By Wellyn Leu | Submitted On January 09, 2011
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Expert Author Wellyn Leu
Obstructive sleep apnea hypopnea syndrome is a prevalent condition resulting from a decrease in upper airway size and patency during sleep. Apneas, hypopneas and episodes of airflow limitation occur during sleep resulting in physiological changes including reductions in oxygen saturation …show more content…
There is growing evidence that obese snorers with sleeping disorder is a risk factor for anesthetic morbidity and mortality. These risks are present when undergoing upper airway surgery or any surgical procedure. The care of these snorers requires vigilance before, during and after surgery in order to minimize risks associated with their underlying sleep disordered. Obesity is common in patients with sleep disordered breathing, leading to an increased risk of gastroesophageal reflux which is caused by increased intra-abdominal fat, intra-abdominal pressure and higher incidence of hiatal …show more content…
Nasal obstruction may cause or worsen sleep apnea while improving the nasal airway can improve severe sleeping disorder. Nasal packing should be avoided in snorers undergoing nasal surgery. Alternatives to packing include use of quilting septal sutures, septal splints, nasal tubes such as Doyle splints, or nasopharyngeal airways sewn into place. Use of a decongestant nasal or a systemic decongestant postoperatively is also helpful following nasal surgery or nasal intubation. After nasal surgery, continuous positive airway pressure(CPAP) can be used with a full face mask instead of a nasal mask or nasal pillows.
Although CPAP devices are highly successful, their use is limited by poor patient compliance. Severe snorers often turn to surgical treatment when non-surgical treatment fails. Although the treatment using CPAP is different from surgical treatment to overcoming upper airway obstruction via positive pressure versus removal of the obstruction site), both treatment modalities are focused on reduction of apnea events, reduction in sleep fragmentation, increase in total sleep time, and reduction of nocturnal hypoxia. Thus, surgical treatment may be as successful as CPAP in reduction of cardiovascular