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Somnoplasty is a
revolutionary new, FDA approved treatment that was originated at the Stanford Medical
Schools sleep lab, that uses low power, low temperature radio frequency
to gently
reduce, lift and stiffen the areas of the soft palate responsible for snoring. 3000 of the
procedures have been done since FDA approval. Somnoplasty has a success rate similar to
laser assisted palatal uvuloplasty, (85%) but it works without the pain of conventional or
laser assisted surgery. The procedure takes place in the office under local anesthesia or
sedation, and typically takes less than thirty minutes. Discomfort is as mild as the
feeling of an oncoming cold and lasts only a few days. The radiofrequency probe can be
used, at the same time, to shrink a chronically enlarged inferior nasal
turbinate which
can contribute to chronic nasal obstruction. This, I think is the first rational treatment
of chronic snoring that I would recommend to a friend.
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What
is Chronic Nasal OBSTRUCTION?
Chronic nasal obstruction is typically caused by the
enlargement of the lower nasal turbinates. The nasal turbinates are small, bony
structures covered by mucous membranes (mucosa) that protrude into the nasal airway. Nasal
obstruction caused by enlarged turbinates is commonly associated with allergies and
rhinitis, the inflammation of the mucous membranes of the nose. When this occurs, the
blood vessels inside the membranes expand, causing the turbinates to become enlarged and
obstruct the flow of air through the nose.
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What is obstructive
Sleep apnea?
Obstructive sleep apnea
is
a breathing disorder that results
from the partial or total obstruction of the upper airway during sleep. When tissue in the
back of the mouth, throat, and/or nose obstructs airflow during sleep, patients suffer an
apnea (total interruption of the flow of air to the lungs for at least ten seconds) or a
hypopnea (partial interruption of airflow). When this occurs, the body responds by
interrupting sleep to restart breathing.
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What causes Snoring?
Floppy tissue in the airway relaxes during sleep and
vibrates. Most snoring is caused by an enlarged soft palate and uvula at the back of the
mouth, though the tongue, tonsils, adenoids and congested nasal passages can also
contribute to the sound. The level of snoring can be aggravated by excess weight, alcohol
intake, and smoking.
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