Tinnitus 911 have to keep that in mind some of

Tinnitus 911 Patients based upon the Freedman staging system we know that we can get a success rate of 81% with patients of this happening using this type of procedure with the multi-level pharyngeal surgeries such as the genial gloss advancement with osteotomy this is actually going in taking out a window in the lower again this is when you go in and you're breaking the mid-face as well as the jaw so breaking the mid-face breaking the lower jaw pulling all of that forward to try to restructure the facial skeleton plating it and again the idea is to try to create more room in the posterior aspect of the airway this works well success rates are greater than 90 percent but it's a very invasive very morbid surgical procedure but works well if we want a hundred percent cure rate of obstructive sleep apnea tracheotomy this is where we are actually going in and creating an airway if you will down in the neck versus through the mouth what this does it bypasses any area obstruction in the upper airway so you're breathing through this - you're no longer breathing through the upper airway you're no longer having that collapse so it's taking it has taken the collapsible segment and the upper segment out of the picture again this is this is morbid I mean you end up with a trach for life usually with the tracheostomy we do this on our morbidly obese patients when CPAP is not really an option so in conclusion we know that obstructive sleep apnea and the causes are multifactorial and that you the majority of the time they are multilevel obstructions it's not just one area if you look in the literature there's more than one area causing obstruction probably 75% of the time so if you're gonna address that surgically you you have to keep that in mind some of

them other cases we know respond well to single intervention so in our mild cases of obstructive sleep apnoea certainly surgically we could just simply perform  Tinnitus 911 Reviews our uvula palate Oh for Ringo plasti and probably get a pretty good result if they were stage a stage one Freedman however when we know that the majority of cases there's multi level obstruction you're gonna have to add some type of additional intervention on top of that on top of that uvula palatal for Ringo plasti such as the tongue based reduction procedure the more severe the obstructive sleep apnoea the more involved the intervention again I mean if you have if you fail phase one surgical procedures there's always that phase two surgical procedure but again that's very morbid the maximum in dibbler advancement works well make it cures obstructive sleep apnea ninety ninety five percent of the time but it's restructuring your face tracheotomy 100 percent of the time it's cure but you end up with a trach and you have that morbidity so as we learn more and more about obstructive sleep apnea and and an understanding sleep and the importance of sleep certainly interventions will will you know begin to be modified will certainly come up with new intervention and to address this problem and certainly as the more and more we learn these interventions will will will help us better treat this this this disease first question how does weight loss decrease sleep apnea how does obesity factor into snoring / sleep apnea just like you put on fat any other place and your soft
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