during deep phase of sleep muscles which keep upper air passages open relaxes
causes to reduce the diameter of airways causing to suck more inwards
resultong in block of airway inpresence of breathing effort
Snoring- loud , irregular , breaks in pattern
Increased sleepiness, increased tiredness
Memory loss, irritability,loss of libido
CPAP, BIPAP , mouth piece - does not cure
weight reduction and surgery can cure
sleep study- will give the type and severety of sleep apnoea
Sleep endoscopy-DISE- identify areas causing obsruction
Dynamic MRI is also useful
lifestyle modification
Medical to relieve nasal block and gastric reflux
mandibular advancement devices-custum made
Surgery to relive obstruction
address static blocks like nose block and enlarged adenoids and tonsil
palatal surgeries like palatoplasty/ expansion palatopharyngoplasty/ zeta
tongue base shrinking or coblation surgeries
Epiglottopexy -moving forward of epiglottis to relive obstruction
Mandibular and maxialls advancement procedure -MMA
Some patients with BMI>40 are treated by Bariatric surgery
in children Adenoidectomy and tonsil surgery may be performed