OSAS protocol: the innovative solution to snoring and sleep apnea

Snoring is bad for your health, it reduces the quality of life and affects social relationships. The subject who snores occasionally or chronically is subject to various ailments: daytime sleepiness, poor concentration, irritability, decreased libido. Furthermore, recent scientific studies have highlighted the correlation between snoring and brain pathologies. In addition to cerebral stroke, the person who snores presents a very high risk of myocardial infarction. The annoying noise emitted by a snorer is due to the vibration of the mucosa of the first airways when air passes, which in this case is reduced by the narrowing of the caliber of the same airways. Sometimes it is just a hint of noise, but very loud noises are often generated which disturb the partner sleeping nearby.

Snoring therefore does not allow a biologically correct and physiological rest for either the snorer or his partner, and represents a real risk of the onset of very serious and serious pathologies.

Snoring negatively affects social relationships. Often, in fact, it is the partner who induces the subject to search for a solution. Snoring can therefore become a source of conflict: some scientific studies show that the marital relationship improves when the snoring patient finds the solution to this disabling problem.

SNORING AFFECTS MILLIONS OF PEOPLE AND MANY OF THEM EXPERIENCE APNEA, THAT IS, THE TEMPORARY NON-PASSAGE OF AIR DUE TO THE PARTIAL (HYPO APNEA) OR TOTAL (APNEA) REDUCTION OF THE CALIBER OF THE OTHER RESPIRATORY TRACT.

Osas (Obstructive Sleep Apnea Syndrome), as well as chronic obstructive bronchopathy and asthma are social diseases, as they increase the average per capita expenditure per day for prolonged therapies not only for the diseases in question. but above all for the management of the complications that inevitably arise over time. Night apnea syndrome is one of the negative factors of homeopathy, it is frequent and temporary interruptions of breathing during sleep, which involve frequent awakenings and above all a systematic and insufficient oxygenation. Sleep apneas can last from 10 to 40 seconds, and can be repeated hundreds of times during the night. Those who want to stop snoring and not incur a greater cardiovascular and neurovascular risk certainly, more often than not, are confronted with a series of remedies that do not effectively address the problem.

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The obstructive pathologies of the upper respiratory tract today can instead be treated with minimally invasive surgery or biosurgery usually performed with diode laser.

With this rapid, painless, non-invasive, outpatient, and executable under local anesthesia method, hypertrophy of the lower turbinates, nasal polyposis, deviations of the anterior nasal said can be treated, without the need to affix nasal swabs, immediately discharging the patient who can immediately return to all their daily activities. With the laser method it is possible to perform the remodeling of the palatine veil and the uvula, which often in the snorer subject, are prolapsed and thickened. This type of treatment is called uvulopalatoplasty. Also in this case it is a quick, non-invasive, painless operation, and without the need for the application of stitches. Often the snorer patient is overweight and for this reason he is more likely to be at risk of serious cardiovascular and neurovascular complications. Other clinical data show, however, the cranio-mandibular alterations that are found in these subjects and that can be responsible for night apneas as they reduce the posterior air passage (Pas).

THE SICILIAN SLEEP MEDICINE GROUP IS THE REFERENT IN SICILY OF A NEW OSAS PROTOCOL, WHICH ALLOWS THE PATIENT WITH MILD OR MEDIUM-SEVERE APNEA TO UNDERGO A NON-INVASIVE TREATMENT, EASY TO MANAGE, PAINLESS AND NOT AT ALL ANNOYING, WHICH IS AN ALTERNATIVE TO CPAP.

Continuous positive pressure mechanical ventilation (CPAP) is an invasive and poorly tolerated treatment by the patient to the point that after two weeks most patients abandon treatment. The New OSAS Protocol provides for an ENT examination to detect the presence of obstructive diseases that can be treated with the laser method; a pneumological examination with polysomnography to record the number and extent of night apneas; a nutritional visit to treat metabolic diseases, such as high blood pressure or diabetes mellitus, and to set up a diet under medical supervision to manage overweight or obesity; and finally an orthodontic visit to detect any cranio-mandibular alterations, responsible for the rotation of the jaw during apnea episodes, and treat them very quickly with orthodontic aids, the MAD, non-invasive and well tolerated by patients. The visits are all carried out on the same day.

With the New OSAS Protocol, patients, adults and children, who came to our observation for snoring and apnea have had excellent results.

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We present our case studies for the first six months of the year. 49 patients were evaluated, from the nutritional point of view the particular dietary protocol was started in 38 cases, 11 patients were not considered suitable for nutritional treatment since some had tumor pathologies, others were in perfect shape. In all 38 cases there was a rapid and effective loss of weight and a reduction in the centimeters of the abdomen with a consequent decrease in visceral fat, until the desired weight was reached. Furthermore, there was an improvement in the blood chemistry results, especially in the lipid and insulin profile, and an improvement in the respiratory function.

FROM THE ENT POINT OF VIEW OF THE 49 PATIENTS, AS MANY AS 30 HAD HYPERTROPHY OF THE TURBINATES, THE MOST FREQUENTLY ENCOUNTERED PATHOLOGY, 2 NASAL POLYPOSIS, 4 HYPERTROPHY OF THE LYMPHATIC TISSUE OF THE LINGUAL TONSIL, 8 PROLAPSE OF THE PALATAL VEIL, 2 PATIENTS ADENOID HYPERTROPHY AND 3 TONSILLAR HYPERTROPHY.

Of the 49 patients who came to our observation for snoring and sleep apneas 31 were treated, for the various pathologies indicated, with laser method under local anesthesia, without the need to insert nasal swabs or affix sutures, and discharged immediately with the possibility of returning to the their daily activities immediately. Of the 18 patients not treated with laser method, many have been treated with pharmacological protocols, some are waiting to undergo treatment because they have cancer.

All patients treated with laser therapy reported a marked improvement in breathing and a reduction in apnea episodes.

At the beginning of the treatment with the New OSAS Protocol, 49 patients 37 had a polysomnography with a report of medium-severe apnea, 12 had polysomnography with a report of severe apnea and one of these even had serious symptoms such as moments of loss of consciousness and falling asleep during normal daily activities. Orthodontically, of the 49 patients received 31 were candidates for treatment with MAD, a very thin Purchase Innovative Goodsleep Anti-Snore Micro Cpap device that is worn only at night and allows you to perform all mouth movements without limitation. This not at all invasive device allows to increase the posterior respiratory space and therefore reduce snoring and apnea episodes since the passage of the area is no longer hindered by upper airway restrictions. The remaining part of the patients visited, i.e. 18, are still being studied because they presented important dento-skeletal anomalies (the anomalies of the maxillary and mandible bones are contraindications to treatment with MAD).

All patients who completed the entire OSAS New Protocol at the end of the treatment underwent control polysomnography and all obtained excellent results with normal or almost normal polysomnographic results.

So today night apneas and snoring can be treated with protocols that are not invaded, fast and above all well tolerated by the patient.