Therapy of sleep apnea
RADIO-FREQUENCY ABLATION (RFA):
Soft tissues of the upper airway, usually inferior nasal shells and soft palate, are processed with a device that emits radio waves with heat effect. Thus treated tissues become less elastic, more compact and shrink in volume.
Procedure can be performed on an outpatient way. It is carried out by specialized experts in the field of ORL.
UVULO-PALATO-PHARYNGO PLASTIC (UPPP):
This is a procedure performed on soft palate and tongue, which can eliminate snoring and reduce the frequency of sleep apnea. The procedure is performed by maxillofacial surgeons and ORL specialists. It is a relatively simple procedure which can be performed outpatient by experienced specialists under local anesthesia. It is the most common intervention in the therapeutic management of patients with obstructive sleep apnea.
MULTI LEVEL SURGERY:
This procedure is performed at several levels, which include removing swollen soft tissue in the throat, narrowing tongue root, RFA of nasal mucosa, removing the glands, repositioning jaw bone structures, releasing the nasal passages and correcting the deviation of the nasal septum...
This is a surgical weight-loss method. Most commonly applied is laparoscopic technique (minimally invasive procedure using thin probes), less conventional method is opening of the abdominal wall. Installed ring which narrows the esophagus is often used, preventing swallowing excessive amount of food. More rarely, a portion of stomach is removed or its full bypass is performed.
Suitable only for patients with mild OSA. The device is installed on teeth and is worn only at night during sleep. It functions to adjust the lower jaw forward and down so that air stream through the mouth into the throat is released. This method is performed by only specialized dentists.
Continuous positive airway pressure (CPAP) has been introduced around year 1980. It has been proven to reduce mortality in patients with OSA. CPAP therapy is proven to reduce complications in various organs in patients with OSA.
Via the nasal or facial mask special device (compressor) produces a constant overpressure which pushes soft palate and back of the tongue away from back wall of the throat, thus facilitating smooth breathing. The device is used only at night during sleep. Contemporary devices have advanced computers which adapt to the patient`s breathing rhythm/pattern as well as to obstacles/barriers in the upper respiratory tract. They are equipped with moisturizers that properly moisturize and warm air that enters the respiratory system. We have several versions of the apparatus, which produce overpressure: CPAP, Bi PAP, and APAP…