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Sleep Apnea: What is it and can it be cured?

Sleep disorders 'down to people being too busy'

In this article The Private Clinic discusses some of the main causes of sleep apnea and describes some common surgical and non-surgical treatments.

 

Sleep Apnea is a sleep disorder which causes sufferers to stop breathing or to have abnormally low breathing for brief periods of time during sleep. The pause in breathing is known as an ‘Apnea’.

 

It is common with those that suffer from Sleep Apnea, to have no idea that they have the condition. In fact it is usually first noticed by others observing the sufferer sleeping.


 

What are the different forms of Sleep Apnea?

There are three types of sleep apnea:

 

Central Sleep Apnea (CSA)

This is where a lack of respiratory effort results in interrupted breathing during sleep. The brain does not send the right signals to breathe to the muscles that relate to our breathing.

 

CSA is most commonly found in adults with heart disease, cerebrovascular diseases or congenital diseases. Some medications can cause CSA, as can high altitudes.

 

In adults with CSA, the apneas are usually resolved by treating the underlying heart disease, medication interaction, high altitude, or other primary problem.

 

Obstructive Sleep Apnea (OSA)

The most common type of sleep disordered breathing. This is where, despite respiratory effort, a physical block to airflow causes interrupted breathing during sleep.

 

Symptoms of OSA  include loud snoring, restless sleep, and sleepiness during the daytime.

 

It is estimated that only 10% of people that suffer from OSA seek medical help. A worrying statistic as OSA causes high blood pressure and sufferers have a 30% higher risk of heart attack.

 

Mixed Sleep Apnea

This is typically a mix of both Central Sleep Apnea and Obstructive Sleep Apnea.


What are the non-surgical treatments for Obstructive Sleep Apnea?

Some treatments involve lifestyle changes, such as avoiding alcohol or muscle relaxants, losing weight, quitting smoking or changing sleeping position.

Continuous Positive Airway Pressure (CPAP) 

CPAP, is the use of continuous positive airway pressure to deliver continuous airway pressure, through a nasal or face-mask. When the CPAP is adjusted properly and tolerated, this method is nearly 100% effective in eliminating or reducing OSA.

 

Unfortunately, reports suggest that only 60% of people with CPAP machines, use them and only 45% of them actually use them for longer than 4 hours per night. 

 

Dental Appliance

In some instances a dental appliance can be used to prevent OSA. A dental appliance will hold a jaw in place, keep the tongue forward and hold the palate up, thus preventing closure of the airway. This small increase in airway size sometimes is enough to control OSA. 


What are the surgical treatments for Obstructive Sleep Apnea?

There are a number of surgical options to treat OSA. The type of surgery that is suggested will be based around an individual’s specific anatomy and the severity of the sleep apnea.

 

At The Private Clinic, they offer free sleep apnea consultations during which their expert doctors will perform a medical assessment to establish whether or not you may be suffering from sleep apnea and to understand the severity of your condition.

 

The treatments currently offered at The Private Clinic are as follows:

 

Laser Assisted Uvulopalatoplasty (LAUP)

LAUP is a simple procedure performed under local anaesthetic to target the excess vibration of the soft palate and uvula (the stalactite of flesh at the back of the throat).

 

During the procedure, the patient sits in a chair whilst the ENT Surgeon uses a laser to remodel the excess vibrating soft tissue at the back of the throat.

 

It is a popular procedure in the UK, to date over 20,000 procedures have been performed.

 

Bipolar Radiofrequency Thermotherapy (RFITT)

BFITT is a radio frequency treatment, which tightens the muscle within the soft palate causing less vibration during sleep.

 

The procedure involves numbing the back of the throat with a local anaesthetic and targeting it with a slim pen that emits a high frequency. The heat causes the muscle to tighten – which it continues to do so in the weeks following treatment, with the maximum benefit being achieved after six months.

 

Unblocking the nose

In some cases the nasal cavity can be obstructed by swelling of the turbinates and septal deviation, causing snoring.

 

To unblock the nose, we use a minimally invasive procedure to reduce enlarged fleshy ridges or ‘turbinates’ at the entrance of the sinuses or to correct a deviated septum (a buckled partition between the two nostrils). A nasal obstruction makes CPAP difficult if not impossible to tolerate. Surgery to open the nasal passages markedly improves tolerance to CPAP.

 

To find out more information about Sleep Apnea, visit the Private Clinic website.

The Private Clinic of Harley Street

About The Private Clinic

The Private Clinic of Harley Street has clinics in London - Harley StreetLondon - KnightsbridgeLondon - CityBirminghamBristol, LeedsManchester and Glasgow


For almost 30 years they have provided the latest technologies and the most successful sleep problems and snoring treatment available.