium for it. Thanks. He just sincerely regrets having the uvula removed.

     
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