Sleep Apnea 2017-03-23T17:58:40+00:00

Sleep Apnea

 

Make An Appointment

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. Oral and maxillofacial surgeons offer consultation and treatment options.

In addition to a detailed history, the doctors will assess the anatomic relationships in the maxillofacial region. With cephalometic (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 treatment options available. An initial treatment may consist of using a nasal CPAP machine that delivers pressurized oxygen through a nasal mask to limit obstruction at night. One of the surgical options is an uvulo-palato-pharyngo-plasty (UPPP), which is performed in the back of the soft palate and throat. A similar procedure is sometimes done with the assistance of a laser and is called a laser assisted uvulo-palato-plasty (LAUPP). In other cases, a radio-frequency probe is utilized to tighten the soft palate. These procedures usually performed under light IV sedation/general anesthesia in the office.

In more complex cases, the bones of the upper and lower jaw may be repositioned to increase the size of the airway (orthognathic surgery). This procedure is done in the hospital under general anesthesia and requires a one to two day overnight stay in the hospital.

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

Office Locations

Bethlehem, PA
Allentown, PA
Easton, PA
Stroudsburg, PA
VIEW LOCATIONS

OUR PATIENTS SAY

We love getting feedback from our patients! If you’re still undecided about whether or not you can trust St. Luke’s OMS to handle your oral surgery needs, than please feel free to see what others are saying on our testimonials page.

The doctors and staff at St. Lukes OMS have consistently been great to work with. Dr. Geller is very skilled and our family is very happy with the numerous times he has performed surgery on our children. Highly recommend St. Luke’s OMS!

Autumn H.

Had two wisdom teeth taken out. Was told horror stories at work. Dr. Gholston extracted without any problems. Have very little pain. He gave me the right meds, to keep it under control. Great bedside manner. Was my third time there for extractions. Thanks Dr. Gholston.

Robert A.

I had an appointment here yesterday (5/31/16) at the Allentown office to get a tooth extracted. I’ve never been more pleased with a dentist. Appointment was at 11 am and I was in my car at 11:26! Awesome professionalism from all as well! No pain during the extraction either! Highly recommend!

Katie P.
Testimonials
0
Locations
0
Standard of Exceptional Patient Care
0
Doctors

Make An Appointment

Our team at St. Luke’s OMS makes themselves available 24 hours for oral surgery emergencies. That is why we are the leading Lehigh Valley oral Surgery Practice! If you have an issue that is not during the time of office hours, call us at 610-865-8077 and leave a message for our answering service. We will be able to evaluate your emergency needs and direct you as needed.