Surgical Therapy For Obstructive Sleep Apnea Syndrome

By | December 10, 2017

daVinci Sleep Apnea Treatment Middlesex

(upbeat music) Hi, I'm Mark D'Agostinofrom Southern New England Ear, Nose and ThroatGroup, affiliated with Middlesex Centerfor Advanced Surgery. I'm part of the otolaryngology section of surgery here at Middlesex . We perform various typesof head and neck surgery, surgery for head and neck cancer,

including sinus surgery, thyroid,salivary gland surgeries, ear surgery, throat and procedures for obstructive sleep apnea syndrome. When we see a patient in the office who we suspect may haveobstructive sleep apnea, the first thing we'll do is we'll send them for a sleep study. Sleep study is an overnight study

that's performed in a lab. Sometimes it can beperformed at home as well. Many parameters are measuredthroughout the evening, including the patient's oxygenation, their body position, the different stages ofsleep that they're in, air flow and attemptsat respiration as well. We'll see the patient back in the office

after the sleep study, and we'll be able to go over these results with them. Once obstructive sleepapnea syndrome is diagnosed, now we proceed with treatment. There's various treatmentoptions for sleep apnea. The primary treatment, andprobably the best treatment, is what's called CPAP. That stands for continuouspositive airway pressure.

CPAP involves the patient wearing a mask. The mask may cover thenose, or the nose and mouth, or it may just be prongsthat go into the nose. The mask is attached to a hose and then a small machine. When the patient attemptsto breath at night, the machine will kick on, and it blows air into the upper airway

keeping it from collapsing. It's not oxygen, it'sjust a positive pressure, a pneumatic splint, thatkeeps the airway open. Patients that can tolerate the CPAP usually feel much better inthe morning and their sleep apnea is, for all intentsand purposes, treated. Another treatment option for sleep apnea is the use of what's calleda mandibular repositioning

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