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Jun 26, 2018

BACO International 2018

Update in the management of snoring and sleep apnoea

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Abstract

Objectives: To establish the best methods of investigations and treatment for patients with sleep apnoea and snoring. Methods: Snoring is present in about 20% of the population, out of which only 2-4% have obstructive sleep apnoea. Traditionally the results of surgery for snoring and sleep apnoea have been disappointing. The reasons for this are inadequate investigations prior to surgery to identify the exact level of obstruction causing the snoring and sleep apnoea. The Apneagraph study is a form of pharyngeal manometry, which tells us if a patient has got sleep apnoea and also gives us the exact level of obstruction in these patients. This is very important and helpful for the ENT Surgeon, as he can plan the surgery according to the site of obstruction, hence giving a much better post-operative result. The new technique of Coblation is a low temperature (40-70 degrees centigrade) plasma excision. The unique properties of Coblation technology enable rapid controlled removal of tissue at relatively low temperatures while maintaining the integrity of surrounding tissues or structures. Results: We have been using Apneagraph and Coblation technology for all our patients with snoring and sleep apnoea. We have an on-going prospective trial going on at the moment for patients treated for snoring and sleep apnoea. The results have shown that preoperative Apneagraph is very important in determining the success of surgery. Conclusions: Combination of preoperative Apneagraph followed with Coblation assisted upper airway procedures is ideal for the management of patients with sleep apnoea and snoring.

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© Copyright 2019 Morressier GmbH.
All rights reserved.