sleep It’s annoying to be around people who snore.. And it is not only unpleasant for your companions, but also for yourself in many cases.but Why do we snore? Well, because there is Something that blocks normal air circulation in the mouth nose.Find this obstacle is Goals of sleep exams.
as he explained Dr. Javier Garcia GomezOtolaryngology specialist at Quirónsalud Cáceres Hospital:
“It is a Diagnostic tests used to detect and indicate which snoring patients require surgery“.
Not just point out what the problem is, but prove it Help “determine the most appropriate surgical or mechanical option This causes the patient to stop snoring.
a simple program
this Sleep Exam, also known as DISE By its English abbreviation (drug-induced sleep endoscopy) is a simple procedure:
finished Sedate the patient And induce deep sleep through puncture, no need for intubation, proceed Examination using a fiberscope introduced through the nose.
As expert Quirónsalud Cáceres explains:
“Exploring the nasal cavity, retronasal portion, oropharynx, and hypopharynx, until we see where the obstacle is and can detect its strength. “
After the scan is completed, Lasts no more than 15 minutespatients can go home after a few hours of observation.
In short, the DISE test does not require any type of post-operative period or home medication, making it very comfortable for the patient undergoing the test Diagnosis before discharge.
Physical examinations are often performed in a complementary manner to so-called “physical examination tests.” Dream‘or polysomnographyused to diagnose obstructive sleep apnea.
What types of patients can have this test?
almost Any type of patient can undergo a sleep examboth people who snore without apnea and people who have obstructive sleep apnea in addition to snoring People who are already receiving other treatments (such as CPAP).
There are a lot of people who can’t stand this device, either because of the noise it makes or because it’s annoying to sleep with.
“CPAP is the treatment of choice Fights obstructive sleep apnea hypopnea syndrome (OSAS), but Some patients wish to undergo a sleep study to assess whether through some surgical or mechanical treatment This machine can be avoidedsaid Dr. Javier Garcia.
We said almost everyone can take this test because children cannot.Because Diagnosis of snoring in children is much simpler Observe the size of the tonsils and growths and remove them if necessary.
Although according to experts,Or these children may be more likely to develop apnea again as adults.“because they tend to develop larger lingual tonsils than others due to the lack of tonsils.”
How to remove obstructions that cause snoring?
Once the location of the obstruction is determined through sleeposcopy, an otolaryngologist will determine the best way to remove the obstruction and end the snoring.
Dr. García Gómez classified patients as Divided into three main groups based on diagnosis and follow-up procedures.
1. Patients who do not require surgery.
They were those “who were found to have… Can correct your apnea mechanically“No need for surgery.”
In these cases it is usually decided Using a mandibular advancement device (MAD) at night. It is a device that corrects the position of the mandible and other structures of the upper respiratory tract, custom design Each patient is treated by a professional dentist.
2. Patients requiring palate surgery.
If a collapsed palate is detected, the patient may undergo surgery, “via Soft palate surgery, tonsillectomy or pharyngoplasty, “It depends on the diagnosis,” the doctor explained.
3. Lingual tonsil surgery.
For patients with larger than normal lingual tonsils, they may undergo “Tongue Base Reduction Using Radiofrequency” Surgery“Make the snoring go away.”
However, “there are also cases of snoring that can be resolved by simply changing your position during sleep.”
and have Patients who do not benefit from any type of surgery because they have central snoringthat is, those snorings that occur due to The brain cannot control breathing rate” recalled the otolaryngologist.
In this case, sleep check is also useful Find out if the patient’s type of snoring is caused by these causes.