Sleep Apnea And Sinus Surgery
Cat scan of Nasal Polyps
Chronic rhinosinusitis may present as a prolonged period in which a patient suffers consistent nasal congestion, facial pain, fatigue and colored nasal discharge.1,2. However, this condition can be associated with additional symptoms, most notably the development of polyps within the nasal sinuses 3. CRS may affect life quality in a number of ways, including disturbing sleep patterns. It may require treatment with the goal of clearing respiratory pathways and restoring normal breathing4. This may include surgery to remove polyps5.
CRS is thought to affect up to 9% of the total population6. This condition is thought to be due to inflammation of the sinuses, which may occur as a result from allergies or from infection by bacteria or viruses. There is also some evidence that suggests CRS may be due to autoimmune factors, or immune system hyperreactivity 7.
Sinus Infections And Sleep Apnea
CRS may also be correlated with other conditions that are associated with sleep disruption and deprivation5. This includes sleep apnea. People who suffer from sleep apnea may experience short, infrequent or even interrupted breathing during sleep, causing them to wake up in order to start normal respiration again. As a result, this condition is also associated with health deficits related to impaired sleep quality5.
Sleep apnea may be related to direct respiratory blockage, in which cases it is known as obstructive sleep apnea . Therefore, CRS, particularly in cases with considerable nasal congestion and/or polyps, may be a source of OSA. This raises the possibility that surgical correction of CRS may have additional benefits for patients that also suffer from OSA.
% Improvement Rate & Thousands Of Happy Patients
Unlike the other OSA treatments, MIPS has 100% of improvement rate and 85% of effectiveness when it comes to using continuous positive airway pressure therapy . This means that if you are currently using a CPAP mask at night, youre 85% likely to get rid of it for good after the procedure. The other 15% of our patients have also shown significant improvement in terms of daily comfort and quality of sleep.
Once the procedure is done, you will probably have a sore throat that will last a week or so. Other than that, patients have reported minimal discomfort. You can return to work within 24 hours without any downtime. As for the results, patients experience improved sleeping and reduced snoring in just 1 week. Your breathing and quality of sleep will continue to drastically improve over the next few weeks.
I just asked Dr. Mandel if he can work on my daughter. I wouldnt put her in anyones hands without having the exceptional experience Ive had with him. This man has changed my life. I couldnt breathe day or night with sleep being impossible.17 minutes of surgery and Im a different man. Thank you Dr Mandel! Charlie Caruso
If you or a loved one has been diagnosed with obstructive sleep apnea syndrome caused by an overextended uvula or an overly-soft palate, and have experienced limited success using the CPAP device, the MIPS procedure might be worth considering.
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Skilled Attorneys With The Experience To Take On Your Case
Based in the heart of Downtown Seattle, Washington, Lee & Lee, PS is ready to serve your legal needs. Our lawyers are well-versed in many legal areas. Co-founding attorney Nelson Lee spent 17 years as the senior deputy prosecutor for King County. In that time, he successfully tried over 100 cases. Co-founding attorney Bethany Mito Lee was a Washington, D.C., litigator for seven years, tackling complex civil, commercial and antitrust cases. Find out what our experienced lawyers can do for you.
We are quick to act. As soon as you contact us, the ball is already starting to roll.
Why Traditional Treatments For Osa Arent Your Best Bet
Dr. Mandels Scientifically-Perfected Procedure Can Cure Loud Snoring, Daytime Sleepiness, And Help You Discard That CPAP Machine Thats Probably As Annoying To You As It Is To Your Partner
Its not that MIPS is the only treatment available for obstructive sleep apnea. There are several medical and surgical options available for managing OSA as well as snoring, including positional therapy, oral appliance therapy, dental sleep medicine, continuous positive airway pressure therapy, and weight loss. The effectiveness of these treatments obviously depends on how long and how consistently you follow your doctors directions.
While CPAP therapy is considered the gold-standard for sleep apnea treatment, unfortunately, more than half of all these patients fail to comply with the doctors instructions because of treatment-related side effects, mask-related problems, perceived lack of benefit, or patient discomfort.
You could skip all these challenges by going the traditional surgery route, but it has a few caveats:
High Risk
Its usually reserved for patients with severe OSA because the risk-benefit ratio increases with the severity of the underlying condition. To put it simply, if in addition to OSA, you also have obesity, diabetes or a heart condition, the traditional surgery option is not safe for you.
Low Success Rate
But dont worry, you have a perfect solution now in the form of MIPS procedure from Dr. Mandel.
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A Quick Refresher: Does Nasal Congestion Cause Sleep Apnea
Before we dive deeper into sinusitis and sleep apnea, lets back up a little and discuss how the two conditions are connected. While the relationship between nasal congestion caused by chronic sinusitis and sleep apnea is still being researched, most ENT doctors agree that the two are linked.
The most understood means by which sinusitis is linked to sleep apnea has to do with a patients anatomy. In fact, patients with a nasal obstruction caused or exacerbated by sinusitis will almost certainly fail a sleep study. Nasal obstructions can cause sleep apnea can interfere with the use of sleep masks.Additionally, anatomical problems such as a deviated septum or nasal polyps create less than ideal conditions within your sinus passageways, which in turn can lead to the occurrence of either chronic sinusitis, sleep apnea, or both.
Note that sleep apnea can be worsened by non-chronic sinusitis related nasal congestion, such as allergies or even a cold. For more information, we recommend reading up on the difference between sinusitis and a cold and making sure you know how to answer the question, What is chronic sinusitis?
How To Cure Snoring And Sleep Apnea
What if we told you that you could get permanent relief from obstructive sleep apnea and snoring issues in just 3 minutes?
If you and your partner are tired of relying on uncomfortable and noisy CPAP machines to manage obstructive sleep apnea , we have got good news for you.
At South Florida Sinus and Allergy Center, our double board certified otolaryngologist and facial plastic and reconstructive surgeon Dr. Lee M. Mandel has developed a groundbreaking in-office procedure called Minimally Invasive Palatial Stiffening for patients who suffer from obstructive sleep apnea. OSA is caused by an over-extended uvula or a soft palate. With Dr. Mandels innovative MIPS technique, you can get rid of this condition for good, without any need for an invasive surgery or cumbersome mechanical devices to manage it lifelong.
Dr. Mandel was featured on the national TV show The Doctors regarding his MIPS procedure that he developed. To say it was spectacular would be an understatement. He did the procedure live and it was flawless.
To know more about MIPS and what makes it a life-changing treatment for obstructive sleep apnea patients, continue reading.
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Dont Let Chronic Sinusitis And Sleep Apnea Ruin Another Nights Sleep
If you think youre having breathing difficulty during the night, or if a partner has said that you wake up choking and gasping, it could be time to consider balloon sinuplasty. Dont ignore potential sinusitis and sleep apnea the complications of sleep apnea and chronic snoring are no laughing matter.
Dr. Bequer, a leading West Palm Beach and Tampa sinus doctor, is one of Floridas premier balloon sinuplasty physicians. Stop sleep apnea in its tracks by calling Sinus Solutions of South Florida at to request a consultation today.
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Houston Sleep Apnea Doctor Explains Relationship Between Sinusitis And Sleep Apnea
Weve all experienced a poor nights sleep due to a stuffy nose. When its hard to breathe, its also hard to sleep as we become uncomfortable and possibly start to snore. The result is a long, unpleasant night for you and your sleeping partner, leaving you both feeling tired in the morning.
This situation can be even worse when the condition is an ongoing one due to a chronic sinus problem.
In this blog, board-certified Houston otolaryngologist Dr. Cecil Yeung will explain the relationship between sinusitis and sleep apnea.
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Nasal Obstruction And Cpap
CPAP is the treatment of choice for moderate or severe OSAS however, the rate of adherence to this form of therapy is less than 70% . Over 50% of CPAP users complain of significant nasal symptoms, such as nasal congestion, rhinorrhea, nasal dryness, and sneezing , which may become more significant if the patient presents any structural abnormality of the nose.
Since the CPAP mask is in contact with the nose, it is reasonable to assume that nasal alterations constitute a limitation to its use. The presence of functional or anatomical abnormalities in the nasal cavity may require greater CPAP pressure titration for the elimination of respiratory events, causing patient discomfort and hindering adaptation to the device. Nonetheless, attributing the low adherence to CPAP to a condition of increased nasal resistance is a controversial hypothesis.
Tárrega et al. evaluated, through rhinomanometry, 125 patients with indication for CPAP therapy and observed no correlation between nasal resistance and CPAP adherence. Haddad et al. investigated the contribution of nasal factors on CPAP adherence and observed that the highest values of body mass index , neck circumference, and AHI were found in the group of patients with good CPAP adherence, while nasal parameters such as rhinoscopy, nasofibroscopy, and acoustic rhinometry showed no differences between the groups with good or poor adherence.
Can Your Cpap Machine Make You Sick
Its unlikely that youll get sick from your CPAP alone, but if you think youre getting sick from using your CPAP, its possible it needs a thorough cleaning. Using a CPAP machine in itself shouldnt make you sick, but using a dirty CPAP machine definitely can. Some risks associated with using a dirty CPAP or one that hasnt been used or cleaned in a while includes:
- Skin Rashes or Infections. Your CPAP mask rests on your face and is in contact with the germs and bacteria on the skin. Over time, bacteria and oils on a dirty mask may give you a rash or infection on your face.
- Respiratory Problems. If you dont replace the humidifier water frequently or dont wash it often enough, its possible for mold to develop and for you to breathe in that mold, which comes with a series of problematic respiratory problems.
Like any medical device, your CPAP machine requires routine maintenance.
Cleaning the inside of the hose, your mask, and changing your air filter are all part of cleaning your CPAP machine. Performing this routine maintenance is easy and can save you from unnecessary visits to the doctor. If you are not sure how to clean your CPAP, you can consult your specific CPAP machines owners manual.
Most routine maintenance of CPAP machines is pretty easy and involves only but a little scrubbing, hot water, and vinegar, but there are also machines designed to clean your CPAP accessories.
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What Surgical Procedures Treat Sleep Apnea
By: admin | July 26, 2017
Did you know that ear, nose and throat doctors are uniquely trained and qualified to treat sleep apnea? Sleep apnea is a condition that affects proper breathing while you sleep. It is most often caused by obstructions in the nose and throat. Since ENTs specialize in the nose and throat it only makes sense to see an ENT for sleep apnea.
Many times ENTs are able to bring permanent relief for sleep apnea through highly targeted surgical procedures.
Clinical And Experimental Evidence
Evidence suggests that experimental reduction of nasal patency and flow has a significant effect on breathing during sleep.
Suratt et al. induced obstructive apneas in healthy subjects through nasal occlusion with gauze. Lavie et al. investigated the influence of partial and complete obstruction of the nose in healthy subjects and observed a significant increase in the number of apneas during sleep.
Evidence from several observational and cross-sectional studies demonstrates that the objective increase in measures of nasal resistance and the presence of allergic rhinitis are associated with OSAS. Lofaso et al. performed posterior rhinomanometry in 528 patients and observed an increased nasal resistance in OSAS patients compared to the control group. In a large population study, Young et al. identified chronic nasal congestion as a risk factor for OSAS.
Data from an electromyographic study in healthy men performed by Basner et al. demonstrated that the upper airway tone is lower during oral breathing than during nasal breathing, suggesting that the activity of the dilator muscles of the upper airway can be modulated by receptors in the nasal mucosa, sensitive to airflow or pressure. However, two other studies demonstrated that the airway did not affect the electromyographic activity of the genioglossus muscle in normal individuals, but other pharyngeal dilator muscles have not been studied .
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What Are The Most Common Sleep Apnea Symptoms
The most common sleep apnea symptoms include the following:
- Loud snoring
- Excessive daytime sleepiness, even when it seems as though youve gotten enough sleep
- Gasping or choking sounds during sleep
- Restless sleep
- A sore throat in the morning
- Morning headaches
- Avoiding alcohol within four hours of bedtime
- Stopping the use of sleeping medications
What Is Nasal Polyp
As you know, nasal polyps are the mucous membranes lining the nose. The membranes become inflamed numerous times and cause swelling and fluid buildup. You may experience various issues such as loss of taste, headaches, nosebleeds, nasal congestion, pain in the sinuses, postnasal drip and snoring.
If the patients do not treat the condition and the polyp gets bigger in size, then, in that case, they experience asthma attack, trouble breathing and repeated sinus infections. The patients may also notice dry mouth in the morning and feel tired during the day.
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Sleep Apnea Surgery For Nasal Obstructions
Many people dont breathe normally through their nasal passages. Most dont even realize it! ENTs begin sleep apnea treatment by determining if you can breathe properly. That starts with your nose. After discussing your medical history, the ENT will perform a physical examination of your nose and nasal passages. The ENT may use an endoscope to see the interior of your nose and sinuses. In addition, imaging tests may be necessary.
If the ENT diagnoses a nasal obstruction surgery can frequently bring permanent relief. The most common sleep apnea surgeries are:
The goal sleep apnea surgery is to remove restore proper nasal breathing. For many people, this may be the only sleep apnea treatment you need.
If CPAP or other devices are still necessary, this will function much better when you breathe properly.
Prevalence Of Nocturnal Nasal Obstruction
The present study revealed a nocturnal nasal obstruction prevalence of almost 65% once per week or more often and 35% greater than or equal to three times in treatment-naive OSA patients. To our knowledge, the prevalence of nasal obstruction in OSA has not been described previously. A previous retrospective study reported a prevalence of non-allergic nasal obstruction of 45% in unselected sleepy patients . The Wisconsin Sleep Cohort reported nasal obstruction to be a risk factor for apneas, hypopneas and habitual snoring . However, they did not report a prevalence of nasal obstruction in patients with OSA.
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Do Nasal Polyps Cause Sleep Apnea
If the thought of having growths in your nose makes you a little uncomfortable, youre not alone. Though generally considered non-cancerous, nasal polyps are common because they can block airways.
If youve been told you breathe through your mouth at night or make loud, gasping noises when you sleep, you could be battling obstructive sleep apnea . Its a common but serious health condition that can lead to other life-threatening events, including stroke or heart attack, if not treated properly.
Curious if nasal polyps are causing you sleep apnea? Heres how you can tell and what you can do.
How Can Dr Bublik Help
Dr. Bublik is a triple board certified physician specializing in treating allergies and diseases of the ear, nose, and throat. He is highly skilled in treatment of sinuses with medication or minimally invasive procedures including functional endoscopic sinus surgery and in-office balloon sinuplasty. Dr. Bublik and his team are committed to improving your sleep and sinus health! Contact his office at or info@drbublik.com to make an appointment today!
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What Causes Sleep Apnea
There are three main types of sleep apnea, each of which has a different cause.
- Obstructive sleep apnea : This is the most frequently seen type and is caused by a blockage of the upper respiratory airway. It can be caused when the soft tissue in the back of the throat collapses during sleep or the tongue falls back into the airway. Nasal issues such as a deviated septum or nasal polyps can also cause OSA.
- Central sleep apnea: The airway isnt blocked, but the brain doesnt properly signal the muscles to breathe.
- Mixed: This is a combination of OSA and central sleep apnea.