Snoring is a noise produced when an individual breathes (usually produced when breathing in) during sleep which in turn causes vibration of the soft palate and uvula (that thing that hangs down in the back of the throat). The word “apnea” means the abscence of breathing.
All snorers have incomplete obstruction ( a block) of the upper airway. Many habitual snorers have complete episodes of upper airway obstruction where the airway is completly blocked for a period of time, usually 10 seconds or longer. This silence is usually followed by snorts and gasps as the individual fights to take a breath. When an individual snores so loudly that it disturbs others, obstructive sleep apnea is almost certain to be present.
There is snoring that is an indicator of obstructive sleep apnea and there is also primary snoring.
Primary Snoring, also known as simple snoring, snoring without sleep apnea, noisy breathing during sleep, benign snoring, rhythmical snoring and continous snoring is characterized by loud upper airway breathing sounds in sleep without episodes of apnea (cessation of breath).
How Does Primary Snoring Differ from Snoring that Indicates Obstructive Sleep Apnea?
A complaint of snoring by an observer
No evidence of insomnia or excessive sleepiness due to the snoring
Dryness of the mouth upon awakening
A polysomnogram (sleep study) that shows:
Snoring and other sounds often occurring for long episodes during the sleep period
No associated abrupt arousals, arterial oxygen desaturation (lowered amount of oxygen in the blood) or cardiac disturbances
Normal sleep patterns
Normal respiratory patterns during sleep
No signs of other sleep disorders
What can be done about primary snoring?
First of all, it is absolutely necessary to rule out obstructive sleep apnea or other sleep disorders. Be wary of any doctor who says it is not necessary. Behavioral and lifestyle changes may be suggested. Losing weight, sleeping on your side, refraining from alcohol and sedatives are often recommended.
The Causes Of Snoring:
Modern research reveals snoring to often have more than one cause. These include the many factors that lead to nasal blockage such as nasal allergy or deformities of the nasal septum (the cartilage partition between the two sides of the nose) and other internal nasal structures. This nasal blockage can contribute to poor nasal airflow into the lungs and can in turn set the soft tissues of the palate (roof of the mouth) and throat vibrating. These vibrations cause the loud fluttering noise of snoring.
Other factors which can influence the snoring condition are obesity; lack of fitness or aging and associated loss of general muscle tone, congestion of the throat due to the reflux of stomach acid (heartburn); and the effects of alcohol or smoking.
Congestion of the throat tissues leads to swelling of fluids within the tissues. This causes loss of muscle tone and generally makes the lining tissues of the airways flop. Where nasal congestion causes faulty or turbulent airflow through the airway, then the resonance of these floppy tissues contributes to the noise known as snoring.
Correction of snoring may not only require surgical intervention, but will probably also need cessation of smoking, minimised alcohol consumption, control of gastric acid reflux where neccessary and weight control.
The Anatomy of the Upper Airway Passages.
CURE & TREATMENT:
The Pillar Procedure is a new snoring treatment. It is an operation carried out under local anaesthetic in most cases. Three tiny implants, made from woven polyester, are injected into the tissues of the soft palate. Floppiness of the soft palate, that part of the roof of the mouth which extends from the bony hard palate to the uvula (or central, dangling portion of the soft palate), is a frequent contributor to snoring. Stiffening the soft palate has been well known to quieten snoring in selected cases. However, palatal stiffening is suitable for patients who have been carefully evaluated by an ear, nose and throat surgeon with an interest in snoring problems. It does not assist every patient. Other factors may be contributing to snoring in these patients.
Now, what are Pillar implants?
The Pillar implants, made from polyester material, were developed in Europe and now have FDA US Government authority approval for surgical use. This material has been frequently used in medical products and can be safely inserted within the body. The implant creates a fibrous capsule around the implant which is the mechanism of the stiffening.
How do they work?
During the Pillar Procedure, three tiny woven inserts are placed in the soft palate to help reduce both the vibration that causes snoring and the ability of the soft palate to obstruct the airway. The Pillar inserts add structural support to the soft palate over time and prevents palatal fluttering (snoring).
The complex anatomical structure of the upper airway passages is due to the close association of the air, food and fluid passages. We not only breathe through our mouth and nose, but we also eat and drink through our mouth. The food passages of the mouth, throat and oesophagus leading to the stomach are separated from the airway by the soft palate and epiglottis and associated structures of the larynx or voicebox. This normally prevents food or fluid passing into the air passages and lungs. Occasional strong coughing fits are reminders that this is not always the case!
The nasal air passages serve to moisten the air intake and also provide the olfactory, or smell sense. Alternating congestion of the nasal passages helps channel the air intake between the two lungs.
There are mouth/oral devices (that help keep the airway open) on the market that may help to reduce snoring in three different ways.
bring the jaw forward or
elevate the soft palate or
retain the tongue (from falling back in the airway and thus decreasing snoring).
There is also surgery. Snoring is Not Funny, Not Hopeless. There is uvulopalatopharyngoplasty (UPPP) or Laser-Assisted Uvulopalatoplasty (LAUP), that involves removing excess tissue from the throat.
The newest surgery, approved by the FDA in July 1997 for treating snoring is called somnoplasty and uses radio frequency waves to remove excess tissue.
Home Remedy of Snoring…….(1)
Home Remedy …………...(2 )
Regular Yoga Exercises like Meditation, Breathing Exercise etc. are also a permanent cure for snoring and sleep apnea.
Disclaimer: This information is not meant to be a substitute for professional medical advise or help. It is always best to consult with a Physician about serious health concerns. This information is in no way intended to diagnose or prescribe remedies.
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