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SLEEP SURGERY

Obstructive Sleep Apnea (OSA) Treatment

Dr. Sandeep Prakash specializes in surgical treatment of obstructive sleep apnea when conservative therapies like CPAP fail. Advanced orthognathic techniques to improve airway patency and restore restful sleep.

Sleep Apnea Treatment
Hours Duration
2-4
Anesthesia Type
General
Hospital Stay
2-3 Days
Weeks Recovery
4-6

Understanding Sleep Apnea

What is Obstructive Sleep Apnea?

Obstructive Sleep Apnea (OSA) is a serious sleep disorder where the throat muscles relax intermittently, blocking the airway during sleep. This causes breathing to stop and start repeatedly throughout the night, leading to poor sleep quality, daytime fatigue, and long-term health complications.

Oral and Maxillofacial Surgeons (OMFS) play a critical role in treating OSA when conservative therapies like CPAP fail. They specialize in anatomical corrections of the jaw, palate, and airway through procedures designed to expand the airway and reduce snoring or apnea events.

Dr. Sandeep Prakash is extensively trained in orthognathic surgery — moving the jaws into their correct position to improve airway patency and overall respiratory function.

Surgical Interventions

Proven surgical solutions for better sleep

Maxillomandibular Advancement (MMA)

Moving the jaw forward to open the upper airway. This procedure effectively expands the airway passage and reduces snoring and apnea events significantly. MMA is considered the most effective surgical treatment for OSA.

Genioglossus Advancement

Advancing the tongue muscle anchor to prevent airway collapse during sleep, keeping the airway open for uninterrupted breathing throughout the night.

SARPE / DOME

Surgically Assisted Rapid Palatal Expansion or Distraction Osteogenesis Maxillary Expansion. Widening the upper jaw to improve nasal breathing and airway capacity.

Hyoid Suspension

Advancing the hyoid bone forward to stabilize the airway. This procedure helps prevent airway collapse at the base of the tongue level.

Collaborative Care Approach

Multidisciplinary Team

OMFS work closely with sleep physicians, relying on polysomnography (PSG) data to determine the severity of sleep apnea and monitor treatment outcomes. This collaborative approach ensures comprehensive care.

Oral Appliance Therapy

In selected cases, OMFS collaborate with dental specialists to fit custom oral appliances that reposition the jaw and tongue to maintain an open airway during sleep.

Outcome Monitoring

Post-treatment sleep studies are conducted to objectively measure improvement in apnea-hypopnea index (AHI) and ensure optimal surgical outcomes.

When to Consider Surgery

Individuals with moderate to severe sleep apnea, particularly those who cannot tolerate CPAP or have not achieved adequate results with conservative treatments, should be referred to an OMFS for surgical consultation.

Frequently Asked Questions

CPAP is the first-line treatment for OSA. Surgery is recommended when CPAP is not tolerated or ineffective. Surgical success rates are high, especially with MMA procedures, and many patients achieve long-term resolution of symptoms.
Initial recovery takes 2-3 weeks, with full recovery in 4-6 weeks. Most patients return to normal activities within 3-4 weeks. Dietary modifications are needed during the initial healing phase.
MMA and other jaw advancement procedures may produce subtle changes in facial profile. These changes are generally positive and harmonious with your facial features. Your surgeon will discuss expected outcomes during consultation.
Pain is managed effectively with medications. Most patients report moderate discomfort for the first few days, which subsides significantly within the first week. Our team provides comprehensive pain management protocols.

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