Featured Research

from universities, journals, and other organizations

Sleep Apnea Treatment Option: Innovative Surgery

Date:
August 28, 2007
Source:
Thomas Jefferson University
Summary:
Sleep disorder and ear, nose and throat specialists are examining an innovative procedure to treat obstructive sleep apnea syndrome. Sleep apnea is a breathing disorder characterized by brief interruptions of breathing during sleep. Obstructive sleep apnea occurs when there is collapse of upper airway structures that prevent normal airflow.

Sleep disorder and ear, nose and throat specialists at Thomas Jefferson University are examining an innovative procedure to treat obstructive sleep apnea syndrome.

Related Articles


In the procedure, known as Genial Bone Advancement Trephine (GBAT), a small portion of the lower jaw which attaches to the tongue is moved forward, to pull the tongue away from the back of the airway, increasing the airway space. It is considered an option for patients when medications or a continuous positive airway pressure (C-PAP) device, which increases the supply of oxygen and reduces the work of breathing, have proven to be ineffective.

"Even immediately after the procedure patients have an easier time breathing," noted Maurits Boon, M.D., Clinical Instructor in Otolaryngology-Head and Neck Surgery, Jefferson Medical College of Thomas Jefferson University. "We have also observed that in a select group of patients hypertension drops off."

This procedure is often employed as an adjunct to more conventional surgery and can be very effective at treating OSA (obstructive sleep apnea).

Sleep apnea is a breathing disorder characterized by brief interruptions of breathing during sleep. Obstructive sleep apnea occurs when there is collapse of upper airway structures that prevent normal airflow. This essentially, results in cessation of breathing with resultant decreases in oxygen in the blood stream. The consequence is that this pattern of breathing causes interruptions in the normal sleep cycle and makes it difficult to get a restful night of sleep.

"Sleep apnea is a serious, potentially life-threatening condition that is far more common than generally understood, noted Karl Doghramji, M.D., director of Jefferson University Hospital's Sleep Disorders Center, which recently opened a new all-inclusive facility in Center City.

"Sleep apnea occurs in all age groups and both genders," said Dr. Doghramji, Professor of Psychiatry and Human Behavior, Jefferson "It is more common in men, although it may be under-diagnosed in women. It is estimated that as many as 12 million Americans have sleep apnea."

Early recognition and treatment of sleep apnea is important, as sleep apnea may be associated with:

  • irregular heartbeat
  • high blood pressure
  • heart attack
  • stroke

In the GBAT procedure, a small window is made in the lower jaw and advanced forward, said Dr. Boon. Because the tongue is attached to this portion of the jaw, it effectively moves the tongue forward to open the airway.

In this procedure, the surgeon is able to go through the inside of the mouth, avoiding the need to make any external incisions and avoiding any cosmetic changes. The procedure is usually done in conjunction with an uvulopalatopharyngoplasty-- surgery used to remove excess tissue at the back of the throat (tonsils, uvula, and part of the soft palate).

The piece of bone along with the attachment for the tongue is pulled forward and down, then fastened to the outside of the lower jaw. A small titanium plate is used to affix the bone.

The patient may experience soreness but will not have any change in dental occlusion (the way the teeth fit together), said Dr. Boon. The recovery period is usually about two weeks.

Three to six months after the procedure, follow-up sleep tests are performed.


Story Source:

The above story is based on materials provided by Thomas Jefferson University. Note: Materials may be edited for content and length.


Cite This Page:

Thomas Jefferson University. "Sleep Apnea Treatment Option: Innovative Surgery." ScienceDaily. ScienceDaily, 28 August 2007. <www.sciencedaily.com/releases/2007/08/070828110645.htm>.
Thomas Jefferson University. (2007, August 28). Sleep Apnea Treatment Option: Innovative Surgery. ScienceDaily. Retrieved March 4, 2015 from www.sciencedaily.com/releases/2007/08/070828110645.htm
Thomas Jefferson University. "Sleep Apnea Treatment Option: Innovative Surgery." ScienceDaily. www.sciencedaily.com/releases/2007/08/070828110645.htm (accessed March 4, 2015).

Share This


More From ScienceDaily



More Mind & Brain News

Wednesday, March 4, 2015

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Former NFL Players Donate Brains to Science

Former NFL Players Donate Brains to Science

Reuters - US Online Video (Mar. 3, 2015) Super Bowl champions Sidney Rice and Steve Weatherford donate their brains, post-mortem, to scientific research into repetitive brain trauma. Jillian Kitchener reports. Video provided by Reuters
Powered by NewsLook.com
Alzheimer's Protein Plaque Found In 20-Year-Olds

Alzheimer's Protein Plaque Found In 20-Year-Olds

Newsy (Mar. 3, 2015) Researchers found an abnormal protein associated with Alzheimer&apos;s disease in the brains of 20-year-olds. Video provided by Newsy
Powered by NewsLook.com
This Nasal Treatment Could Help Ease Migraine Pain

This Nasal Treatment Could Help Ease Migraine Pain

Newsy (Mar. 2, 2015) Researchers gave lidocaine to 112 patients, and about 88 percent of the subjects said they needed less migraine-relief medicine the next day. Video provided by Newsy
Powered by NewsLook.com
How Facebook Use Can Lead To Depression

How Facebook Use Can Lead To Depression

Newsy (Mar. 1, 2015) Margaret Duffy of the University of Missouri talks about her study on the social network and the envy and depression that Facebook use can cause. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins