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Obstructive Sleep Apnea – What are the Different Surgery Options?

Houston Plastic and Craniofacial Surgery


http://www.hpcsurgery.com/ OSA or obstructive sleep apnea is a sleep disorder in which the occasional relaxation of throat muscles during sleep causes blockage of the airway while sleeping. This can be a real concern for people with this condition, and it is important that it is treated as early as possible. A craniofacial and sleep surgeon should be consulted to learn about the various treatment options for this disorder. Common symptoms of obstructive sleep apnea are:  Excessive irritability and snoring  Untimely and irregular daytime tiredness and sleepiness  Interruption of breathing during sleep owing to blockage of upper airway  Sudden awakening with sore throat and dry mouth  Morning headache, high blood pressure and depression  Ups and downs in the overall weight of the body  Difficulty concentrating on work as well as poor memory

Diagnosis of Obstructive Sleep Apnea A polysomnogram or sleep study is done to evaluate how severe the condition is. Usually the nasal CPAP machine is the first and common step of the treatment. Since many patients find it problematic to adjust to the device, it is practical and beneficial to opt for surgical treatment.

What Are the Surgical Treatments for OSA? Appropriate treatment for sleep apnea is chosen on the basis of the anatomy of the patient and how severe the disease is. Some common surgical treatments for OSA include:  Tracheostomy In this type of surgery, the surgeon makes a hole in the lower neck that enables access till the windpipe. He places a tube through this for providing an airway.  Tonsillectomy The air passage is blocked owing to enlargement of adenoids and tonsils. Hence, in OSA treatment, it is recommended that it is removed.  Uvulopalatopharyngoplasty In this treatment, the soft tissue of the palate and uvula are removed for rectifying abnormalities of the airway. However, similar conditions are likely to reappear even after surgery.  Hyoid Myotomy The tongue muscles are attached to a horseshoe shaped bone in the neck called the hyoid. The airway space behind the tongue can be stabilized by pulling the hyoid


http://www.hpcsurgery.com/ bone forward in front of the voice box. This is a procedure that can be done along with the genioglossus tongue advancements or as a standalone procedure.  Genioglossus advancement The primary muscle of the tongue, the genioglossus is attached to a small bony projection on the interior of the lower jaw. Genioglossus advancement involves moving this small projection forward and repositioning the tongue attachment so that the airway remains clear during sleep.  Maxillomandibular advancement This treatment is effective for severe and mild OSA. The surgeon cuts the bones of the lower and upper jaw and replaces them frontward for easy passage of air.  Distraction osteogenesis This treatment benefits toddlers and young children who have severe skeletal abnormalities that cause airway obstruction. In this, surgical incisions are made in the lower jawbone and devices placed over these incisions slowly stretch the bones to bring about a larger and more anatomically normal bony shape. Children undergoing this procedure can avoid a tracheostomy and related complications. For efficient treatment of OSA, approach a plastic surgeon who is trained and experienced in providing sleep apnea treatment. It is best to choose a plastic surgery facility that has received accreditation from the AAASF to ensure safe and quality treatment.

About Houston Plastic and Craniofacial Surgery Houston Plastic and Craniofacial Surgery is an established surgical center based in Houston, Texas, offering effective cosmetic and reconstructive procedures. For more details, visit www.hpcsurgery.com.

Contact Information 6400 Fannin, Suite 2290 Houston, TX 77030 Ph: 713-791-0700 Fax: 713-719-0703


Obstructive sleep apnea what are the different surgery options