Snoring and obstructive sleep apnea syndrome

February 10, 2022 0 Comments

Snoring is a sound phenomenon that results from a disturbance of air movement through the upper airways. Snoring can either be an independent problem or a symptom of obstructive sleep apnea syndrome (OSAS). During sleep, people who snore do not get enough oxygen, which affects all organs, most of all the brain.

There are many reasons for the occurrence of snoring. As a rule, they include:

  • difficult nasal breathing, which can be associated with inflammatory diseases of the nasal cavity and paranasal sinuses, various variants of the structure of the nose with a deviated nasal septum;
  • the presence of adenoids in the nasopharynx;
  • enlargement of the palatine tonsils, a certain structure of the pharynx;
  • narrowness of the airways (often associated with increased body weight);
  • weakness of the muscular system of the pharynx against the background of smoking, acid from the stomach to the pharynx when overeating before going to bed, alcohol, etc.

A complication of snoring – lack of oxygen in the lungs (and then in the blood) during sleep – leads to daytime sleepiness, irritability, memory loss, morning headaches. In the long-term course of the disease SOAS causes arterial hypertension, impaired hormone production (obesity and decreased libido). In severe cases, cardiac arrhythmias, myocardial infarctions, strokes and sudden death in sleep develop.

Snoring treatment can be either therapeutic or surgical. Medicinal methods of snoring treatment are aimed at increasing muscle tone, at removing edema in the nasal cavity, at reducing dryness in the oral cavity. There are intraoral snoring prevention devices that increase the tone of the throat muscles, which prevents them from vibrating and causing snoring. The therapeutic effect of the device lies in the reflex irritation of the tongue and pharyngeal muscles, which increases the tone of the palate, preventing its vibration, and eliminates snoring.

There are also simulated intra-oral devices that shift the lower jaw forward, which increases the anteroposterior dimension of the airways and therefore reduces snoring and the severity of obstructive sleep apnea syndrome. In cases where no other treatment helps, treatment with the help of a machine, CPR, is used. It creates additional increased pressure in the patient’s airways to prevent respiratory stoppages in sleep.

Along with conservative methods, surgical treatment is used from the most simple and gentle techniques to complex surgical interventions. This may be a strengthening of the soft palate, soft palate plastic, plastic pharynx with removal of palatine tonsils, nasal breathing restoration, including the removal of adenoids in children. All these procedures are performed in the clinic.

In order to prevent snoring, it is necessary to quit smoking, reduce weight, and avoid eating before going to bed. A timely examination is recommended to detect sleep apnea syndrome and determine its severity.

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