the charts of 84 apneic patients were retrospectively analyzed, and patients were contacted by telephone to answer an oral questionnaire. although the efficacy of trd in snoring, sleep apnea, and daytime sleepiness has been shown in small populations,3–8 its tolerance has appeared to be lower7 than that of mad9 in some studies. to summarize, a trd was proposed according to the ahi recorded during the initial polysomnogram in cases of daytime somnolence or after a cpap failure. a telephone questionnaire for the subjective evaluation of the efficacy and side effects of trd was created for this work, inspired by questions used in previous studies.9,15 (see appendix.) efficacy was objectively evaluated by comparing the ahi before and during trd use in 55 patients (figure 2). the comparison of the ess scores before and during trd use was established for 24 patients.
no justification was given in 6% of the cases, and no technical difficulties were reported. a nasal obstruction was present in 69% of the patients who stopped wearing the trd due to discomfort. because the principal indication for treatment with trd in our series was cpap intolerance, the population studied should be considered to be biased, since patients were selected following the failure of an initial treatment and were less tolerant of the side effects of a new therapy. thanks to stone casts, unfavorable changes were recorded in 44% of the cases with mad.18 in the future, dental position should be systematically and carefully documented before and during the use of an oral appliance. trd may be proposed as one of the alternatives to cpap by teams trained in its fabrication and accommodation. these side effects were not listed by nonusers as a reason for stopping use of the tongue-retaining device (trd).
for an estimated 60% of all sleep apnea patients, the tongue is recognized as a major contributor, due to both of these factors. i was fortunate to discuss the procedure and learn so much from sam, benefitting from his answers to my many questions about the procedure. i was told that my tongue is too big and my soft palate is the root of my troubles and got a second opinion from a park avenue doctor. i am at a loss of what to do. it depends more on the entire picture and whether i think that a tissue resection would be likely to achieve our desired outcome without excessive risks. i have sleep apnea and not overweight, my tongue is thick or large at the back of my throat according to the doctor. i ‘m overweight and i went to the doctor for sleep apeana. one doctor actually asked me to find another doctor since they got tired of me complaining that i felt horrible/general malaise and the cpap machine wasn’t miraculously solving my sleep problem. all masks i have tried that use “nasal pillows” feel restrictive and don’t allow me to draw in the volume of air i am comfortable with. i apologize since it has been a while since i posted my question and your response. please refer me to a couple of excellent surgeons in richmond, va and what do you think i can do to get my life back.
i recwntly went to a new dentist wjo told me my tongue is very large and asked me if i snore and do i gasp for air. i also have had sinus issues my whole life and have had numerous procedures to help me breath. i have had several tongue reduction treatments using a laser to burn the base of my tongue and thus the scar tissue will shrink my tongue. doing everything i can in other areas to stay strong and fight the good fight. my husband had a uppp in 2010 and currently uses an cpap or bipap i think. i also have a burning tongue that is almost constant. i now have a bitter taste in my mouth. my husband is 53 and has severe sleep apnea due to an oversized tongue. i have been diagnosed with a large tongue, and about 10 years ago an ent suggested i have a prosthetic placed in my throat to prevent my tongue from falling back, and another suggested glossectomy. i was diagnosed with a mild case of apnea in 2013 and opted to use the oral device. i am a 41year old male i have an enlarged tongue i am uncomfortable with my tongue i bite it a lot and i lisp while talking and im snoring. cpap should address tongue-related obstruction if you are comfortable with it, but tongue-directed surgery may be an important cause of sleep apnea and worth treating if someone is not doing well with cpap.
the team found that a reduction in tongue fat volume was the primary link between weight loss and sleep apnea improvement. the study also found for patients with mild to moderate obstructive sleep apnea, dental appliances or oral mandibular advancement devices that prevent the tongue the tongue-retaining device is a customized monobloc oral appliance used in the treatment of obstructive sleep apnea syndrome (osas)., symptoms of sleep apnea, symptoms of sleep apnea, how to lose tongue fat, sleep apnea symptoms, sleep apnea treatment.
the participants with sleep apnea had significantly larger tongues, tongue fat and percentage of tongue fat than those without sleep apnea, the researchers found. the tongue fat in the people with sleep apnea was concentrated at the base of the tongue. obstructive sleep apnea occurs when the muscles in the back of your throat relax too much to allow normal breathing. these muscles support for an estimated 60% of all sleep apnea patients, the tongue is recognized as a major contributor, due to both of these factors. sleep apnea is caused by a blockage or narrowing of the airways in the nose, mouth or throat. the blockage or narrowing occurs when the tongue, obstructive sleep apnea, sleep apnea test, how much weight loss to stop sleep apnea, oral appliance for sleep apnea, how to reduce tongue fat naturally, what causes sleep apnea, central sleep apnea, is sleep apnea dangerous, obstructive sleep apnea treatment, types of sleep apnea.
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