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Sleep apnea has long been a nuisance to anyone looking to get a good night’s sleep. Waking up in the middle of the night unable to breathe can have significant consequences down the road, including a higher risk for heart conditions.
Obstructive sleep apnea is due to the collapse of the upper airway during sleep. The primary initial treatment for most adults with sleep apnea is CPAP, but some patients are unable to tolerate using the device due to nasal obstruction.
CPAP, or Continuous Positive Airway Pressure, is a breathing device that provides a steady source of pressurized air to keep the upper airway open and reduce breathing disruptions while asleep. This air is delivered via a mask over a patient’s nose or nose and mouth.
CPAP is highly effective and the first-line treatment for adults with obstructive sleep apnea, particularly in moderate to severe cases. However, nasal obstruction can decrease patient tolerance of CPAP use due to increased feeling of pressure and limited airflow. Nasal obstruction can also affect daytime fatigue and sleep quality.
Nasal obstruction can affect anyone, even if you do not have sleep apnea. It can be a symptom of other conditions, such as:
When addressing chronic nasal obstruction in patients with sleep apnea, it is important to identify the underlying cause of symptoms. Your ENT provider will discuss your clinical history and examine your nose to discuss the next steps. For patients with allergies, treatment typically begins with medical management such as nasal sprays and antihistamines.
Patients with anatomic obstruction such as a septal deviation or enlarged turbinates may be recommended surgery. Nasal surgery for these patients has been shown to improve CPAP compliance, decrease symptoms of daytime fatigue and improve patient reported sleep quality in addition to helping with nasal breathing.
According to Teresa Vos, MD, a CEENTA otolaryngologist who practices at our Belmont and Steele Creek offices, “There are additional considerations for patients with poor CPAP tolerance or incomplete response to CPAP use, depending on the severity of sleep apnea and the patient’s anatomy. Patients with milder sleep apnea may benefit from oral appliance use alone. From a surgical perspective, patients with enlarged tonsils may benefit from tonsillectomy.”
Some patients with moderate to severe sleep apnea are candidates for Inspire therapy. “This procedure,” as Dr. Vos explains, “relies on implanting a small device that provides gentle stimulation to the tongue to keep the airway open.“
Learn more about surgical options for sleep apnea and schedule your consultation with Dr. Teresa Vos in Belmont or Steele Creek today by calling 704-295-3000.
This blog is for informational purposes only. For specific medical questions, please consult your doctor.
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