How does the operation of snoring laser and its cost?
Snoring is a serious pathology that interferes not only with the patient himself, but also with his relatives. If you neglect the problem, over time there will be deviations in the work of all vital systems of the body. Intermittent breathing in a dream leads to oxygen starvation. When the first symptoms of pathology appear, you should seek help from a specialist who will offer one of the modern problem-solving techniques. The treatment of snoring with laser is popular today. Reviews of patients show that in order to establish a normal sleep, it is enough just one surgery.
Why does snoring occur?
Familiar sound occurs due to the passage of air flow through the narrowed airway. The walls of the pharynx touch and rattle. In some patients, snoring occurs only when a certain position of the body. In the most advanced cases, difficulty breathing is observed constantly in a dream. Most often, people who have enlarged tonsils or polyps in the nose are in trouble. The risk group also includes people who are overweight. If there is a curvature of the nasal septum, snoring can also be treated with a laser. Reviews of specialists show that changes resulting from injuries are not a contraindication to surgical intervention.
Congenital pathologies can also lead to the appearance of unpleasant sound in a dream. This may be the narrowness of the nasal passages, bite, elongated uvula. Improper functioning of the thyroid gland can also deny the effect on the tone of the muscles of the pharynx. Age changes are of great importance. The older a person becomes, the more prone he is to snoring. Smokers are also at risk.
What is dangerous snoring?
You should not worry at all if breathing disorders in a dream are observed only during the cold period. If a person does not get enough oxygen, he will instinctively wake up. But if snoring is observed when there are no signs of deviation in the wakeful period, you should consult a specialist. The first problem is that the person does not feel rested the next morning. Snoring prevents not only others, but also the patient. A person can wake up several times a night, and the brain does not have time to recover. Such a condition may soon lead to chronic fatigue.
The modern method of treating snoring with a laser should definitely be used by those people who experience a delay in breathing during sleep (apnea). In such patients, the level of oxygen in the blood is significantly reduced. It has been proven that nighttime heart attacks and strokes are more common in people who suffer from apnea. There are even cases of death. Therefore, the treatment of snoring (laser for example) must be made. Specialist reviews show that timely intervention has helped save the lives of many patients.
People who have a problem should first visit the ENT doctor. The specialist will identify the structure of the airways, how the vibration occurs in the nasopharynx. The doctor will be able to determine the cause of snoring and select the most optimal method of treatment. Unfortunately, not all pathologies are amenable to correction. In some cases, the patient may need to consult an endocrinologist, as well as a therapist.
The study of night sleep can be carried out using modern techniques - polysomnography. In this way, a specialist can find out if simple snoring is complicated by respiratory arrest. Special sensors are attached to the patient's skin, which record ECUGU-parameters of respiration and brain activity. Sleep settings are continuously recorded throughout the night.
What are some ways to get rid of snoring?
Laser treatment is a modern technique that allows you to quickly solve the problem. However, this option is expensive and not available to all. Should start with a simple. Initially try to develop a strategy for proper sleep. The most optimal position for snoring people is on the side. It should abandon the high pillows. Sleep preferably on an orthopedic mattress.
In the pharmacy, you can purchase special devices that are installed in the mouth at night. If tormenting snoring, how to get rid of? Treatment of snoring with a laser, as already mentioned, is not available to everyone. And special oral devices allow you to fix the lower jaw. Due to this increased throat lumen. As stated by patient reviews, it is not always possible to quickly get used to such devices. But they are highly efficient.
Laser surgical techniques
A special device that produces a concentrated light beam - this is the laser. Energy in such devices is obtained by the degeneration of carbon dioxide. Small particles, making a quick movement, emit photons. They are reflected from the mirrors installed in the laser device. This creates a light beam. Thermal energy affects certain areas of the body.
Such surgical techniques are less herbal and characterized by small blood loss. It is no coincidence that today laser snoring treatment is popular. Patient reviews show that recovering from surgery is possible in just a few days.
Who can use laser surgery?
The technique is applicable for people who do not know how to stop snoring. Snoring can also be done by more conservative methods. But if they do not help, the laser will come to the rescue. As with any other surgery, the patient must undergo a medical examination. First of all, a specialist conducts research on the nature of the patient's sleep. In addition, the physician should be informed of the previous illness of the patient. If there have been operations on the nasopharynx, this should be reported first.
A serious step is the treatment of snoring with a laser. The risks and benefits of this method are interrelated. As a rule, patients get rid of snoring within a few days after surgery. However, there are also cases where the problem after the procedure has only worsened. Before performing the operation, the specialist must carefully prepare the patient. Once again, conservative treatment methods are used. This includes lifestyle changes, treatment of nasal congestion, and the selection of a special orthopedic mattress. Laser treatment is surely indicated for patients who have pharyngeal sagging. People at risk of apnea are also at risk. Breathing in a dream is a serious, life-threatening problem.
Who is contraindicated treatment of snoring with a laser?
Laser plastics initially aims to eliminate excess tissues of the soft palate, as well as to strengthen them. For people who have breath holdings in their sleep due to obstruction of the nasal passages, surgery will not help. The laser can only be used to remove the edematous tissues of the nose, in situations where the treatment with vasoconstrictor drugs is not possible.
Soft-palate surgery is not performed on patients who have a thickened tongue or enlarged tonsils. This is due to the fact that the area of accessibility to the surface on which surgery should be carried out, is significantly narrowed. Treatment of tonsils with the use of a laser can be carried out according to the method of coagulation in several doses under local anesthesia. Palatine tonsils gradually decrease, which can already positively affect breathing during sleep. Sometimes a few tricks are enough for the snoring to completely disappear.
Laser surgery of the pharynx is poorly tolerated by people with an uncontrolled gag reflex. In some cases, even local anesthesia does not help. Under general anesthesia, such operations are not performed.
How is surgery performed?
Surgical intervention can be performed both on an outpatient basis and in a clinical setting. On the day of surgery, the patient is recommended not to eat or drink anything. In most cases, the procedure is planned for the morning. Under local anesthesia, snoring is treated with a laser. Patient reviews show that the intervention is absolutely painless. Many people compare the operation with a visit to the dentist. The patient sits in a special chair, the doctor freezes the larynx with an aerosol. According to safety requirements, the doctor works with the patient in special safety glasses and gloves. This is required when using a laser.
Elimination of snoring is carried out by correcting the shape of the uvula. The doctor works very carefully with the laser device. In no case can not touch other tissues of the larynx, otherwise the patient will receive a serious burn. Such operations are done only by highly qualified doctors. Only in specialized clinics can snoring be treated with a laser. The cost (reviews confirm this information) procedure is very high. In some medical institutions have to pay at least 50 thousand rubles.
Is it necessary to perform the operation again?
It all depends on the complexity of the clinical case. If the patient suffers from not too intense snoring, only one surgical intervention is enough. If we are talking about apnea or other serious pathologies, you may have to carry out the procedure in several stages. The problem is that it is not always possible to correct a hard drooping of the uvula. In addition, surgery in several doses helps the patient to adapt more easily.
Single-stage laser correction of the soft palate - traumatic surgery, which can be characterized by significant blood loss. Domestic experts try not to use such techniques.
What do the reviews say?
Today, snoring with laser is widely used in Minsk. Patient reviews show that most people managed to get rid of the problem. There is official statistics, which states that 85% of patients who underwent surgery, got rid of snoring forever. In 6% only a slight improvement was observed. But 9% of citizens did not notice any changes. Perhaps this is due to poor quality of the procedure.
Who needs surgery to eliminate snoring?
Uvulopaloplastika (laser therapy) is suitable for all patients who suffer from snoring in connection with the defeat of the sky. Scientists have long established that sleep apnea not only brings a lot of inconvenience, but also is dangerous to health - in a dream, breathing occurs, which results in oxygen starvation of all organs, including the brain.
For example, if the cause of rophnopathy is an elongated uvula or an overgrown soft palate, laser therapy will be perfect, and literally after the first session it will let you forget about snoring forever. It is worth noting that such an operation against snoring with a laser cost is rather big - from 150 cu, depending on the complexity of the procedures.
However, if you regularly buy all sorts of pills, sprays, devices - the final amount will be much more expensive, but the patient will not be able to get rid of the root cause of sleep apnea.
However, in those cases, if the cause of snoring becomes obesity, drinking alcohol, smoking - then experts prescribe a completely different therapy. In short, getting rid of snoring with a laser allows you to eliminate snoring in those cases if a person has any anomalies of the sky or tongue.
Laser Snoring Treatment Reviews
For treatment of snoring with laser reviews are positive in almost 100 percent of cases. An exception may be any additional factors, but the specialist must warn the patient about them. It is worth noting that it is laser therapy that is by far the most benign and effective way of getting rid of rochnopathy.
Advantages of uvulopaloplasty:
- Surgical intervention is carried out in the shortest possible time.
- The patient does not need to go to the hospital - the operation against snoring is performed under general anesthesia.
- An important factor is the bloodlessness of the procedure - the patient will not lose a large amount of blood, which means that the operation is absolutely safe.
- Immediately after all the manipulations, a person can resume his duties.
- If a specialist managed to correctly establish the main cause of snoring in a patient, and it consists precisely in changes in the larynx or uvula - in this case, the effect of laser therapy will be one hundred percent.
Reviews of laser surgery for snoring treatment
My boyfriend persistently repeated to me that I snore in a dream. At first I didn’t believe him, I thought, he was so sick of me, but then I myself noticed that I was snoring in the position on my back. I thought that only men or, in extreme cases, elderly people can snore. Bought a magnetic clip. I noticed that snoring was less. More precisely, the guy noticed, and here I believed him. But to completely get rid of the problem did not work. As a result, did the operation. It helped!
I live with my grandparents. My grandfather’s sleep has not kept me awake for a long time, it seems that the tractor is buzzing all night in the apartment. After reading that the operation of snoring helps me well, I decided to take him to a doctor. They forced me to take tests first. The operation itself was quick, and the grandfather has not snored since.
My brother has been living with me for the second year, and left him at home for the duration of her studies. But, as it turned out, brother, though beloved, but because of his snoring, I begin to just lose my temper. A friend recommended to buy him clips, she treats her husband so. But brother clips did not help at all.
Then I saw a bracelet that I really liked, looked stylish and attractive. Gave his brother on the first holiday. And here I was again disappointed in the purchase, there were no results at all. I started reading reviews about snoring treatment with a laser. As a result, my brother was sent for laser surgery. Vitya is still grateful that he decided on this.
Recently, I was presented with an orthopedic pillow filled with buckwheat husk. I liked it so much, it's not a pillow, but just a fairy tale. But the unpleasant surprise was that I did not stop snoring. She remembered that there was some kind of operation against snoring and read reviews on the Internet about the laser technique and decided. In general, made 3 months. backwards Mom says my snoring is gone.
He suffered from strong snoring for seven years. I tried a lot of tools, but, not having achieved the result, I went to the doctor. The doctor determined that the cause of snoring in my case is smoking and alcohol. The doctor recommended to give up bad habits and use. Did not help. Another doctor advised the treatment of snoring with laser surgery. I agreed. The operation was trivial, fast, and most importantly, my problem was solved.
For me, before there was no better remedy for snoring than the patch Doctor Snore. I have always had difficulty in nasal breathing, for a long time there were problems with polyps, but my breathing could not be fully restored. In general, I was not happy with the find, since a month and a half after the start of applying the patch, the snoring came back. I can say one thing, only the surgery helps. Checked on me and my friend, who advised me to cure snoring with a laser.
What are the indications for surgery?
Such a phenomenon as snoring can occur for several reasons.
However, surgery is carried out only in such pathologies as:
- Irregularly shaped organs that are responsible for the external respiration of a person. This happens after suffering colds, infections - the soft palate becomes loose, and the uvula is lengthened. Also, this pathology may be congenital. Removal of such defects in medicine is called uvulopaloplasty.
- Excessive accumulation of lymphoid tissue located in the region of the nasopharynx and oral cavity. The cause will be chronic diseases of the oral cavity. This is pharyngoupaloplasty.
- Alignment of the nasal septum.
- Removal of benign nodules.
- Fibrous tumor.
- The constriction of the lumen of the pharynx.
Events before the operation
- Reception at the therapist.
- Visit the ENT doctor's office. The specialist conducts an extensive inspection of the mouth and nose in order to clarify the causes of snoring. Gives a screening questionnaire to identify the severity of respiratory arrest in a dream.
- X-ray of the nose.
- The study of night sleep.
- Surgeon - decides on surgical intervention.
- Исследования: клинический анализ крови, общий анализ мочи, биохимия крови, коагулограмма, гемостазиограмма, RW, HBs, HCV, ВИЧ, группа и резус фактор крови, ЭКГ, флюрография. Все анализы действительны в течение 2 недель.
- В день проведения операции у пациента не должны быть какие-либо заболевания. В особенности: вирусных, простудных, кожных.
Как происходит лечение храпа лазером?
- Увулопалатопластика – лишняя ткань мягкого неба и язычка подрезается лазером. Процедура безболезненная, но при желании местный наркоз.
- Минимальная кровопотеря.
- Длительность процедуры в среднем 30 минут.
- После операции больной проводит в медицинском учреждении не более 2 часов.
- The recovery process is a maximum of 10 days.
- Snoring disappears after complete healing of tissues.
Attention, there are contraindications:
It's just elementary! To stop snoring, you just need to sleep.
- Diseases of the heart and blood vessels.
- Tumors dangerous to human life.
- Diseases accompanied by fever and pain.
- Nursing and pregnant women.
- Pharyngoulopaloplasty - special forceps, in which the laser is embedded, completely eliminate the tonsils or reduce their size. Anesthesia - local.
- The operation takes about 30 minutes.
- The minimum is lost blood.
- Fast recovery.
- You can leave the hospital on the same day.
Note the disadvantages:
- As soon as the anesthesia stops, the pain appears.
- After this procedure, the mucous membrane and lymphoid tissue of the pharynx often becomes inflamed.
- Completely does not cure ailment.
- Correction of the nasal septum - in order to gain access to the septa, during the operation the doctor makes an incision with a laser beam on the inner shell of the nasal cavity, the cartilage heats up and the surgeon gives them the desired shape. Local anesthesia, if desired - general anesthesia.
- The laser immediately burns the vessels.
- The operation is given a minimum of time.
- Complete healing in a month.
- Outpatient treatment 2 days.
- No scars.
It should be noted that the patient may have:
- The mucous membrane in the nose may stick together - in this case, a second operation will be required.
- Violation of the integrity of the cartilaginous or bone tissue of the nasal septum.
- Nose formation removed only if a small part of the nose is affected. Cut with a special scalpel. Anesthesia: general, local.
- The procedure is carried out with the camera, so the errors are reduced to a minimum.
- The time is 30 minutes.
- Education no longer returned.
- The incision site is immediately soldered with a laser.
- Hospital stay is about 14 days.
- Remote papilloma cannot be analyzed.
- Heals 30 days.
- Pain after detachment from anesthesia.
- Fibroma removal - education is cauterized and disappears.
- Operational intervention 20 minutes.
- Passes painlessly.
- You can forget that will appear again.
- The vessels are immediately soldered.
- Scars grow over the course of a month.
Consequences: swelling may occur.
- Narrowing of the lumen of the pharynx - Extra soft tissue burned by a laser. A more dense fabric grows on the site being burned down.
- The procedure takes 15 minutes.
- Lack of pain.
Feedback on a similar operation
Tatyana from Moscow region writes that she did this procedure 4 times, and nothing helps, now the doctor answers her question about the reasons that this is due to her excess weight. But at the first reception, no one notified about it. Therefore, she does not advise anyone. The diagnosis is enlarged tonsils.
Mikhail from SamaraOn the contrary, he was delighted, no pain, and indeed he is not suffering snoring now. Although he suffered for five years. There was an elongated uvula.
Yuri, 48 years oldI also doubted for a long time, but my wife persuaded me, the reason was the abnormal structure of the septum of the nose. After two painless procedures, everything went away.
How much and where to do?
Practically in every city of Russia such operations are carried out to get rid of snoring. First of all, it is necessary to base on the qualifications and experience of the specialist who will do the procedure. Also, success will depend on the equipment. After all, a well-made diagnosis is only 50% of success, the remaining 50% is the accuracy with which the laser works.
The cost of the operation is no more than 60,000 rubles., everything will depend on the center where the patient will be operated on, the complexity of the procedure, the qualifications of the doctor, the city. Abroad, this is all done, but only the cost is much more expensive. Since there is already a complete examination in the pre and postoperative period.
Approximate price grid by city:
- Tyumen - from 4 000 rub,
- Cheboksary, Krasnodar, Krasnoyarsk, Kiev, Novosibirsk - from 6 000r,
- Nizhny Novgorod - from 5 700r,
- St. Petersburg - from 15 000r,
- Ekaterinburg - from 5 000r,
- Moscow - from 16 000r.
Snoring treatment with surgery
A large number of people — about 30% of the total — suffer from snoring. And these are not only men, but also women, and in some cases also children. Not everyone can notice this disease in themselves, since it does not cause them any inconvenience.
But relatives who hear this snoring suffer and cannot fall asleep due to insufficient silence. As a result of the fact that a person does not turn to specialists for a long time, his state of health deteriorates every day.
The curvature of the nasal septum can lead to snoring
This affects various areas, for example, as a result of snoring, the quality of sleep worsens, and a person cannot have a good rest, as a result, performance, attentiveness and concentration decrease.
Also, such people, because of their embarrassment, do not agree to stay on a visit to friends and relatives, less often visit sanatoriums. Over time, the disease turns into a complex and constraint.
Still, snoring is a disease that needs to be cured in time. Since, this sound is evidence that a snoring person has a violation in the respiratory tract, or rather, an obstruction.
Snoring can occur as a result of movement and stress of the tissues of the pharynx, due to fluctuations in air. During sleep, the diaphragm moves and the air passes without any obstacles. But, in cases where the pulmonary tract is heavily clogged, a temporary cessation of breathing may occur.
And this, in most cases, leads to hypoxia of the internal organs and the brain. Therefore, snoring is a disease, a specialist should prescribe treatment.
Currently, the problem of snoring is solved by the operation. For most people of old age, snoring occurs due to an increase in the length of the palatine tongue and sagging of the sky, that is, as a result of an increase in soft tissues.
In the event that this feature is the cause of the disease, the operation of snoring will be the best solution, during the operation will be removed unnecessary tissue. In total, there are several types of operations.
Laser snoring treatment, the price of pleasure
So, if you have already decided and chose the treatment of snoring with a laser, the price of this event will depend solely on the clinic. However, you can outline a landmark: laser snoring operation cost will lie within the limits of 6000 - 10,000 rubles. In Moscow, you can call online to make an appointment with the doctor who cares for snoring and to learn more about the cost of laser surgery.
Do I need preparation before surgery against snoring?
In order for the specialist to be able to carry out the most effective, competent treatment - it is imperative that you prepare for the operation with a laser. It is very important that the patient passes a complete blood count for clotting before the intervention. It is also necessary to make an x-ray of the sinuses.
Another important point: a specialized doctor always directs the patient to CT (sinuses). Further, with the results of all the necessary tests, the patient is sent to the general practitioner (if such is provided), or immediately to the surgeon (in private clinics).
At the initial consultation, the therapist carefully and scrupulously collects anamnesis and also conducts an examination. After examining all the results of completed studies and examinations, the therapist selects a treatment plan and sends the person to the surgeon to agree on all the conclusions.
The surgeon, in turn, must make a verdict - whether surgery is required to eliminate snoring, or it is necessary to apply other methods of treating the disease. The doctor will also conduct an examination, determine the amount of laser therapy and other important nuances - at the same time, all of them will be discussed with the patient.
Laser surgery is performed directly on the soft palate and is a correction of nasal breathing - it is this cause that contributes to sleep apnea. Already a week after the operation, there will be a noticeable improvement, but the full effect will be achieved only when the mucosal edema subsides. Laser surgery is an absolutely safe and painless procedure.
If necessary, the doctor uses an anesthetic - and the patient does not feel anything at all, so this technique can even be used to eliminate apnea in children.
If you are interested in the treatment of snoring with a laser, reviews of real people can always be on the Internet. Judging by the reviews of doctors, this procedure is as effective as possible. Perhaps, for many, the amount will seem large - but it is important to consider that the services of a doctor, innovative equipment also have a high price. In any case, this method is much more efficient and economical than the use of pharmacological drugs.
Precautions when getting rid of snoring with a laser
No matter how simple and painless the procedure seemed at first glance, you should definitely listen to your body. In the early days, it is advisable to refrain from time-consuming mental and physical work, in some cases, the patient's body temperature can sometimes even rise - this is normal. Since the body reacts to outside interference, the temperature will literally fall the next day.
You can not visit the baths, steam rooms, saunas. Also, at least for a week, the patient should refrain from taking alcoholic beverages (including beer). The body needs strength to recover, and alcoholic beverages, on the contrary, take them away - and also irritate the mucous membrane, provoking an even greater swelling.
The same applies to smoking - this bad habit will have to be abandoned for the sake of its speedy recovery. Sports activities are also desirable to suspend for a while. After laser therapy can not eat too hot, sharp, acidic foods - they also irritate the mucous membrane.
Remedies for snoring - what is sold in pharmacies? Read in our article about drugs that help get rid of snoring.
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Surgical treatment of snoring
The result of the operation (resection of the tongue)
Surgical intervention is performed on the tongue and the arms of the palate (the name of the operation is uvulopaloplasty), and on the tonsils when they are enlarged (the name of the operation is faringo-uvulopaloplasty).
In cases where the disease appeared in connection with the curvature of the nose or polyps, then an operation is scheduled to restore the original form or to remove polyps.
Basically, the surgical operation for treating snoring is divided into several stages: correction of the respiratory tract with the help of surgery, surgical removal of tonsillitis and tonsil, very rarely is surgery performed to increase the pharyngeal patency (the name of the operation is palatopharyngoplasty).
In the event that a person needs a complete treatment procedure, that is, all stages, then additional stages must also be carried out in order to avoid complications and deterioration of the person’s condition during the main operation. The total duration of the auxiliary stages can be three or four months.
Treatment of snoring with the help of surgery is very painful and with a large release of blood. This operation is carried out only in stationary conditions, and after the operation a person must also be under the supervision of specialists for some time. The term of a person in the clinic is individual and depends on the portability and the general condition of the person.
Surgical treatment is now less popular and less practiced. There are a lot of negative aspects of this type of treatment. And not every patient can be admitted to such an operation, let alone children.
The main negative side is a long healing and abundance of blood, as a result, a person will not be able to eat normally and will take a long time to recover. Therefore, most people at the moment prefer a less painful procedure - laser surgery.
Currently, in most cases, snoring is treated with a laser. This type of treatment is most relevant, as the patient does not experience severe pain during the operation, and the trauma resulting from the intervention is minimal.
If it is necessary to carry out uvulopaloplasty with the help of a laser, the effect is carried out with the help of laser energy, as a result a burn appears. During the healing of the wound, the soft tissues are replaced by connective, and they are tightened, become harder and shrink.
But in any case, the operation and the specialists cannot give a guarantee that the snoring will stop. After all, it all depends on the characteristics of each person. Very rarely, snoring does not stop even after the operation, since the wounds healed, but the scars are quite large and interfere with even breathing during sleep.
But still, it is worth noting that, according to statistics, more than 80% of people who agreed to conduct this operation were satisfied with the result. And there was no such thing that snoring came back again. Also, technologies are rapidly developing and improving day by day. Laser surgery can be performed in almost any city.
The result of this operation is the cavity of the pharynx that does not sag in the process of sleep, which means that breathing becomes free and constant, there will be no delays.
Based on statistics from the past few years, it becomes clear that surgical, surgical treatment for snoring can best get rid of this ailment. But still, not everyone can use this method and get rid of snoring.
Snoring leads to sleep deprivation
For example, a person suffering from obesity and additionally snoring. It becomes clear that snoring is due to obesity. Snoring appears in connection with the deposition of fat in the oropharynx, and the operation can be performed only in the nasopharynx, that is, the operation does not reach the problem itself, which means there will be no effect.
This operation also can not be performed for people suffering from a certain form of the disorder - from obstructive sleep apnea. As a result of this disease, a person does not breathe for more than ten seconds.
Of course, you can take the risk and carry out the operation. Some patients decided on such a step, and the effectiveness of this treatment may be approximately 20%. But according to statistics, there may be much more harm. That is, it may happen that the operation will have no benefit, but also new health problems will be added.
Before the specialist will give direction to the operation, he must make sure that this type of disease is absent. For this, it is necessary to conduct a full examination, which can reveal sleep apnea syndrome.
Alexey: I suffer from snoring for a long time. Back in the army, the guys were joking for me. And yet I want to have an operation. But the wife discourages everything, I got used to your snoring for a long time, I fall asleep under it, she says. She just fears the consequences. Yes, I am too. Who did the operation of this kind? Tell me, please, is it worth doing, are there any results and side points? I want to add - I'm not suffering from obesity. Thank you in advance!
Yaroslav: I did the surgery two years ago: plastic surgery of the tongue and palate. Much time has passed, but the result is still there. My friend says that I never snored. Well, the most important advantage is that I now get enough sleep. So, Alexey, I advise you to do this operation. But, of course, do not forget about the survey. After all, anything happens in life.
Evgenia: My husband suffered from snoring for a long time, that is, not so, for a long time I suffered from his snoring. At first, when we got married, he did not snore, but just snuffled. I even liked it, but every year this snoring grew louder and louder. And after a few years, it turned into something resembling peals of thunder. As a result, I stopped getting enough sleep, went nervous and angry! Broke down on everyone, and on him more often. Such a seemingly small flaw, like snoring, almost brought our marriage to divorce. And then Valerka himself found information about operations and decided to do it. So, now we have everything in order, and what you want. Alexey, despite the fact that your wife says this to you, you should still take your health seriously.
Alexey: Thank you all! You helped me a lot. After the operation I will definitely write about my condition.
How much is the operation?
You can find out about how much a snoring operation costs below:
- Tyumen - from 4,000 to 11,000 rubles. Depending on the complexity.
- Cheboksary - the average cost is 6000 rubles.
- Nizhny Novgorod - 5665-11000 rubles.
- Krasnodar - from 6,000 to 15,000 rubles.
- Krasnoyarsk - from 6000 rubles.
- Kiev - from 6000 rubles.
- St. Petersburg - 15,000 rubles.
- Ekaterinburg - from 5000 rubles.
- Tolyatti - 25,800 rubles.
- Almaty - 8000 rubles
- Moscow - 16,000 rubles.
- Novosibirsk - from 6000 rubles
- Samara - 25,800 rubles
- Kharkiv - 500 UAH
- Ufa - 6000 rubles
Before deciding to conduct this operation, it is necessary to consult with experts, to undergo a full examination. And only if the experts say that the result of the operation will be successful, you can agree.
Также нужно знать, что стоимость консультации, проведение обследования и последующая консультация оплачиваются отдельно, то есть не входят в стоимость операции. В стоимость операции, в большинстве случаев входит только сама операция.
Дальнейшее пребывание в клинике оплачивается отдельно и исчисляется количеством, проведенных суток. Стоимость палаты зависит от количества человек, находящихся в ней. Can be provided for four local, double and single, the cost of a single is much more expensive.
The approximate residence time after surgery is six, seven days. Therefore, before deciding on an operation, you need to know the approximate amount that you have to spend as a whole.
Quite often, due to an excess of soft tissue tissues, a soft palate is formed in the throat, which later sags, and an elongated tongue of the sky. If this is exactly the testimony that violates sleep, then an operation against snoring will be a very effective method, because this method removes excess soft tissue.
Snoring treatment using a surgical method to eliminate this symptom can be performed in the space of the palatine arches and on the tongue - this operation has the interesting name uvulopaloplasty. The second variant has a few other features - pharingo-ulopaloplasty.
This method also removes one type of tonsils that are in the sky. This method is more suitable for those who have problems with the throat and need to remove the tonsils and soft tissues in the nasopharynx.
If the symptom is caused by a violation of breathing through the nose due to a curved septum or the appearance of nasal polyps, then surgery against this disease can be reduced to restoring the normal form of the nose and removing the polyps.
When they talk about surgery in the treatment of snoring, they mean pulling up of soft tissues in the presence of sagging. These operational techniques are performed in both public and private clinics and hospitals using various types of surgical equipment.
Such equipment can be a normal scalpel, a surgical laser, liquid nitrogen or radio waves. If you decide to have an operation for snoring, then you need to consult a doctor. It is better to ask, with the help of what method will be performed surgery. Consider some options.
Scalpel intervention. One of the most "old" methods of treating a symptom - the first operation was proposed in China in 1946. Since then, this method of surgical treatment has naturally been updated, but its principle has remained the same.
The operation was that the specialist scraped the “hole” on the soft tissues, and then sewed up its extreme points to shorten the length of the soft shells. You can also remove or shorten the tongue of the sky.
The advantages of the method. Snoring surgery can be done anywhere. The guarantee of the result is only one - the experience of a specialist. It is not too expensive way.
The disadvantages of the method. The features of the surgical procedure, which is performed with a scalpel, are such that after the procedure the incision site must be sutured.
This means that after the operation you will have to spend time in the hospital for a week, just like after any other surgery. In addition, the oral cavity is not the cleanest place in the body, absolute sterility during the healing of a surgical operation cannot be ensured there in principle.
Based on this, it can be concluded that the main danger in the period after the operation is the divergence of the seams and, as a result, the need to re-sew the soft tissue incisions.
The cost of the service in Moscow is:
- first consultation with a specialist - 1700 rubles,
- the second and subsequent consultations with a specialist - 1300 rubles,
- endoscopic examination of the throat, ear and nose - 1200 rubles,
- operation - 5000-7000 rubles,
- laser treatment (the entire course, consisting of three procedures) - 15000-18000 rubles.
- For a very long time, she suffered with insomnia because of her husband’s snoring. Tried various pills, ointments and exercises. Nothing helped. I read a lot about the operational method and thought it was unsafe for life. Still, after much suffering, she sent her household to see a specialist. After the examination, the doctor allowed the operation, as there were no strong objections. Having performed the operation, the husband spent several days in the hospital, after which he was successfully discharged with a positive result. The result was good. Now we do additional exercises and sleep well.
- Recently, he began to torture himself and his relatives with snoring. After reading several forums on the Internet, I decided for myself not to delay this matter for a long time, since the consequences can be serious. I decided to try the operational method right away and was pleasantly surprised. After visiting a private clinic, I immediately received a consultation and the next day the operation was performed. For all the procedures in Moscow paid 10,300 rubles. For such a sum got rid of a big problem. Many thanks to the doctors!
- For a long time I suffer from snoring. I tried various pills, did the washing with Laura for large sums of money, but all for nothing. The symptoms of snoring subsided for a while, but then reappeared and worsened. At first I wanted to try the operational method, but, after reading articles on the Internet and magazines, I did not dare to use this method (I am simply afraid of operations and the recovery period). I decided to visit the clinic under my house, where I was offered a laser method. For consulting doctors for the entire period of treatment I gave 5700 rubles, for a snapshot - 1200 rubles. For the operation itself, which took place in three stages, gave 15,500 rubles. The result is very pleased. No pain, no stitches. The postoperative period was no different from everyday life. Many thanks to the experts for such a relief in life!
Treatment of snoring with laser and radio wave: myths and reality
Ph.D. Buzunov R.V., Legeida I.V.
Center for sleep medicine of the Clinical sanatorium "Barvikha"
Office of the President of the Russian Federation
Moscow region, Odintsovsky district, sanatorium "Barvikha"
tel./fax (495) 635-69-07 (round-the-clock), (495) 635-69-08,www.sleepnet.ru, e-mail:[email protected]
Pto patients without palatine uvula dedicated
"Seven times measure cut once"
A call to the hospital: “Doctor, my stomach hurts!” Answer: “Come to us, we will remove your appendix and everything will be fine.” Strange dialogue, is not it? How can a doctor on the phone make a diagnosis on one phrase and immediately propose treatment without examining the patient? If only the appendix could hurt in the stomach, then it would be possible not to ask further questions. And if it is cholecystitis or pancreatitis? Unfortunately, with snoring treatment it is often the situation when a laser or radiofrequency treatment of snoring is offered to a patient on the website or by phone and practically guarantee a quick and painless relief from snoring in 1 session. But snoring is not a diagnosis, it is a symptom of a narrowing of the airways and the beating of their walls against each other. And the reasons for such a narrowing about a dozen. Moreover, the choice of the optimal treatment tactics depends not only on the causes, but also on the severity of breathing disorders during sleep. Surgical intervention in the sky is just one of the methods of treating snoring, which has its own specific indications and contraindications.
In October 2010, the American Academy of Sleep Medicine published the Clinical Guidelines for Surgery on the Upper Respiratory Tracts for Obstructive Sleep Apnea in Adults [AuroraRnetal.For obstructive sleep apnea in adults.// Sleep.- 2010.0 Vol. 33.- N. 10.- P. 1408-1413]. You can familiarize yourself with full text of the recommendations in English and a brief translation into Russian .
These recommendations at the standard level (standard - the highest level of evidence) determined that laser uvulopalatoplastika * (LUPP) is not recommended in patients with obstructive sleep apnea. This is justified by the following phrase: “LUPE does not usually lead to normalization of the apnea / hypopnea index ** and does not provide a significant improvement in other parameters. Since there is no significant improvement after LUP, there is a possibility of deterioration, there are potential problems associated with perioperative pain and complications, the routine use of this procedure is contrary to the interests of the patient. " It is interesting to note that, compared with the recommendations on the use of laser treatment for snoring, published in 2001, this item has been translated from the advisory category “Guideline” (Guideline) in the obligatory category "standard"(Standard). The Recommendations of 2010 also at the standard level indicate the need for all patients to perform an objective study to diagnose obstructive sleep apnea before surgery for snoring in the sky. And after healing, perform a control study to assess the dynamics of the state after the operation from snoring.
* - Laser uvulopaloplastika is a treatment of snoring with a laser, implying the effect of laser radiation on the soft palate, uvula and palatine arch.
** - Apnea / hypopnea index - the frequency of episodes of complete and partial stops per hour, reflecting the severity of obstructive sleep apnea
Thus, in patients with obstructive sleep apnea, snoring treatment with laser is contraindicated, respectively, before surgery, all patients should be examined to exclude sleep apnea.
In Moscow, there are more than 50 ENT centers or departments that perform operations from snoring in the sky (treatment of snoring with a laser or radio frequency). However, only a few centers perform polysomnography, cardio-respiratory monitoring, or other studies that diagnose obstructive sleep apnea. Thus, most operations from snoring in the sky are performed without any objective examination of the patient's breathing during sleep. At the same time, a number of centers explicitly state that they treat sleep apnea with the help of laser interventions in the sky, which completely contradicts all international standards. The practice of conducting operations from snoring in the sky without taking into account the severity of sleep apnea in Russia leads in some cases to the ineffectiveness of the intervention, the development of serious and, at times, tragic complications.
Several times a month, a serious deontological problem arises at the Sleep Medicine Center of the Clinical Sanatorium “Barvikha”, connected with the effects of snoring with a laser or other operations from snoring in the sky. We examine a patient, identify a severe form of obstructive sleep apnea and inform him about it. And the patient asks a question: “Doctor, I had snoring treatment with a laser some time ago, removed the uvula and promised that I would stop snoring. I didn’t stop snoring, and you also say that I have a severe form of sleep apnea. Maybe it was not necessary to remove the tongue? Could laser snoring treatment worsen my condition? ” What in this situation should we respond to patients, especially if there are signs of pharyngostenosis (cicatricial pharyngeal constriction after surgery)?
Here we would like to bring the story told by my colleague from Israel. Several years ago, there was a trial involving the treatment of snoring with a laser. The patient went to court with a claim for moral damage due to the fact that the operation did not lead to the elimination of snoring. A forensic medical examination was performed, polysomnography was performed, which established that the patient had a severe form of obstructive sleep apnea. At the same time, the operating surgeon made an entry in the history of the disease that the intervention was carried out about snoring. There was no indication of sleep apnea in history. No special night sleep study was performed before the operation, so the diagnosis was made only on the basis of anamnesis and examination. Of course, it can be assumed that the patient had sleep apnea even before the operation, but it was not diagnosed. The legal conflict was that before the operation, the diagnosis sounded like ordinary snoring, and after laser treatment of snoring the patient had a severe form of obstructive sleep apnea. That is, the purely formal condition of the patient has deteriorated dramatically. And what do you think, what decision did the court make? The millionth lawsuit to the clinic was satisfied, the doctor was deprived of a license ... and now all the ENT centers in Israel are doing night sleep research before and after the laser treatment of snoring.
Of course, a dramatic improvement in the situation in Russia is possible only if at the level of the Ministry of Health and Social Development standards of laser snoring and other surgical interventions in patients with snoring and obstructive sleep apnea, based on advanced domestic and foreign experience, are adopted. But until this issue is resolved at the state level, each otorhinolaryngologist himself must decide on the appropriateness of treating snoring and sleep apnea with a laser or radio frequency, based on his knowledge, clinical experience and the well-known expression “Do no harm!”.
We do not have the right to tell otorhinolaryngologists what to do with their patients, but we consider it possible to express our point of view on possible approaches to the diagnosis and effective complex treatment of snoring and obstructive sleep apnea.
First of all, let's define the terminology. By selective surgical interventions in the sky, we will understand such techniques as classical surgical intervention with a scalpel, laser plasty, radiofrequency intervention (somnoplasty), cryoplasty and injection methods. The basis of all these techniques is the principle of applying metered sky injury of varying intensity (surgical, thermal, cold, radiofrequency, or chemical). Depending on the intensity of exposure, local inflammation, necrosis or partial rejection (clipping) of the tissue may occur, for example, when exposed to a laser or scalpel. During healing, there is a decrease in volume and compaction of the soft palate. The uvula, it can be partially or completely removed. As a result, the mobility of the structures of the soft palate decreases and the phenomenon of snoring is reduced or eliminated: the palate beatings against the walls of the respiratory tract.
Currently, in Russian popular medical literature and advertisements, laser or radiofrequency treatment of snoring appears to be practically the only and most effective method of eliminating snoring. Here are some quotes:
- “The developed and patented method of laser treatment of snoring allows you to cope with this phenomenon in just 1 session.”
- "Treatment of snoring with a laser: on an outpatient basis, within a few minutes, with almost no cases of bleeding in the tissue, in most patients - absolute relief from snoring, in the rest the condition improves significantly, only a tiny percentage of patients do not respond to treatment."
- "Treatment of snoring with a laser has a number of important advantages over others: the operation is performed on an outpatient basis, completely painless, bloodless, in just 10-15 minutes, without subsequent disability, saving you from a serious problem for many years."
- “CO2-laser (carbonic) is an excellent treatment for snoring. One session is needed for treatment, and the efficiency is 95%. ”
- "Treatment of snoring for 1 session! Radio wave method. Effective and safe.
- "Treatment of radio snoring will allow to get rid of sleep apnea syndrome."
When reading these ads, it seems that modern medicine has completely solved the problem of snoring and sleep apnea, and, so to speak, with “little blood”.
Unfortunately, the solution to the problem of snoring is not as obvious as it appears in the above sources. We regularly have to advise and treat patients with persistent snoring and obstructive sleep apnea, in whom snoring was treated with a laser and radio frequency without significant effect (rice one).
Fig. 1. Pictures of a sip of patients with persistent severe OSA who have previously performed laser or radiofrequency interventions in the soft palate (own data).
Serious foreign studies are also very critical of the use of selective interventions on the pharynx in patients with snoring and sleep apnea:
- Low efficacy or lack of efficacy of laser uvulopaloplasty (LUPP) in obstructive sleep apnea syndrome [Arch. Otolaryngol. Head Neck Surgery, 1997]
- LUPE is often accompanied by severe pain. There are no significant differences in the severity of postoperative pain with LUPP and uvulopalatofaringoplasty [J. Otolaryngol., 1997].
- LUPP can lead to serious complications (cicatricial stenosis of the pharynx, loss of the obturator function of the soft palate, nasal voices). In some cases, LUPP may provoke the development of OSA in patients with uncomplicated snoring or make it harder for existing OSA [Am. J. Resp. Crit. Care Med., 1997].
Why does the laser snoring treatment, actively used by domestic ENT surgeons, not give the expected effect in some patients? From our point of view, the problem is caused by two factors:
1. Incorrect assessment of the leading causative factor of snoring. The fact is that excessive soft is not the only cause of snoring. Наиболее частой причиной храпа и нарушений дыхания во сне является ожирение, приводящее к сужению самих дыхательных путей (рис. 2). Помимо этого, храп могут вызывать и усиливать курение, микро- и ретрогнатия (маленькая и смещенная назад нижняя челюсть), затруднение носового дыхания, увеличение миндалин, снижение функции щитовидной железы, нервно-дистрофические процессы, миопатии и т.д. Причем у одного и того же пациента может быть 2-3 и более причин храпа.For example, in a patient with severe obesity, retrognathia and excessive soft palate, the latter reason may contribute 10-15% to the overall severity of the condition. Accordingly, the intervention in the sky will improve the situation by a maximum of 10-15%, which from a clinical and social point of view can be considered as a lack of effect.
Fig. 2. A - the lumen of the respiratory tract is normal, B - narrowing of the lumen of the respiratory tract in a patient with obesity (Schwab R.J. Airway imaging // Clinics in Chest Medicine, 1998, 19: 33-54)
2. The underestimation of the severity of obstructive respiratory disorders in sleep. With uncomplicated snoring, the airways remain open, and the soft palate vibrates as it passes through the stream of air, hits the walls of the airways and creates the sound phenomenon of snoring (rice 3B). In this situation, the plastic sky can give a good effect. But with the progression of obstruction, obstructive sleep apnea develops. With this disease, the airways themselves, which are a hollow muscle tube, fall completely. With moderate forms of OSA, especially in patients with obesity, obstruction occurs not only at the level of the sky, but also at the level of the root of the tongue and even the epiglottis (rice 3B).
Fig. 3. A - free breathing, B - narrowing of the respiratory tract and soft palate beating on their walls, manifested by snoring, C - complete collapse of the respiratory tract at the level of the palate, tongue root and epiglottis (indicated by arrows) (National Primary Oral Health Care Conference, 2005, Atlanta, Georgia).
In this situation, radiofrequency and laser treatment of snoring may not have any effect, since it does not eliminate the collapse of the underlying airways. Moreover, after exposure to a soft sky or a radio frequency, a burn develops on the soft sky, after which the tissue is cicatrized and compacted. If the patient's mouth is initially wide, then some narrowing of it will not cause serious consequences. If the pharynx is initially narrow and its walls collapse during sleep, then an additional narrowing of the lumen may even make the syndrome of obstructive sleep apnea even worse.
Below we give an example of one of the letters that we periodically receive from patients after unsuccessful treatment of snoring with a laser or radio frequency:
I am 37 years old, living in Ukraine. I, a man, had 4 (four) operations in the course of 6 (six) months in the sky and it did not bring any results, i.e. again everything is back to its former state. My doctor, "FULL NAME. doctorwho performed all four operations in the clinic for me "The name of the clinic“I recommended to contact you. Please, with respect, I ask for your recommendation, since in this case neither my family nor my doctor know how to live with it further? All that can be already cut out, there is nothing to cut out. The size of the hole was 30%, four times cut out the hole to 100%. At the moment the hole is again 30%.
The doctor established the following diagnosis - hypertrophy of the soft palate, ronhopathy (snoring - author's note).
Operation uvulopalatofaringoplastika (excision of soft palate tissue and lateral arches - approx. the author) caused a complication: pharyngostenosis(cicatricial pharyngeal constriction - approx. the author)- excision of scars with subsequent recurrent pharyngostenosis.
Used radiosurgical method - Surgitron.
Thank you in advance for your assistance! All your recommendations on medical slang, I will definitely show the doctor "FULL NAME. the doctor"To understand what our next steps are with him ...
Sincerely, "FULL NAME. patient»
Ps. According to my specialty, I have to talk a lot ... I would like to have a 100% hole, not even so much for my good in life (and with 30% you can exist) how much for the good and benefit of many other people ...
(The name of the doctor and the patient, as well as the name of the clinic are omitted for ethical reasons)
When talking with the patient, it was found out that he has 2 degree obesity. Even before the operation, the surrounding people noted the cessation of breathing during sleep (a sign of obstructive sleep apnea). After treatment, snoring increased, respiratory arrest increased.
It should be noted that operations in the soft palate are considered in the ENT surgery one of the most irreversible. Those. with an unsuccessful intervention, it is almost impossible to repair or redo something, especially in the case of pharyngostenosis.
Most centers that treat snoring with a laser or radio frequency do not have expensive diagnostic equipment, which is necessary for polysomnography or cardio-respiratory monitoring. The high cost of diagnostic equipment and the complexity of breathing research in a dream determine their high cost (from 6 to 12 thousand rubles), which is comparable to the cost of the surgical interventions in the sky. In the current situation, medical centers take a certain risk without purchasing diagnostic equipment or conducting polysomnography in order to minimize the cost of treatment and increase competitiveness. Doctors are deprived of the possibility of objectifying the severity of breathing disorders in a dream and should focus only on the patient’s story (what can he say if he sleeps at night?) Or his relatives, as well as the results of a clinical examination (it also occurs during the daytime). Accordingly, without a special study of night sleep, the possibility of a diagnostic error is not excluded.
Patients themselves can also abandon the polysomnographic study, relying on advertisements about the almost 100% effectiveness of the intervention (why, then, need any additional expensive research?). Unfortunately, miraculous healings happen only in fairy tales, in reality it is far from being so. According to large and credible foreign studies, it has been shown that the efficiency of laser and radiofrequency plastics of the palate is about 80% with uncomplicated snoring, about 50% with mild forms of sleep apnea and less than 20% with moderate forms of sleep apnea. How can you not remember the good Russian proverb "Measure seven times, cut once".
In this situation, we believe that the patient must be informed of the possibility of performing polysomnography or cardio-respiratory monitoring in order to clarify the diagnosis before surgical treatment. And then the patient himself must decide whether to incur the additional costs of conducting a diagnostic study or immediately agree to surgery in the sky, but without clear guarantees of success. Unfortunately, in our experience, the overwhelming majority of patients who applied to our sleep medicine department after unsuccessful laser snoring treatment or radio wave surgeries in the sky for snoring and sleep apnea were not previously informed about the possibility of polysomnography to clarify the diagnosis and determine the optimal tactics of treatment, depending on the combination of the causes and severity of breathing disorders during sleep. But, in fact, useless and sometimes rather dangerous surgical interventions could have been avoided if the patient was immediately diagnosed with obstructive sleep apnea. Yes, it is impossible to cure the patient with this diagnosis. "On an outpatient basis, once, bloodless, painless and 100%." In this situation, it is better to honestly tell the patient that he needs more difficult and serious methods of treatment (significant weight loss or assisted ventilation during a night's sleep - CPAP therapy). We hear more often from patients that with the failure of surgical treatment they were again and again offered to come for repeated sessions of laser or radiofrequency intervention (sometimes up to 5-6 times!). At the same time, usually the patient himself at some stage stops visits to the doctor, and the legitimate question “Why did not help?” Usually comes the answer that you did not complete the full course of treatment - it means you are to blame. At the same time, promises to do everything in one session with 100% success are usually quickly forgotten.
We conducted a study that included 15 consecutive patients with severe obstructive sleep apnea (OSA), who had a laser uvulopaloplasty (from 2 to 6 sessions) even before entering our sleep medicine department at different times (up to 2 years). ). The following data was obtained:
- No patient prior to laser intervention had conducted a polysomnographic study or cardio-respiratory monitoring in order to clarify the severity of breathing disorders during sleep.
- Only 3 patients were clinically diagnosed with OSA, although all patients had a classic clinical picture of severe OSA.
- None of the patients before the laser uvulopaloplastiki (LUPP) were not offered alternative methods of treatment of OSAS.
- Only 3 patients were referred to the sleep laboratory by ENT surgeons after LUPP. The remaining patients did not receive any recommendations for further examination and treatment, despite the ineffectiveness of LUPE.
It should be especially emphasized that after unsuccessful PFU patients were not informed about the possibility of CPAP therapy - an effective treatment for severe forms of OSA. They simply said that now nothing will help you.
In conclusion, I would like to say that we are not opposed to laser or radiofrequency intervention in the soft palate in patients with uncomplicated snoring, in whom the main cause of snoring is excessive soft palate or uvula. Of the more than 5,000 patients examined at our somnological center for snoring and sleep apnea, about 15% were later referred to ENT surgeons and underwent laser or radiofrequency treatment for snoring, most of them with good effect. This suggests that these techniques are in our arsenal of treatment methods. We only urge, as banal as it sounds in medical circles, to conduct a thorough history taking, provide adequate instrumental examination and use the most optimal treatment methods depending on the combination of causes and severity of snoring and sleep apnea. These may include laser or radiofrequency interventions on the palate, operative or conservative methods of nasal breathing restoration, CPAP therapy, use of intraoral applicators, smoking cessation, treatment of hypothyroidism, and a number of other therapeutic measures. Weight loss should also be considered as one of the main treatments for snoring and sleep apnea in overweight patients. Sometimes it is enough to lose 5-7 kg of weight to stop snoring.
Snoring is just a symptom. Snoring can be uncomplicated and present only a social problem, and can accompany a severe form of obstructive sleep apnea. The causes of snoring are also more than a dozen. In this situation, treating snoring with a laser or radio frequency in all patients indiscriminately is the same as removing an appendix in all patients with abdominal pain. Someone, perhaps, will help ...
Below is a clinical case from our practice.
Patient K., 43 years old, in 2003 he applied to the center of sleep medicine at the clinical sanatorium “Barvikha” complaining about snoring, sweating at night, restless and unrefreshing sleep, waking up with a feeling of lack of air, frequent night urination (3-5 times), fatigue and headache in the morning, daytime sleepiness, irritability, reduced potency, deterioration of performance.
Anamnesis: Snoring appeared about 10 years ago and grew in parallel with the gradual increase in body weight. With regard to snoring, sky cryoplasty was performed (exposure to liquid nitrogen) in 1996. The intervention was hard enough. For 2 weeks, the throat hurt badly, the body temperature rose. Improvements in snoring volume are not noted. In 1998-99 I scored about 6-7 kg, against the background of which the snoring intensified, the surrounding noted the appearance of breath stops in a dream. In 1999 he turned to a laser center, where he was twice treated by snoring with a laser, which also did not give a positive effect. No polysomnographic studies were conducted in 1996 or in 1999 (the patient was not even informed about this possibility). During 2000-2003, I gained another 10 kg. During this period of time, other complaints (besides snoring) appeared and grew. About 3 years there has been an increase in blood pressure to 170/110 mm Hg. Art. mainly in the morning hours. Smokes more than 10 years, 20 cigarettes per day.
Inspection: Obesity 2 tbsp. (height 197, body weight 116 kg). Significant body fat at neck level. Breathing through the nose is not difficult. Moderate retro and micrognathia. Pharyngeal ring narrowed due to general obesity. Condition after cryo- and laser plastics of the sky (rice four).
Fig. 4. Photograph of the pharynx of patient K., 43 years old, with persisting severe form of OSA. Condition after repeated cryo-and laser interventions in the sky: the side arms are scarred, subtotal resection of the palatal uvula (own data).
The patient held polysomnographic study (Fig. 5 and 6). During 7.5 hours of sleep, 327 apneas and 120 hypopneas of obstructive genesis were recorded. Apnea / hypopnea index = 60 per hour. The total duration of apnea and hypopnea was 195 minutes, or 60% of sleep time. The maximum duration of apnea is 63 seconds. The minimum blood oxygen saturation is 74%. A sharp disturbance of the sleep structure was noted: an increase in the duration of sleep stage 1, the almost complete absence of deep sleep stages (3-4), the brain micro-arousal index was 64 per hour.
Diagnosis: Obstructive sleep apnea, severe form.
Fig. 5. At the 5-minute scan of the polysomnogram, cyclical respiration stops (the Dakhaniye channel) are observed, accompanied by a significant drop in blood oxygen saturation (the SaO2 channel) and micro-stimulations of the brain on the EEG (EEG channel).
Fig. 6. Baseline somnogram (sleep pattern) for 7.5 hours. There is a sharp violation of the sleep macrostructure, significant redundancy in the first stage of sleep (yellow color in the lower graph), the complete absence of deep sleep stages (3-4).
Fig. 7. Somnogram during the first session of CPAP therapy. Normalization of the sleep structure, the predominance of the deep stages of sleep (blue color in the lower graph) and REM sleep (red color) are noted.
Started non-invasive ventilation of the lungs with constant positive pressure during the night's sleep (CPAP therapy). On the very first night of the treatment, obstructive respiratory disorders were almost completely eliminated. The apnea / hypopnea index decreased from 60 to 2 per hour, normalization of blood saturation with oxygen, normalization of the macro- and microstructure of sleep (rice 7). The patient noted a significant improvement in the quality of sleep and daytime activity after the first night of treatment. In the future, continued constant CPAP therapy in the home.
Comment: The patient had congenital predisposing factors in the form of retro- and micrognathia. Additional factors that provoked the emergence of snoring, apparently, were smoking and weight gain. It is possible that there was an excessive soft palate or an elongated tongue. Thus, there was a set of factors that could contribute to the occurrence of snoring. The patient underwent sky cryoplasty, which had no effect, apparently due to the fact that the contribution of other causal factors to the occurrence of snoring was more significant. In addition, the patient was not told anything about the need for weight loss! At our consultation, he first learned that obesity can be a major factor in the occurrence and weighting of snoring. Thus, from our point of view, a diagnostic error was made due to an incorrect assessment of the leading causative factor of snoring.
Further weight gain probably led to the development of obstructive sleep apnea as early as 1999 (others noted respiratory arrest during sleep). In this situation, the feasibility of performing laser plastics of the sky in 1999 was even more doubtful, since the interventions in the sky during OSA are not shown. Moreover, the scarring of pharyngeal tissues could even worsen the course of OSA due to the further narrowing of the laryngeal lumen.
Accordingly, in this situation, the severity of obstructive respiratory disorders during sleep was also underestimated.
The analysis of the given clinical example allows to make three obvious conclusions:
- Surgical procedures on the palate in patients with obesity and severe sleep apnea are not effective.
- In this category of patients, it is necessary to apply CPAP therapy.
- The choice of treatment tactics depends not only on the causes of snoring, but also on the severity of breathing disorders during sleep. The severity of the disorder can only be determined on the basis of a polysomnographic or cardio-respiratory sleep study. Accordingly, instrumental diagnosis of respiratory disorders in sleep should be an integral part of a comprehensive examination of a patient with snoring and suspected obstructive sleep apnea.
In conclusion, I would like to express the hope that this article will allow both doctors and patients to make more informed decisions when choosing a method for treating snoring and obstructive sleep apnea.
Дополнительная информация о диагностике и лечении храпа и синдрома обструктивного апноэ сна изложена в мультимедийной лекции «Оперативное лечение храпа и синдрома обструктивного апноэ сна» и учебном пособии «Храп и синдром обструктивного апноэ сна» (Скачать).
If you wish to undergo consultation and treatment for snoring and sleep apnea make an appointment.
How to cure snoring in St. Petersburg
In our AndroMed clinic, snoring is treated with laser surgery. Snoring is not only the cause of numerous complaints from your household, but also a serious illness. Restless sleep, and as a result of stress, the development of hypertension, problems with sex. More than 20% of people over 30 snore. What are the reasons for the phenomenon of snoring, and how to deal with it? Let's see.
Snoring surgery - uvuloplasty
If the patient suffers from snoring, and the examination shows the presence of interference in the airways, doctors prescribe uvuloplasty (uvuloplasty). This is a relatively uncomplicated intervention that helps normalize air flow through the track. As a result, the person gets rid of snoring.
Methods of operation are different. It is made on:
The goal is to expand the pharynx, increase the density of the soft tissues of the larynx, so that air can freely enter the lungs. The effectiveness of the intervention is high. However, options are not excluded when:
- There is only a temporary improvement, but snoring does not disappear completely. Perhaps if the true causes of ronchopathy have not been established.
- Improvement does not come at all.
- The patient's condition worsens, there is a risk of sleep apnea.
To avoid negative consequences, you need to carefully choose a clinic and a specialist.
To achieve good results of treatment, it is necessary to eliminate the attendant factors of snoring. Common causes of breathing problems during sleep are:
- various inflammatory processes and formations (adenoids, tonsils, polyps),
- crooked nasal septum.
The effectiveness of the operation depends on the severity of snoring. There are two stages:
- Easy The muscles of the sky are relaxed and vibrate, making a distinctive sound. In this case, the operation will give good results.
- Heavy The passage of air is hindered not only by the muscles of the sky, but also by the epiglottis and the root of the tongue. The operation may aggravate the patient's condition, because tissues will become even more dense.
If the patient suffers from obstructive sleep apnea, the operation is contraindicated. Intervention will only increase the number of stops breathing.
Factors for a successful and effective operation for snoring are:
- A mild form of airway impairment, when the soft palate vibrates and the muscles are slightly weakened.
- The patient does not smoke.
- The weight of the patient is normal.
- There are no lesions or tumors in the nasopharynx.
- No apnea syndrome and this fact is confirmed by special studies.
This is a plastic surgery. As a result, part of the soft palate and tongue is removed, or the tongue is shortened slightly. Total:
- The soft palate is shortened and does not interfere with the passage of air through the paths.
- Scars are formed at the surgical site. They tighten the fabric and it stops vibrating. The peculiar sound disappears.
The intervention is performed on an outpatient basis under local anesthesia. The time is 20-40 minutes. If everything goes well, the patient is discharged after a few hours. Full recovery will take from 1 week to 10 days.
This is an extended plastic surgery for snoring. During the intervention, not only the soft palate tissue and uvula are removed, but also:
Conducted using a scalpel, laser or radio wave frequencies. As a result, the airways are greatly expanded, breathing in sleep easier.
A hospital operation is performed using general anesthesia. Duration - at least an hour. After that day, the patient is in the hospital under the supervision of specialists. Extract is possible only in the absence of consequences.
Non-surgical laser technique
Popular in Europe and the USA. Conducted using a special apparatus. The essence of the method is the treatment of the sky and tongue with a laser for short sessions (no more than 30 seconds). The result - in the area of impact, the processes of neocollagenesis are started. There is a development of new collagen fibers that tighten and tighten the tissue. The paths are expanded without the use of anesthesia and without a recovery period.
"Treatment of snoring with a laser has a number of important advantages over others. The operation is performed on an outpatient basis, absolutely painless, bloodless, in just 10-15 minutes without subsequent disability, saving you from a serious problem for many years."
Reference to the source: http://hrap-net.ru/lechenie-hrapa-lazerom/
The main advantages of laser treatment of snoring, the cost of surgery and rehabilitation after the procedure
Snoring brings discomfort to loved ones, depriving them of a restful sleep, and also brings health problems to its owner.
Disturbed sleep, heart pain, migraine - the effects of insufficient oxygen, which is simultaneously combined with long moments of respiratory failure.
If it is impossible to correct the ronchopathy by conservative methods, surgical methods are used, including with the help of a laser.
What is laser snoring treatment?
The method of laser correction involves the partial removal of the arches of the soft palate and uvula with a laser beam.
Eliminating excess tissue helps open the lumen of the airways that are not blocked even when a person is in a horizontal position.
If the tonsils are enlarged, but there is no inflammatory process (tonsillitis), then another form of procedure is performed - pharyngoupaloplasty, which involves the simultaneous reduction of the tonsils.
Features and benefits of uvuloplasty
Classical uvuloplasty with snoring is performed using a scalpel, with which the risk of bleeding is relatively high.
Increased tissue invasiveness increases the duration of a person's stay in the hospital (outpatient surgery is impossible). The positive point of traditional excision is the strengthening of the palatine muscles due to the formation of scar tissue.
The main advantages of laser correction:
- automatic moxibustion. The formation of blood loss is minimized.
- Speed. The operation takes a minimum amount of time - just 15 minutes - compared to other methods.
- No pain Gentle impact allows the operation to take place almost painlessly.
- Low risk of complications. The laser forms a minor wound surface, so purulent processes rarely occur.
- No age restrictions. The laser is even used to treat throat pathologies in babies.
As close as possible to the laser method is the method of using radio wave radiation. It also allows you to instantly cauterize the resulting bleeding, but in this case there are no centers of necrosis and burns.
Using a laser is also more effective than snoring injections, which need to be carried out not once, but with a certain frequency.
Disadvantages of the procedure
The action of the laser leads to the appearance of necrotic residues, causing decomposition processes during the healing period of the tissues.
Unpleasant smell emitted from the mouth, is one of the downsides of the method, however, after healing, the odor disappears.
A side effect can equally be the occurrence of temporary increased salivation.
After undergoing laser surgery for snoring, you should follow a gentle diet for several weeks. The pain persists for two weeks - the doctors advise you to take painkillers to relieve your condition.
The use of laser techniques is useless for the curvature of the nasal septum, enlarged tonsils and polyps. In these conditions, septoplasty, tonsillectomy and polypotomy are indicated.
What are the causes and manifestations of the disease used this intervention?
The weakness of the palatal muscles is the main cause of the sagging of the soft palate, which connects to the tongue. As a result, the access of oxygen to the lungs is temporarily blocked, which is why a person has to make an effort to breathe in and out again. Bursting breath together with a falling tongue and creates uncomfortable noise vibrations.
The likelihood of snoring increases when drinking large amounts of alcohol, smoking cigarettes at night and the presence of excess weight.
However, laser correction is not shown in such cases, because snoring can be solved by avoiding bad habits and losing weight. The laser is used only in cases where the cause of snoring is the wrong structure of the soft tissues of the throat.
Indications and contraindications
Congenital or acquired airway obstruction is the main indication for conducting uvuloplasty using a laser technique.
Some patients who have resorted to uvulopalatofaringoplasty, sagging of the soft palate, and snoring comes back. With a strong apnea, the technique is also indicated for use.
Taboo on using the method - diseases and conditions:
- thickened tongue
- the presence of tumors in the throat,
- individual intolerance to anesthesia,
- strong gag reflex,
- any acute illness.
The lack of immersion in general anesthesia allows the use of the method to persons suffering from cardiovascular diseases. It is better to correct women awaiting childbirth after the end of the term of gestation.
About such indications for laser treatment of snoring as sagging soft palate, shows the principle of operation:
Laser treatment of snoring is considered a relatively inexpensive operation, for which clinics ask from 5 to 7 thousand rubles for 1 procedure.
In total, they will need 1–4, which is why the final price of snoring treatment with a laser can rise to 20–28 thousand rubles. However, before surgery, you will also need to pay the costs associated with preparing for surgery.
- initial consultation - from 500 to 2 000 rubles,
- endoscopic examination - from 1 500 to 2 000 rubles,
- control consultation - from 300 to 1 600 rubles.
Considerable price range is dictated by the location of the patient - in a region or capital. Some medical institutions make consultations of an otolaryngologist free of charge if the patient has definitely decided to resort to the operation, and not just decided to collect information about the state of health.
So, what is the total price of getting laser snoring? The approximate cost is more than 33,000, and if you intend to do uvuloplasty in Europe or Israel, the price tag increases by 2–3 times.
How is the procedure?
Going into the operating room, the patient sits on a chair or lies on the couch, after which the doctor gives out protective medical glasses. After the anesthetic is injected into the oral cavity, a laser instrument is used to apply small micro-burns, which are then enlarged to completely eliminate excess tissue.
- Training. 4–6 hours before the operation it is forbidden to eat and drink liquids.
- Anesthesia. The operation is carried out under local anesthesia using novocaine (as an aerosol agent).
- Pain during surgery. The operation is completely painless - the occurrence of unpleasant sensations is possible only with a low pain threshold or an insufficient amount of anesthesia.
After the performed surgery, the patient is sent to the ward. Occasionally, after surgery, CPAP therapy is used, which involves the connection of an oxygen mask.
After 8–9 days, the person who underwent the operation returns to a full life. But even immediately after the operation, disability does not occur, so the patient can immediately be allowed to go home. After surgery, weakness and slight dizziness caused by novocaine are possible.
Throughout the week, the operated feels unpleasant sensations in the throat, similar to angina, but after 7 days they pass completely. If the correction involves more than 1 session, the discomfort in the throat will last for a period of two weeks or more (in the total population).
Neglecting the advice of a doctor is equally fraught with the appearance of inflammation if during the rehabilitation period after laser surgery you do not need to gargle with snoring using anesthetics.
During the recovery period after surgery, hot, coarse and sour foods should be excluded, which leads to unpleasant sensations and reduces the rate of healing of throat tissues.
Is relapse possible?
In more than 80% of cases, snoring completely disappears, and the remaining 20% - becomes less pronounced.
The risk of returning the uncomfortable state is possible only with the appearance of dangerous diseases - purulent otitis media, cancerous changes or respiratory obstruction caused by mechanical trauma.
With a significant change in body weight, snoring can also resume.
Treatment of snoring with a laser is a demanded method of eliminating ronhopathy, which has the least trauma and a short period of rehabilitation for the patient. High efficiency coupled with a relatively low price also make laser surgery attractive and profitable for the client.
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Reference to the source: http://samec.guru/anatomiya/hrap/lechenie-h/lazernaya-korrektsiya.html
Indications for treating snoring laser
Treatment of snoring with a laser is a surgical technique that is not shown to all people. To begin with, the doctor will try to solve the problem with the help of conservative therapy. Patients may be recommended to change their lifestyle, treat diseases of the nasopharynx, try using orthopedic mattresses and pillows for sleep, stop smoking and taking alcohol, control body weight, etc. If this does not help, then you must be operated on.
It may be recommended for patients with the following problems:
Anatomically incorrect form of organs that are responsible for human breathing. Frequent colds, ENT infections can contribute to the softening of the upper palate. They make this area of the oral cavity loose, and the uvula becomes longer. As a result, it will not be possible to get rid of snoring by conservative methods of influence, an operation is required. Sometimes the tongue is lengthened in a person from birth, which also requires a laser uvulopaloplasty.
The presence of a large amount of lymphoid tissue that accumulates next to the nasopharynx. This is due to chronic diseases of the oral cavity. In this case, the patient is carried out laser pharingo-ulopaloplasty.
Curved nasal septa are also indicated for laser treatment.
Using a laser beam, benign tumors in the nasal cavity or fibrous growths, which often cause snoring, can be removed.
With the help of a laser, the lumen of the pharynx can be expanded.
Laser Palatoplasty in the treatment of snoring
Laser snoring treatment is carried out in the hospital. Local anesthesia is administered to the patient, after which a soft laser beam is cut from the soft palate tissue from 2 sides. As a result of the operation, the patient has two small wounds, which, dragging on, lift the soft palate.
With the help of a laser, it is possible not only to tighten sagging tissue, but also to instantly coagulate the vessels. Therefore, the risk of bleeding during the procedure will be minimal.
The operation is short in time, but it will have to go through several times. This improves the efficiency of the procedure. Most often they need five.
As a result, soft palate tissue and tongue harden. Therefore, the vibration created during the passage of air through the nasopharynx does not provoke the appearance of a characteristic sound.
Rehabilitation after surgery is short, it does not take more than 2-3 weeks. At this time, the patient will experience sore throat and earaches. To reduce pain, you can take painkillers, do rinses with anesthetic solutions.
During the rehabilitation period, you will need to abandon the use of foods containing acid.
The wound will be completely tightened after 21-30 days. Palatoplasty or, as it is also called, uvulopaloplasty is the most common method for treating snoring with a laser beam. However, depending on the problem that provoked its appearance, other procedures can be carried out.
Varieties of laser snoring treatments:
Pharyngoulopaloplastya - except for the laser, the doctor uses special forceps during the procedure. With their help, he either completely removes the tonsils, or reduces them in size. The operation is performed under local anesthesia.
Correction of the nasal septum. The doctor using the laser beam makes incisions on the inner shell of the nasal cavity. After gaining access to the nasal cartilage, the doctor heats and corrects them, giving the nose the correct shape. As a result, the patient gets rid of snoring. The operation is most often performed under general anesthesia.
Removal of fibroids and small formations in the nose. Depending on the complexity of the operation, both local and general anesthesia may be indicated to the patient.
The narrowing of the pharyngeal passage. С помощью лазера удаляют мягкие ткани, которые в дальнейшем замещаются более плотной тканью.
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Плюсы и минусы лечения храпа лазером
Быстрота проведения операции. В целом, процедура занимает не более получаса.
Отсутствие необходимости ложиться в больницу. After the operation, the patient should be under the supervision of doctors for no longer than 2 hours.
Short rehabilitation period. Doctors indicate that it can be 20-30 days. Although in most patients all residual effects disappear after 10 days.
No need for general anesthesia.
Complete cure of snoring, which significantly improves the quality of life in general and night rest in particular. And this is true not only in relation to the patient himself, but also his immediate environment.
It should be understood that the treatment of snoring with a laser has several disadvantages, among which are:
The operation is not completely painless, therefore, requires the introduction of local anesthesia.
During the rehabilitation period, you will need to take painkillers to reduce pain. This is especially true for the first two days after the procedure.
Inflammation of the lymphoid tissue and the mucous membrane of the throat is possible. Especially often this occurs when the laser beam hits the adjacent tissue. Such non-professional actions of the surgeon lead to the formation of a severe burn.
There remains the risk that the operation will be ineffective, although it does not exceed 20%.
To completely get rid of snoring may require several operations.
The procedure carries the risk of side effects.
The operation has a number of contraindications, so it can not be held for all patients.
The high cost of the procedure. In some clinics, it can reach 60 thousand rubles.
Laser snoring treatment is associated with a number of side effects, including:
The occurrence of pain in the ears.
Voice change (this side effect is reversible).
The risk of bleeding.
Risk of joining infection.
There may be problems with eating.
According to statistics, about 80% of all patients who have gone through snoring treatment with a laser completely get rid of their problem.
The effectiveness of the treatment depends on a number of factors, namely, on the severity of the disease, on how correctly the diagnosis is made and on how correctly the treatment strategy is chosen. Equally important is the qualification and experience of the surgeon, as well as the manufacturability of the equipment with which the treatment is performed.
Snoring is a problem that needs to be addressed. To get rid of snoring, you need to contact the doctor and follow his recommendations.
Author of the article: Lazarev Oleg Vladimirovich, otorhinolaryngologist, specifically for the site ayzdorov.ru
Full sleep is very important for maintaining a person's well-being, his active life. Snoring in a dream is not the norm, but a pathology, which can in some cases become a trigger for the development of serious diseases. The appearance in men of characteristic sounds, called snoring, in a dream is due to the weakening of the muscle tone of the soft.
According to medical statistics, about 30% of women snore in their sleep, and the probability of this phenomenon only increases with age. The intensity of female snoring is much less than that of the stronger sex, so this symptom rarely becomes a problem for members of the snoring lady's family. Despite this, snoring cannot be considered an innocuous phenomenon.
To navigate in this diversity, you can ask for help from a somnologist. Specialist in sleep problems will help you choose the right tool or device that helps strengthen the muscles of the soft palate and pharynx, to expand the airways. It is possible that a single medicine or.
Snoring treatment does not always require surgery, in some cases, you can get rid of the pathology at home. This does not mean that you need to engage in self-treatment - just some of the factors affecting the appearance of snoring can be eliminated with simple and safe methods. Situations in which the use of these methods is permissible:.
The information on the site is intended for familiarization and does not call for self-treatment, consultation of the doctor is required!
Snoring - is it bad?
Often, people believe that snoring develops in people with excellent health, excellent appetite and full-fledged sweet sleep. But the reality is quite the opposite.
Such a powerful snoring in humans can be the beginning of the disease, and quite severe, obstructive sleep apnea, which is characterized by respiratory arrest. In turn, they lead to oxygen starvation of the brain and other vital organs.
After a bad dream because of snoring, a person feels tired and unworkable during the day, the memory is rather diffused, and it’s impossible to sharpen the focus on something. Snoring people are at risk of heart attack, stroke, and also before others are aging.
The first step to treating snoring
Before you decide to eliminate snoring with a laser, a fairly common procedure today, you need to correctly diagnose the causes of the problem.
Much to the regret of many people, it is possible to get rid of snoring only in case of its manifestation, as an allergic reaction. In other cases, turning the snore on its side will not help, and snoring will only intensify and get rid of it will be quite difficult. The otolaryngologist must necessarily examine the patient, direct him to a blood test and undergo endoscopy of the cavities in the nose, larynx and pharynx.
Depending on the identified cause of snoring, a degree of pathology and a method of treatment are prescribed. When the problem lies in the soft palate and sagging palatine uvula, doctors prescribe treatment with sprays that improve muscle tone. Thus, nasal breathing during sleep is stabilized and does not cause snoring sounds.
Types of surgery
Removing snoring with a laser is done in different ways depending on what form of snoring a person has. When the problem lies in a curved nasal septum, that is, the snoring form is nasal, laser endoscopy is needed.
The pharyngeal form needs a laser uvulofaringoplasty, which reduces the tongue and stretches the soft palate. The effectiveness of such operations from snoring with a laser is almost one hundred percent.
With the most severe form - laryngeal, the treatment is quite complicated. This is due to respiratory arrest, from which blood pressure rises, develops heart attack and stroke, angina and other illnesses. This form of snoring is not treated surgically, since the effect of the operation does not give any.
Laser snoring treatment
Such operations are the most effective method to eliminate problems with snoring. This technique is officially patented, and reviews about it claim that the removal of snoring with a laser takes place in just one session.
The results of treatment always depend on the human body. The operation lasts only fifteen minutes, and almost never bleeding occurs. Some people manage to get rid of snoring completely, others significantly reduce its manifestation. And only a scanty number of patients continues to snore.
Those who are afraid to decide on such an operation can read reviews about the treatment of snoring with a laser, because many people have already gone through this and are completely satisfied with the results. Getting rid of snoring with a laser does not cause any painful sensations, does not deprive the patient of working ability, but in most cases relieves the problem for a long time.
Treatment of snoring with a laser in Moscow
This, one might say, a delicate problem in the capital of Russia is occupied by about fifty clinics. Unfortunately, only a few of them are equipped with special equipment, with the help of which one can accurately determine apnea syndrome. This is very important because it is a contraindication to laser treatment. If you miss this procedure, in the end, you can earn only complications in addition to the remaining snoring.
Positive aspects of laser operations
Reviews of most people claim that the operation against snoring with the laser eliminates frequent waking up at night, memory improves markedly, men experience an increase in potency, breathing does not stop during sleep.
The cost of surgery for snoring with a laser depends on the form of snoring and its neglect. On average, the price of surgery to eliminate snoring with a laser is about 30 thousand rubles.
Spray, clip, pill or operation: what will help from snoring?
The problem of humanity associated with snoring is known for a long time. Today snoring is a hot topic, from 30 to 45% of the population suffers from this disease, and medicine has seriously addressed this issue.
Currently, there are many different means of snoring. Opinions about these tools are largely divergent and very ambiguous, but doctors recommend taking some of them, prescribing certain drugs for each patient, taking into account the characteristics of his illness.
There are medical and symptomatic drugs for snoring. The first are vasoconstrictor drops (nazivin, Naphthyzin, Sanorin, etc.) and sprays used for nasal congestion and allergies.
Symptomatic include aerosols, sprays and opaleskatel, which contain various oils and extracts. The most popular in recent times are sprays, but here it is necessary to take into account allergic reactions.
Most people snore in age
If a person suffers from allergies, in this case, snoring will become even stronger. In this situation, allergies are recommended to use corticosteroids, which have anti-inflammatory effect.
Of course, you cannot call it a medicine for snoring, but it soothes the nasopharyngeal mucosa and as a result snoring decreases. In addition to various drugs, you can use mechanical devices and other things, for example, you can purchase an orthopedic pillow.
These funds are intended for people suffering from mild snoring, for more severe forms of snoring, you should consult with your doctor and, if necessary, resort to surgical intervention.
One of the types of severe snoring is apnea - stop breathing during sleep. For people suffering from this disease, special masks have been developed. Such a mask is worn over the face at night and through it the air enters the nasopharynx under pressure, which prevents the cessation of breathing.
Spray Syominorm really works, sound vibrations are reduced. However, do not forget that this is just a spray and for the treatment of snoring you need to know exactly what is the reason. If you have something serious, then only surgery can help. And this medicine was created to temporarily save you from snoring while you are taking it.
All my married life I was tormented by a snore husband. I understood that I could not bear it any longer and began to look for ways to overcome snoring.One of my friends has the same situation, she advised me to buy Sominorm. I bought it at the pharmacy, and then told my husband about it. He took this with understanding and began to use it before bedtime. And it really helped! Snoring gradually began to disappear, and after a while completely stopped! My joy knew no bounds! Now I sleep well.
Causes of snoring, diagnosis
Most often, snoring occurs in people after 35 years, when the muscles of the tongue and palate begin to change their properties. It can also be caused by a curved nasal septum, an overbite, polyps in the nose, a long tongue, excess tissue of the palatine arches. To understand the cause, you need to contact our doctor, who professionally diagnoses and treats snoring.
Snoring treatment, price:
Consultation with a doctor for treating snoring - 1,200 p.
The price of treating snoring, apnea in men and womenlaser - 16 500 p.
Duration of laser surgery to get rid of snoring 20-30 minutes. The operation is painless and safe. Snoring disappears on the first night. Hospitalization at the clinic is not required. The stay in the clinic is about 1 hour.
An examination before the operation to get rid of snoring is appointed by a specialist at the first admission, based on your individual health data. It usually includes a blood test for hepatitis, f.50, sugar, blood clotting factors. If you have your own current tests, you can bring them to the reception. Also, all the necessary tests can be taken in our clinic.
What can be if not treated
Do not treat snoring dismissively. Snoring can cause such a serious illness as obstructive sleep apnea, when a person's breathing stops in a dream. Snoring suddenly stops breathing, relaxed tissues of the pharynx close the airway completely. A few seconds pass before the brain gives the throat a signal to strain. Then the sleeper snores loudly and continues to breathe. This syndrome may not only be a harbinger of many disorders, but may even cause sudden death in a dream. That is why snoring must be treated!
If home methods do not help - treatment of snoring with a laser.
There are many recommendations that can mitigate snoring. The most important thing is to wean yourself off sleeping on your back. To do this, there is a simple folk remedy - sew a ball in the back area into a t-shirt. Doctors claim that this only hinders the first couple of weeks, then a reflex is produced that keeps you awake from sleeping on your back.
Also, in order to get rid of snoring, you need to make your lifestyle healthy overall. Proper nutrition, smoking cessation, alcohol and sleeping pills will greatly contribute to improving your sleep. Overweight people are advised to lose weight, because reducing body weight by at least 10% improves sleep parameters at least twice.
Treatment of snoring with laser (surgery) in men and women
Experience shows that one of the most effective treatments for snoring today is laser application or radio wave loop electrode and the Elman device, manufactured in the USA. The principle of its operation is such that the excess throat tissues leading to snoring are simply not simply removed, and you stop snoring. The method is certified in 2004, and today there are a fairly small number of specialists who can effectively treat snoring with a laser. Some of them work in the AndroMed clinic in Zvenigorod. Famous surgeon Professor Paramonov B. A. and Ekimov S.V., as well as the Wise A.A. easily carry out this operation and is guaranteed to help forget about snoring forever. The experience of such an operation in our clinic has more than 200 operations.
What to use when lightly snoring
For mild forms of snoring, products are used that contain substances that tonic the muscles of the soft palate. It should be noted that with more severe forms of snoring, as well as with snoring, accompanied by sleep apnea syndrome, these drugs will not be effective. Consider the most popular drugs in this group.
The most common among them are Sleepex spray, Snorstop tablets and Asonor nasal spray. Spray Sleepex has anti-inflammatory and antiseptic effect, has a tonic effect on the muscles of the soft palate.
The Snorstop tablets contain substances that reduce snoring and its unpleasant symptoms, this remedy relieves, of course, from snoring, but only for a short period of time. They can be used on trips in order to get rid of snoring for a while.
After stopping taking pills, snoring comes back. As for the nasal spray "Asonor" - when using this tool, improvements are usually observed after the first use, although in some cases, it may take about two weeks for the results to appear.
Also, there are various things in the form of clips, the so-called "nipple", patches and other devices used by patients to combat the disease. Consider some of them:
"Antihrap" - magnetic clip "Antihrap". This device is made of silicone material and resembles a clip with magnets placed at the ends. The device is intended for use during sleep.
It does not cause discomfort, and you can sleep with it in any position. After the device is installed in the nasal cavity, the magnets begin to act on the points of the nose and nasopharynx.
My wife constantly complains about my snoring. She can't stand him. When the "night serenade" begins, she pushes me or stops my nose. And I was unpleasant to her. Therefore, we bought a clip Antihrap. In the first nights there was no effect, but I still continued to use it and believe in success. Over time, I began to snore significantly less, at least, so says my wife, Now after a few months I do not snore at all and am extremely pleased about it.
I bought this clips to help my mother cope with her snoring. She has a very strong snore and I am constantly worried about her. At the moment, improvements are already audible, but the problem is not completely solved. Perhaps this is due to the fact that little time has passed since its use.
I am very pleased with the acquisition of this clip! Before, I was constantly embarrassed about my snoring, because the sound was such that the whole house was on my ears, but now I don’t snore. Теперь клипса лежит у меня в коробочке, я её не использую.
Экстра Лор. По внешнему виду устройство похоже на детскую соску, на конце которой расположен лепесток, предназначенный для фиксации языка. Для приобретения данного устройства не требуется специального разрешения у врача. Устройство Экстра Лор предназначено как для устранения храпа, так и для его лечения.
Не смотря на смешной вид устройства, мне Экстра Лор помог. I was ready to take more decisive measures and agree to the operation, but then I learned about this tool. Now I stopped snoring at night and I feel much better!
Another method of getting rid of snoring - acupressure. All systems in our body are interconnected, and have a connection with different zones on the body. When these zones are irritated, a change in the functioning of the organs occurs. It is necessary to perform acupressure with clean and heated hands, and press the pad of your fingers deeply and quickly with rotational movements.
Regular holding of such a massage helps to keep muscles of the body in tonus, including the soft palate. Also, this technique helps to improve sleep.
Treatment for snoring sea buckthorn oil
Recently, medicine has seriously addressed the problem of patients associated with snoring. There are a huge number of different drugs, methods and techniques for the treatment of such problems.
If you look back into the past, you can see that our ancestors also struggled with this ailment, but used natural means to combat snoring: various herbal tinctures, oils, and other natural resources.
One of the most effective ways to eliminate and treat snoring was considered sea buckthorn oil. The oil obtained from the fruits of these berries, helped people from snoring and gave a quiet and healthy sleep due to its soothing action. Also, this oil has an anti-inflammatory effect and relieves swelling of the mucous.
But now, this method of preventing snoring is not forgotten and is used by many people, as it is effective, not expensive and easily accessible. Essential sea buckthorn oil should be applied every day, instilling a few drops in each nostril. This method of treating snoring has one drawback, it lies in the fact that for the appearance of the result you need to wait 2-3 weeks.
Sea buckthorn oil really helps. At least my husband helped. Until this night was a nightmare for me, I could not fall asleep normally, I was always irritated, and now I finally fall asleep like all normal people!
To my disappointment, snoring did not bypass me, and I became another victim of this ailment. Of course, I did not want to suffer with him and immediately got into the Internet for popular recipes for snoring. I liked the idea of sea buckthorn oil and I can confirm from my own experience that it works.
Surgery for snoring
Snoring is not at all a harmless phenomenon, as some people think, and its manifestations are found in more severe forms that require surgical intervention. Both in our country and abroad, operations from snoring have become widespread.
These operations are aimed at correcting congenital or acquired abnormalities in the structure of the nasopharynx. After examining the patient, the doctor decides what type of surgery to prescribe for treatment.
This operation is prescribed to people with hypertrophy of the soft palate, curvature of the nasopharynx and other pathologies. There are the following types of operations for snoring: using a scalpel, radiofrequency method or cryoplastic laser or liquid nitrogen. Let us consider these operations in more detail:
Laser surgery It consists in applying small burns on the soft sky with a laser. The resulting scars at the site of burns compact the tissue, thus compacting the soft palate. The time of the operation is 10-15 minutes, the operation is painless and is performed under local anesthesia. For some patients, a single operation is sufficient, but it often takes a second operation after 2-3 weeks.
Radio frequency operation or removal of tissues of the soft palate and nose. This operation per se is also painless, but it will take at least 5-7 repetitions to get the result.
Scalpel surgery assigned to patients with more severe disease. This operation requires hospitalization and is performed under general anesthesia.
It should be noted that not a single operation provides us with a 100% guarantee of curing and eliminating snoring forever, for the most part, these tools only briefly eliminate snoring.
Before deciding on an operation, I asked my friends on the Internet whether it helps or not. I realized that cases are different and sometimes even the operation does not help. Since my relatives insisted, I decided.
I went through this, I had an operation. After it, I really began to feel much better. And now my wife stopped complaining to me. I am pleased. There is nothing terrible in this operation, all the more so under general anesthesia.
Has anyone been able to get rid of snoring? Share your experience!
Treatment for snoring.
Snoring treatment is most effective with laser therapy. In just 10-15 minutes in a specialized clinic, the snorer do a painless operation with a laser beam that will get rid of snoring. There is also a non-invasive method of dealing with snoring - the domestic Extra-ENT device, which looks like an ordinary baby pacifier. It consists of a cup-shaped petal that touches the tongue and the rims, which protect against swallowing and falling out of the mouth. The therapeutic effect of "Extra-ENT" is a reflex stimulation of the muscles of the tongue and pharynx, which increases the tone of the sky and prevents vibration, eliminating snoring.
How to get rid of snoring? How to cure snoring? Tips to combat snoring.
1. Going to bed, make sure that the nasopharynx is clean and nothing interferes with breathing. To clean the nose, use vasoconstrictor drops or sea salt solution. Rinse the throat with this solution for the night - this will reduce puffiness and make the tissues of the soft palate more elastic.
2. Sleep on a low harsh pillow - it will make snoring quieter.
3. Daily perform the following exercises: the mouth is closed, breathing through the nose. Tighten the back of the tongue and pull the tongue hard to the throat. Repeat the exercise three times a day, 10-15 times and the soft palate will get stronger, reducing the likelihood of snoring.
4. Pronounce the sound "and", straining the muscles of the pharynx, soft palate and neck. Repeat the exercise in the morning and evening for 20-25 times.
5. Take a warm bath at night (t = 37 * C), it relaxes and contributes to a more peaceful sleep.
6. Try to lose a few extra pounds - it will give an obvious effect.
If you follow these recommendations, after 2 weeks you will find that snoring will noticeably decrease.
Maybe even then your half will finally move from the places of “temporary dislocation” to the matrimonial bed and stop pushing to the side at night, whispering insulting: “Yes, you are quieter, snorer! "
American scientists have invented another way to combat snoring - a special graft in the soft palate, which lasts at least 19 months of silent and restful sleep. According to Dr. Scott Bridley from Walter Reed Medical Center, 3 out of 4 patients for 1.5 years simply forget about snoring. This vaccine is inexpensive, but the disadvantage is that it will be necessary to give the injection ... for life, that is, every time after the end of her “action”.
Some more info about snoring.
The loudest man in the world, listed in the Guinness Book of Records, urban herald Allan Mayatt from the English city of Gloucester is a great lover of snoring. He has an incredibly loud voice - 112.8 decibels, which is comparable in strength to sound with a roaring jet plane. And Allan snores in such a way that the pictures in the house sway and the dishes ring. Oddly enough, he is married. But, according to Mrs. Myatt, for many years she hasn’t pulled out ear plugs at night.
The operation must be done. The tongue in the throat is shortened. They say it does not hurt and helps. .
But in any case, it is worth to lose weight, if there is excess weight, not to fill up at night, cure a runny nose and throat. And go to the ENT doctor