Obstructive Sleep Apnea
Obstructive Sleep Apnea (OSA) is a condition that affects nearly 18 million Americans. It is a result of multi-level airway collapse, resulting in a cessation or reduction in breathing during sleep. This causes a decrease in blood oxygen levels. The most common finding in OSA is increased daytime fatigue. Patients are also known to suffer from mood disturbances and decreased productivity. OSA is also linked to many medical problems as well, such as high blood pressure, heart disease and hearing loss, to name a few.
CPAP was intolerable for me for 2 years. I tried multiple masks without improvement. I never had my airway examined and after Dr. Anand found my source of blockage, a tonsillectomy and septoplasty were performed. My tolerance of CPAP has greatly improved and my wife and I sleep better as a result. –JM
Many patients are accurately diagnosed with OSA, however, few patients actually undergo a full airway examination to precisely locate their sources of airway collapse. By accurately defining the nature of a patient’s obstruction, specific treatments can be discussed to improve a patient’s breathing during both day and night.
During your initial visit, a focused history is carried out to assess your level of daytime fatigue. In addition, a complete airway examination is performed using flexible laryngoscopy. This office procedure allows us to examine the entire upper airway and determine your likely sources of airway obstruction contributing to obstructive sleep apnea.
After completing the initial history and physical exam, a sleep study may be recommended to classify the severity of your obstructive sleep apnea. Sleep studies can be performed in a designated sleep lab or in the comfort of your own home. If you have already been diagnosed with obstructive sleep apnea via an outside sleep study, we request you bring the results of that study during your visit.
After reviewing your sleep study results, treatment recommendations are made based on your anatomic exam and severity of obstructive sleep apnea. These include oral appliance therapy, CPAP, in-office procedures or surgical treatments. All options are discussed to fully educate the patient on every treatment option.