Strange News Stories

Thursday, October 15th, 2009

Sleep Apnea Surgery Good Option to Provide Sweet Dreams Sleep for Some Patients

Sleep apnea is the most common sleep disease, and for those who suffer from it a good night’s sleep can be hard to come by.

The condition causes the tissues in the back of throat to close periodically during the course of the night, resulting in a short stoppage of breathing. Most patients who are diagnosed with the condition are prescribed a CPAP (continuous positive airway pressure) machine to counteract the effects of the disease by forcing air through the throat tissues via a facemask.

Although the CPAP machine is quite effective it is also somewhat cumbersome, and many sleep apnea sufferers complain that their sleep is still continually disturbed, as the facemask is discomforting to them. Many remove the mask after just a few hours of use, as they are so annoyed by it.

Now however a newer surgical technique is providing relief on a more permanent basis, and according to research recently conducted by scientists at the Oregon Health & Science University and the Mayo Clinic it has very successful in certain sleep apnea patients.

The procedure, which is called a uvopalatopharyngoplasty , consists of a tonsillectomy followed by minor alterations to the palate and uvula. All of this is designed to reduce tissue constriction during sleep.

However, the researchers found that some people were helped more by undergoing the surgery than others. By observing 63 post surgical patients at the Mayo Clinic for a number of weeks they found that younger patients with a BMI (body mass index) in the normal to mildly obese range were more likely to gain positive benefits from undergoing the procedure.

The number of breathing disturbances that a patient experienced on average prior to surgery also seemed to impact the usefulness of surgery. From their observations they were able to determine that those with a 30-35 episode score on the apnea-hypopnea (AHI) index, which is a measurement made during the course of the typical sleep study, reaped the greatest benefits from the surgery.

Ultimately, this could set a great many patients free from their CPAP machines and finally give them what many crave the most – a peaceful night’s sleep. Says Akram Khan, M.D., an assistant professor of critical care and pulmonary in the OHSU School of Medicine and one of the study’s co authors “We believe that for a certain segment of sleep apnea patients, this research demonstrates that surgery is a viable alternative to CPAP,” added Khan. This is important information for physicians as they discuss possible sleep apnea therapies with their patients.”

8 Responses to “Sleep Apnea Surgery Good Option to Provide Sweet Dreams Sleep for Some Patients”

Sue Baker Says:

I have had my uvula removed (lasered/burned away over 5 visits which was sooo painful)..I’ve had 3 sleep studies – I am a 12. I have lost weight (I’m 57…now all this was
done in my 40’s). I finally stopped using the machine as it
was driving me crazy at night…I got to the point my sleep
was worse with it). I am 5 feet tall and weight about l35.
I don’t know if Medicare will help cover this surgery…what
I want to know is this something that might help me?

Ken Dole Says:

This doesn’t work so well with old farts. I had everything you mentioned plus drilling a hole in my jaw and pulling my tongue muscle through it for a tie-off. Cpap becomes useful when one becomes used to it, which can take a LONG TIME.

norma jordan Says:

i thank that a operation like that is worth a try.sounds good to me let me no when every can try it.

Mari Hay Says:

I had the pillar procedure done. My snoring has gone down but not much.

German Says:

I had UVPP surgery, I’m male, 62 and very much on the obese side (weigh 230 lbs and 5′7″). I can’t tolerate the mask (any kind) I think it may be claustrophobia. Tried the oral implant (snore somethinng) and I thought it was OK, but I keep disassembling at night. The final step I believe it may psychiatriscs or hypnotysm…
For what is worth. Good luck to you all. I hear so much about this, that I really wonder: have you ever heard of somebody dying in their sleep because of sleep aepnea (unless they were driving and fell asleep at the wheel).

Rebecca Says:

I work in sleep medicine. I have seen so many people who have had the UPPP done. This procedure works very rarely and even if it works, the resulting scar tissue can cause apnea as well. Although it may take some a long time to get used to/comfortable with CPAP, it is the most effective least invasive treatment for sleep apnea.

De'Anna West Says:

I have sleep apnea, and I use a CPAP machine. It has literally been saving my life! I was so bad that my immune system was non-existant, and my muscles in my body constantly cramped. I was sick all the time. I have thought about the surgery, but I remember what it was like to have my tonsils out at 15, and it was bad then! I am not sure I want to go through something like that, although, at the same time, I HATE being tied to a machine! I use it every time I sleep, anytime I am laying down. I have to! I don’t want my body getting back to the place it was just 7 months ago. Use your CPAP no matter how annoying it is…you will get used to it eventually!

GEORGE OREMLAND Says:

uvopalatopharyngoplasty WAS RECENTLY DONE ON MY WIFE, ALONG WITH REMOVING NASAL BONES [THEY CURVED UP INSTEAD OF DOWN] AND THE RESULT WAS WONDERFUL. SHE HAS MINIMAL [VERY LIGHT] OR NO SNORING. DONE BY DR. LEE IN JUPITER FLORIDA.

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