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Sleep Apnea

Do you wake up feeling tired after a full night’s sleep? Are you sleepy during the day? Have you been told that you snore loudly or stop breathing during sleep? If so, you may have a primary sleep disorder called sleep apnea. Sleep apnea is common with at least 4% of the adult U.S. population having this significant disease. Sleep apnea is more common in older adults but is increasingly recognized in children. If left unrecognized and untreated, sleep apnea can lead to high blood pressure, heart disease, and stroke. Sleep apnea can also predispose to weight gain.

Signs and Symptoms

The most common signs and symptoms of sleep apnea include:

  • Excessive daytime sleepiness
  • Loud snoring
  • Episodes of breathing cessation during sleep
  • Nighttime awakenings
  • Morning headache
  • Frequent urination at night

Surgical Treatment

The standard for treatment of obstructive sleep apnea is to wear a CPAP (continuous positive airway pressure) mask, which forces air into the nose and mouth to overcome the obstruction in the airway. Unfortunately, many individuals find it difficult to sleep with a CPAP mask on and do not comply with the treatment. For those unable to tolerate the CPAP, alternatives are limited to weight loss, oral appliances or surgery.

Trans Oral Robotic Surgery (TORS) allows doctors to preform surgery through the mouth to remove the obstruction from a patient’s mouth, tongue or throat. With the use of the daVinci robotic surgery system surgeons are able to reach further back into the oral cavity and throat than ever before, giving patients a new option.

Causes

Obstructive sleep apnea occurs when the muscles in the back of your throat relax. These muscles support the soft palate, the uvula (the triangular piece of tissue hanging from the soft palate), and the tongue. When the muscles relax, your airway narrows, and breathing may be impaired. This may lower the oxygen level in your blood. The brain senses the problem and briefly arouses you from sleep to reopen the airway. This happens again and again and restful sleep is not obtained.

Risk Factors

  • Excess weight (although not everyone with sleep apnea is obese)
  • Neck circumference (> 17 inches in men and > 16 inches in women)
  • High blood pressure
  • A narrowed airway
  • Being male
  • Being older
  • Being post menopausal
  • A family history of sleep apnea
  • Use of alcohol, sedatives, narcotics or tranquilizers
  • Smoking

When to Seek Medical Advice

Consult a medical professional if you experience or your partner observes:

  • Snoring loud enough to disturb the sleep of others
  • Shortness of breath that awakens you from sleep
  • Intermittent pauses in your breathing during sleep
  • Excessive daytime drowsiness, which may cause you to fall asleep while you are working, watching television, reading, or driving

St. Joseph Mercy Ann Arbor Sleep Center includes diplomats of the American Academy of Sleep Medicine trained to diagnose and treat the full spectrum of adult and pediatric sleep disorders.

For questions or to make an appointment, call 734-712-2276.

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St. Joseph Mercy Ann Arbor | 5301 McAuley Drive, Ypsilanti, MI 48197 | 734-712-3456