Sleep Apnea in San Francisco CA

People with obstructive sleep apnea (OSA) have disrupted sleep and low blood oxygen levels. When obstructive sleep apnea occurs, the tongue is sucked against the back of the throat. This blocks the upper airway and airflow stops.

When the oxygen level in the brain becomes low enough, the sleeper partially awakens, the obstruction in the throat clears, and the flow of air starts again, usually with a loud gasp.

Consequences of OSA

Repeated cycles of decreased oxygenation can lead to:

• Serious cardiovascular problems
• Excessive daytime sleepiness
• Depression
• Loss of concentration

Upper Airway Resistance Syndrome (UARS)

Some individuals experience a milder form of obstruction called Upper Airway Resistance Syndrome (UARS). However, they often suffer from symptoms similar to OSA.

Recognizing Symptoms of Sleep Apnea

The first step in treating sleep apnea is recognizing symptoms and seeking professional consultation. Oral and maxillofacial surgeons can evaluate and provide treatment options.

Diagnostic Procedures of Sleep Apnea

Doctors use several methods to diagnose OSA, including:

1. Detailed History and Physical Exam
   An assessment of anatomical relationships in the maxillofacial region.

2. Cephalometric (Skull X-Ray) Analysis
   Determines the level of obstruction.

3. Naso-Pharyngeal Exam
   Conducted with a flexible fiber-optic camera to examine the airway.

4. Sleep Study
   A sleep study monitors overnight oxygenation levels and cardiovascular compromise.

Treatment Options for Sleep Apnea

Non-Surgical Treatments

• Nasal CPAP Machine: Delivers pressurized oxygen through a nasal mask to limit obstruction during sleep.

Surgical Treatments

• Uvulo-Palato-Pharyngo-Plasty (UPPP)
  Surgery on the soft palate and throat to remove obstructions.

• Laser-Assisted Uvulo-Palato-Plasty (LAUPP)
  Similar to UPPP but performed using a laser.

• Radio-Frequency Probe Treatment
  Tightens the soft palate to reduce obstruction.

• Orthognathic Surgery
  Repositions the upper and lower jaw bones to enlarge the airway.

  • Performed in the hospital under general anesthesia.
  • Requires a 1-2 day hospital stay.

Importance of Sleep Apnea Treatment

OSA is a serious condition that requires proper diagnosis and treatment. Most major medical insurance plans cover both the diagnosis and treatment of sleep apnea.