Obstructive Sleep Apnea, Sleep Disorders & Snoring Treatment

Sleep Treatment to Cure Your Sleep Apnea In Washington D.C.

Sleep disordered breathing is an umbrella diagnosis which includes individuals with snoring and sleep apnea.  Almost all individuals who have sleep apnea, also have very loud snoring.  Conversely, if one snores, it does not necessarily mean that there is apnea also.  One can have a suspicion that apnea may be an issue.  Spouses and family members frequently are the first to suspect a sleep disorder.  However, patients are almost never aware of their snoring or apnea.  The only way to definitively diagnose sleep apnea is with a sleep study.

Sleep Apnea and Snoring Treatments

  • Weight loss
  • Positional sleep therapy
  • Mandibular advancement device: an oral appliance which prevents the jaw from falling backwards during sleep.
  • Injection snoreplasty: a technique to stiffen the soft palate by injecting a sclerosing solution into the soft palate.
  • Palate pillar procedure: a technique to stiffen the soft palate with a synthetic wick placed into the soft palate under local anesthesia.
  • Addressing other anatomical areas which might contribute to snoring including nasal obstruction (deviated septum, turbinate enlargement or nasal polyps) and tongue base obstruction. For tongue base obstructive anatomy, we would consider a mandibular advancement device or the radiofrequency ablation procedure.

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Treatment Options to Cure Your Sleep Apnea

There are a number of options to address your sleep apnea and sleep issues.

Deciding on the best option involves an evaluation by one of our board-certified physicians. The cause and site of airway obstruction is determined by examining the upper aerodigestive tract, the entire upper airway including the nasal cavity, throat and voice box regions. Based on a complete evaluation and examination, a treatment recommendation is made. Treatment option may include the following:

Radiofrequency Ablation (RFA)

No CPAP and No Surgery

RFA is a non-surgical treatment option for patients who cannot tolerate CPAP and for whom surgery may not be an option. RFA treats the back of the tongue where the   obstruction is occurring.

Lifestyle Changes
Addressing diet, exercise and sleep hygiene habits are interventions directly under your control.
CPAP
The continuous positive airway pressure mask is the first-line treatment recommended for sleep apnea
Tonsillectomy
If there are enlarged tonsils contributing to airway obstruction, tonsillectomy may be indicated

Uvulopalatopharyngoplasty (UPPP)
This is a surgical procedure in which removing redundant and excessive tissue in the back of the throat and soft palate may be recommended; this is frequently done with a tonsillectomy.
Nasal Obstruction Correction
Correcting nasal obstructive anatomy can improve sleep apnea in selected individuals. Learn more Here.
Mandibular Advancement Device
This is a dental appliance which fits over the teeth, similar to a dental guard, which prevents the jaw from falling backwards, and can be a useful option for some individuals.
Maxillary-Mandibular Advancement
A surgical procedure to advance the mandible (jaw bone) and maxilla to open the posterior airway. (back of the throat)
Trans Oral Robotic Surgery (TORS)
A surgical procedure to remove excessive and redundant tongue tissue, performed under anesthesia in selected individuals.

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