PROCEDURES | Sleep Apnea

When obstructive sleep apnea occurs, the tongue is sucked against the back of the throat. This blocks the upper airway and air flow stops. When the oxygen level in the brain becomes low enough the sleeper partially awakens, the obstruction in the throat clears and the flow of air starts again, usually with a loud gasp.

People with obstructive sleep apnea (OSA) have disrupted sleep and low blood oxygen levels. OSA has been associated with cardiovascular problems and excessive daytime sleepiness. The condition known as upper airway resistance syndrome (UARS) lies midway between benign snoring and true obstructive sleep apnea. People with UARS suffer many of the symptoms of OSA but normal sleep testing will be negative.

The surgical treatment of OSA is often carried out by Ear Nose and Throat physicians addressing the soft palate and tonsil areas (Uvulopalatopharyngoplasty - UPPP). If the site of obstruction is at the base of the tongue then a combined upper and lower jaw advancement surgery has been found to be 90% effective. Our treatment approach to OSA is multidisciplinary involving neurology and ENT physicians.