Houston Plastic and Craniofacial Surgery 1-713-791-0700
Surgical Procedures to Treat Obstructive
Sleep Apnea Obstructive sleep apnea (OSA) is a sleep disorder characterized by complete or partial obstruction in the upper airway during sleep. bstruction in the upper airway may happen due to collapse of e!cess soft tissue in the soft palate" tonsillar pillars" tongue" tongue base" and hypopharyngeal walls" temporarily bloc#ing the inflow of air. People under any age group can de$elop %& and its symptoms include habitual snoring" labored breathing" obser$ed apneas" restless sleep" and daytime neurobeha$ioral problems. ften" the patient is not the first one to recognize the signs. & person who obser$es the patient at rest may be the first one to notice the problem. Treatment Options for Obstructive Sleep Apnea nce %& is diagnosed" the plastic surgeon will perform a physical e!am and e$aluate the medical and sleep history of the patient to determine the most suitable treatment method. 'ere are the different approaches to treat the condition( Tracheotomy )n this surgical procedure" the plastic surgeon creates a permanent opening or hole in the nec# to the windpipe *trachea+. & tube is inserted into the windpipe to let air in. ,he opening allows the effecti$e mo$ement of air" without touching upper airway" bypassing the upper throat" tongue" mouth" and nasal passages. Houston Plastic and Craniofacial Surgery 1-713-791-0700 ,racheotomy is suitable to treat obstructi$e sleep apnea as the condition occurs due to collapses in the upper airway" leading to repetiti$e pauses in breathing. ,his issue can be greatly impro$ed by remo$ing the resistance of the upper airway. Tonsillectomy -nlarged tonsils and adenoids are the usual reasons for obstructi$e sleep apnea in children. ,onsillectomy in$ol$es the remo$al of adenoids and tonsils that cause bloc#ages in the child.s air passage" thereby helping to resolve sleep-related breathing disorder. !vulopalatopharyngoplasty (!PPP)( ,his procedure is used in cases when %& is caused by an enlarged tongue. -!cess tissues in the throat are remo$ed to ma#e the airway wider" allowing air to mo$e more easily through the throat when the patient breathes. ,he u$ula *soft finger-shaped tissue that hangs down from the bac# of the roof of the mouth into the throat+" a portion of soft palate" tonsils" or adenoids are considered for remo$al" to ma#e the airway wider. "enioglossus advancement( )n this procedure" the muscles of the tongue base are ad$anced forward on a small piece of bone attached to the mandible. ,his places tension on the tongue musculature" restricting the posterior displacement during sleep. Hyoid myotomy( 'yoid myotomy is not usually performed as a standalone procedure but combined with other procedures to enlarge a portion of the airway. )n this Houston Plastic and Craniofacial Surgery 1-713-791-0700 case also" the muscles of the tongue base are ad$anced forward causing the tongue base to pull away from the bac# of the throat" thus enlarging the airway. #a$illomandibular advancement (##A)( )n //&" the bones of both the upper and lower 0aw are cut and ad$anced forward. ,he procedure not only physically enlarges the airway but also puts the muscles of the airway under constant tension to pre$ent airway collapse. )t can be effecti$e for treating sleep apnea as well as other conditions such as high blood pressure" daytime sleepiness" depression" or concentration impairment. %istraction osteogenesis( 1istraction osteogenesis is usually used for correcting %& in children. )n adults" it is used to a$oid scarring from prior surgeries and se$ere bony abnormalities which were pre$iously uncorrectable. 'ere" the distraction of lower bone is done by stretching it to create a larger and more anatomically normal bony shape. 'ouston in ,e!as has se$eral plastic surgeons that pro$ide treatment for %&. Choosing an e!perienced board- certified surgeon in an &&&&%2-accredited surgical center pro$iding sleep apnea treatment would ensure an optimal solution.
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