Snoring is a common health condition and although it occurs more frequently in men and people who are overweight it can affect anyone at any age. It may be caused by multiple factors, including
* excessive and poor muscle tone of the throat tissues
* longer soft pallet and uvula
* blocked nasal passages and/or nose and
* nasal septum deformities
It has also a tendency to worsen with age.
Forty-five percent of adults snore occasionally, while 25% are considered habitual snorers. Those people suffering from occasional or mild snoring may be helped by self-help home treatment such as
* healthier lifestyle that includes exercise and a correct diet program
* loss of excess weight
* avoiding alcohol and certain medications such as tranquilizers
* avoiding heavy meals especially before bed time
* sleeping on your side rather than on your back and
* increasing the tilt of your bed head by 10 or 15cm
Heavy or chronic snoring may require medical care and it is best to take a multidisciplinary approach for the correct evaluation of your snoring problem. Treatment options have included everything from herbal remedies to dental devices to surgery. Snoring and obstructive sleep apnea occurs when there’s a partial collapse of the airway and from vibrations, usually of the soft palate. However, there is great difference between the two: Obstructive Sleep Apnea (OSA) is clearly a health condition correlated with medical illnesses, such as heart problems, strokes and an increased risk of sudden death, while snoring is not. Snoring is considered a social problem (although it may have significant partner-relationship consequences). It’s estimated that one in five Americans suffer from habitual snoring. A sleep test may be necessary to differentiate between the two.
A large number of procedures have undergone evaluation for the treatment of snoring, including Dental mouthpieces laser assisted uvulopalatopharyngoplasty, radiofrequency treatment to the soft palate, injection snoreplasty palatal implants and more.
Dental mouthpieces or mandibular advancement splints (usually for mild sleep apnea problems) this procedure has been effective for many snorers. They are usually small plastic devices worn in the mouth during sleep to prevent the soft throat tissues from collapsing and obstructing the airway. The device brings your lower jaw forward and lifting your soft palate. Your dentist will usually fit these special appliances to meet your individual needs.
CPAP (Continuous Positive Airway Pressure). A patient may be fitted with a nasal mask which forces air through the upper airway. The air pressure is adjusted so that it is just enough to prevent the upper airway tissues from collapsing during sleep. The pressure is constant and continuous. This should help the person breathe better and sleep through the night. CPAP treatment has been found to be nearly 100 percent effective in eliminating sleep apnea and snoring when used correctly and will eliminate the necessity of a surgical procedure.
Injection snoreplasty. is a nonsurgical treatment for snoring that involves the injection of a hardening agent into the upper palate. Injection snoreplasty is performed on an outpatient basis under local anesthesia.
Laser surgery. It is an outpatient medical procedure for occasional or light snoring and it is called laser-assisted uvulopalatoplasty (LAUP). Your doctor uses a small hand-held laser beam to shorten the soft palate and remove your uvula. Removing excess tissue enlarges your airway and reduces vibration. You may need up to six treatments to get snoring under control.
Palatal implants. This is the latest medical procedure of treating habitual snoring and obstructive sleep apnea. PET implants (polyethylene terephthalate), is a procedure that introduces implants, made by a braided material, with a special needle into three points on the soft palate muscle - the center and one on each side to stiffen the tissues and reduce vibration. Scarring produced by the implants serves to stiffen further the palatial tissue. The procedure is a safe and effective method for treating habitual snoring.
Radio frequency tissue ablation (somnoplasty or RFTA). This is another type of surgery that doctors use with the help of a low-intensity radio frequency to remove part of the soft palate to reduce snoring. It’s an outpatient procedure performed using local anesthesia. It is performed to minimize the uvula.
Minimally invasive surgery. It may include operations on the nose, soft palate and uvula, tongue and neck. These operations are directed at the possible sites of obstruction in an effort to do the minimal surgery necessary to correct the sleep/snoring problem.
Genioglossus and hyoid advancement (GAHM). This is a surgical treatment for sleep apnea. In this procedure the genial tubercle, which serves as the anterior attachment of the tongue, and the hyoid bone are advanced following a limited mandibular osteotomy. The hyoid is fixed to the anterior margin of the mandible or, in a more recent modification, fixed to the thyroid cartilage which prevents the collapse of the lower throat by pulling the tongue forward.
Septoplasty and turbinate surgery: This is a surgical treatment to reduce the resistance to the flow of air through the nose. To r educes the size of the inferior turbinate and/or correct a deviated septum.
Tonsillectomy: a surgical procedure removing the tonsils and adenoids may be needed to prevent snoring, particularly in children. Enlarged tonsils are causing loud snoring, upper airway obstruction, and other sleep disorders.
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