Sleep Apnea Pittsburgh PA

OSA Treatment

People with obstructive sleep apnea (OSA) have disrupted sleep and low blood oxygen levels. When obstructive sleep apnea occurs, the tongue is sucked against the back of the throat. This blocks the upper airway and airflow stops. When the oxygen level in the brain becomes low enough, the sleeper partially awakens, the obstruction in the throat clears, and the flow of air starts again, usually with a loud gasp.

Repeated cycles of decreased oxygenation lead to very serious cardiovascular problems. Additionally, these individuals suffer from excessive daytime sleepiness, depression, and loss of concentration.

Some patients have obstructions that are less severe called Upper Airway Resistance Syndrome (UARS). In either case, the individuals suffer many of the same symptoms.

The first step in treatment resides in recognition of the symptoms and seeking appropriate consultation. An overnight polysomnogram sleep study evaluated by a Board Certified Sleep Physician confirming a diagnosis of obstructive sleep apnea (OSA) is required prior to our Oral and maxillofacial surgeons consultation and treatment options. Intolerance to ALL types of non-surgical methods of treatment for OSA, such as oral appliances and/or CPAP, are also required prior to consultation.

In addition to a detailed history, the doctors will assess the anatomic relationships in the maxillofacial region. With cephalometric (skull x-ray) analysis, the doctors can ascertain the level of obstruction.

Sometimes a naso-pharyngeal exam is done with a flexible fiber-optic camera. To confirm the amount of cardiovascular compromise and decreased oxygenation levels, a sleep study may be recommended to monitor an individual overnight.

There are several initial non-surgical treatment options available, including nasal CPAP machine that delivers pressurized oxygen through a nasal mask to limit obstruction at night and oral appliance treatment (OAT). Once these have failed, surgical procedures involve treatment of the facial skeleton to alleviate night upper airway obstruction.

OSA is a very serious condition that needs careful attention and treatment. Most major medical plans offer coverage for diagnosis and treatment.

To discuss treatment options for your Obstructive Sleep Apnea, visit our Allegheny General Hospital location. To schedule a consultation call our office at Allegheny General Hospital, North Side Office Phone Number 412-359-3988!