Many people always encounter the problem of snoring in their daily lives. Generally, after suffering from snoring, what you need to pay attention to is active treatment and reasonable control of general snoring treatment. The main options are surgical treatment or medication treatment, improving the patient's diet, and improving the patient's eating arrangements. Treatment strategy Comprehensive treatment is emphasized for this disease, including quitting smoking and drinking, and weight loss for obese people. Continuous positive airway pressure therapy can be used for those who cannot tolerate surgery. Surgery The purpose of surgical treatment is to reduce and eliminate airway obstruction and prevent collapse of airway soft tissue. The choice of surgical method depends on the location and severity of the airway obstruction, whether there is morbid obesity, and the overall condition. The following are some commonly used surgical methods. 1. Tonsillectomy and adenoidectomy: This type of surgery is suitable for adult patients with tonsil hyperplasia or pediatric patients caused by adenoid hyperplasia. It is generally effective in the short term after surgery, but it may still recur after puberty and the development of the tongue and soft palate muscles. 2. Nasal surgery: For patients with nasal airway obstruction caused by a deviated nasal septum, nasal polyps or enlarged nasal conchae, septoplasty, nasal polyp or nasal conchae removal can be performed to alleviate symptoms. 3. Glossoplasty: Glossoplasty can be performed for patients with tongue hypertrophy, macroglossia, posterior displacement of the tongue root, and enlarged tonsils at the tongue root. 4. Uvula, palatine and pharyngeal plasty: This surgery involves removing the posterior edge of the soft palate with an excessively long uvula and the loose lateral pharyngeal mucosa, and tightening and suturing the lateral pharyngeal mucosa forward to relieve airway obstruction at the soft palate and oropharyngeal level, but it cannot relieve airway obstruction in the hypopharynx, so the indications must be mastered. 5. Orthognathic surgery: Orthognathic surgery is mainly used for OSAHS with oropharyngeal and hypopharyngeal airway obstruction caused by jaw deformity. Other treatments 1. Nasal continuous positive airway pressure (CPAP): This method is currently the most effective treatment for moderate to severe OSAHS. Most patients can achieve satisfactory treatment results through CPAP treatment. 2. Oral appliances: Wearing oral appliances during sleep can raise the soft palate, pull the tongue actively or passively forward, and move the mandible forward, thereby expanding the oropharynx and hypopharynx. It is the main means of treating simple snoring or one of the important auxiliary means of non-surgical treatment of OSAHS, but it is ineffective for patients with moderate to severe OSAHS. Prognosis Most patients can achieve satisfactory treatment results through nasal continuous positive airway pressure therapy. |
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