Face Surgeon Raipur





Obstructive Sleep Apnea (OSA)

Obstructive sleep apnea is a significant medical problem affecting up to  4 percent of middle-aged adults. The most common complaints are loud  snoring, disrupted sleep and excessive daytime sleepiness. Patients with  apnea suffer from fragmented sleep and may develop cardiovascular  abnormalities because of the repetitive cycles of snoring, airway  collapse and arousal. Although most patients are overweight and have a  short, thick neck, some are of normal weight but have a small, receding  jaw. Because many patients are not aware of their heavy snoring and  nocturnal arousals, obstructive sleep apnea may remain undiagnosed;  therefore, it is helpful to question the bedroom partner of a patient  with chronic sleepiness and fatigue. Polysomnography in a sleep  laboratory is the gold standard for confirming the diagnosis of  obstructive sleep apnea; however, the test is expensive and not widely  available. Home sleep studies are less costly but not as diagnostically  accurate. Treatments include weight loss, nasal continuous positive  airway pressure and dental devices that modify the position of the  tongue or jaw. Upper airway and jaw surgical procedures are necessary in selected patients.