Sleep Clinic

[vc_row css_animation=”” row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” angled_section=”no” text_align=”left” background_image_as_pattern=”without_pattern” el_class=”servbox”][vc_column][vc_column_text]Sleep Apnea is a sleep disorder in which breathing repeatedly stops and starts. We may have sleep apnea if we snore loudly and feel tired even after a full night’s sleep.

SLEEP APNEA IS A SILENT KILLER! MANY DISORDERS OF THE BODY MAY RESULT AS A CONSEQUENCE OF SLEEP APNEA.

COMPLICATIONS MAY INCLUDE:

  • Cardiovascular problems range from greater risk of high blood pressure to sudden death from a cardiac event. Obstructive sleep apnea also increases the risk of stroke, regardless of whether you have high blood pressure.
  • Daytime fatigue/sleepiness : Patients with Obstructive sleep apnoea suffer from Severe daytime drowsiness, fatigue and irritability, Concentration difficulty, Falling asleep at work, while watching TV or even when driving. Irritability, moodiness and feelings of depression.
  • Urinary and sexual function: A need to get up for urination frequently at night, and impotence.
  • Gastrointestinal problems: Gastroesophageal reflux disease (GERD) may be more common in people with sleep apnea.

TYPES OF SLEEP APNEA

Obstructive sleep apnea occurs when the muscles in the back of throat relax. These muscles support the soft palate, the triangular piece of tissue hanging from the soft palate known as uvula, the tonsils and the tongue. The muscles relax, the airway narrows or closes as we breathe in, and breathing stops for some time. This may lower the level of oxygen in blood. Our brain senses this inability to breathe and briefly rouses us from sleep so that we can reopen airway. This awakening is usually so brief that we don’t remember it. We can awaken with a transient shortness of breath that corrects itself quickly, within one or two deep breaths, although it is rare. We may make a snorting, choking or gasping sound. This pattern can repeat itself 10 to 40 times or more in an hour, during the whole night. These disturbances decrease the levels of necessary deep sleep, restful phases of sleep. Because of this there is sleepy feeling during day time. People may not be aware that their sleep is interrupted. In fact, many people with this type of sleep apnea think they sleep well during night.

  • Central sleep apnea: This type occurs when your brain doesn’t send proper signals to the muscles that control breathing.
  • Complex sleep apnea: In this type both the above mechanism play a role.

Management

Management of sleep apnoea depends upon finding the cause of apnoea. Finding the level of obstruction is a challenge in OSA patients.

Polysomnography

At DuggalENT, comprehensive management of Sleep Apnoea patients is done. Polysomnography is the gold standard in making the diagnosis of OSA and specialized sleep suits are used for overnight multichannel sleep study of the suspected patients of obstructive sleep apnoea.

Drug Induced Sleep Endoscopy

Dr. Duggal specializes in Drug Induced Sleep Endoscopy procedure which gives the real time assessment of the level of obstruction. Real sleep of the patient is induced and maintained in operating room for few minutes and endoscopic evaluation of the upper airway is done to assess the exact level of obstruction. This helps in offering the tailor made surgical solution to the patient depending upon the level of obstruction.

Surgery for OSA

Dr. Prahlad Duggal is a pioneer in the field of surgical treatment of OSA in the region. Apart from conventional surgeries, he is specially trained from Euro Sleep, Norway in coblation assisted surgery for OSA.

Coblation Assisted Turbinoplasty

Dr. Duggal is one of the most experienced surgeon in the region for coblation assisted turbinoplasty as he introduced this surgery in Amritsar. The procedure is performed in blood less field in a day care setting and patient can join his job the very next day.

Uvulopalatoplasty

Uvulopatoplasty is one of the most popular surgeries performed for snoring and sleep apnoea. At DuggalENT we specialize in various forms of Uvulopalatoplasties and a large number of such procedures have been done till date. We specialize in conventional as well as coblation assisted UPPP depending upon the patients’ needs.

Base tongue Surgery

Ours is the only centre in the region offering base tongue section for obstructive sleep apnoea patients. These patients may require Intensive Unit aftercare for few days and at DuggalENT we specialize in this aftercare so as to offer a smooth outcome for such patients.

Orthoganathic surgery

Our team at DuggalENT is well versed with the requirement of OSA patients and we routinely perform jaw advancement surgeries for patients with jaw related causes OSA.

CPAP

Apart from surgery, we offer all types of rehabilitation tools for OSA patients. CPAP machines are routinely prescribed to these patients after fine tuning their needs and pressure requirements by specialized split night sleep studies.[/vc_column_text][/vc_column][/vc_row]

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