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Sleep Apnea Surgery: When Nothing Else Works

Sleep apnea surgery is the treatment of last resort for people with severe obstructive sleep apnea (OSA) or sleep disorders who have not found relief from other sleep apnea treatments. When it comes to surgery for sleep apnea, information is key.

In OSA, the airways become obstructed and cause the person to skip breaths and gasp for air. If methods such as lifestyle changes, CPAP machines, and oral appliance therapy are not successful in treating sleep apnea, then sleep apnea physicians may recommend sleep apnea surgery.

There are many parts of the airway (the breathing tubes) that can be obstructed. For sleep apnea surgery to be successful, the sleep apnea dentist or sleep apnea physician must identify and treat all areas with obstructions. For some patients, this may require more than one surgical procedure.

Here is an overview of the different types of sleep apnea surgery:

Maxillomandibular Advancement: This is a type of orthognathic surgery that moves the jaw forward (the same principle behind sleep apnea oral appliance therapy). Also known as bimaxillary advancement (Bi-Max) or maxillomandibular osteotomy (MMO), it's often accompanied by tongue surgery.

Tracheotomy: This is a procedure in which a sleep apnea surgeon creates a new "breathing hole" in the throat. Patients breathe and speak normally during the day, but at night they breathe through the tracheotomy tube in their windpipe. It's a dramatic procedure, but one that's certain to provide relief.

Uvulopalatopharyngoplasty: Known as a UPPP or UP3, this is a procedure in which soft tissue is surgically removed from the back of the mouth and throat. The tonsils and uvula are removed, leaving the patient with a "bigger" throat that makes breathing easier. Laser-assisted UP (LAUP) uses a laser to provide similar results. Unfortunately, these procedures are not always successful.

Tongue Reduction: Reducing the size of the tongue can leave more space in the throat and airway. This may be a surgical glossectomy or somnoplasty.

Tongue Advancement: Surgery that pulls the tongue and its muscles toward the front of the mouth. Known as genioglossus and hyoid advancement (GGA), this procedure leaves more space for breathing in the back of the mouth and throat. It is most often done in conjunction with other treatment or surgery.

Tonsillectomy and adenoidectomy: This surgery removes the tonsils and adenoids, making more space in the throat for breathing. It is especially useful in treating children's sleep apnea.

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.

Sleep Disorders: Had Enough of Snoring and Feeling Tired?

Sleep disorders are not a normal part of life. While everyone has trouble sleeping sometimes, it should not be a nightly battle. Fortunately, sleep medicine offers some restful solutions.

Some of the most common sleep disorders include obstructive sleep apnea, insomnia, bruxism (grinding your teeth), sleepwalking, and restless leg syndrome. To diagnose the sleeping problem, a sleep doctor will sometimes have the patient come to a sleep center for an overnight sleep study.

But diagnosing sleep apnea can sometimes be straightforward. If your husband or wife tells you that you snore and skip breaths at night, then you almost certainly have sleep apnea. (Not everyone who snores has sleep apnea, but almost everyone with sleep apnea snores.)

Other symptoms of sleep apnea include daytime fatigue, because breathing-disordered sleep is not as restful. But whether a sleep partner diagnoses your sleep apnea or your fatigue sends you to see your dentist or physician, you'll improve your health by seeking sleep apnea treatment.

Sleep apnea treatment can make your sleep more restful, leaving you less tired an in a better mood during the day. Plus, if you stop snoring, maybe your husband or wife will sleep better too!

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.