People with obstructive sleep apnea syndrome (OSAS) have disrupted sleep and low blood oxygen levels. When obstructive sleep apnea occurs this blocks the upper airway and air flow stops temporarily. When the oxygen level in the brain becomes low enough, the obstructed sleeper partially awakens, the obstruction in the throat clears and the flow of air starts again, usually with a loud gasp. Patients with obstructive sleep apnea syndrome typically have up to 100 episodes of apnea or lack of breathing each night. Repeated cycles of decreased oxygenation may lead to very serious cardiovascular problems including high blood pressure, stroke and heart attack.

Symptoms of obstructive sleep apnea syndrome typically include daytime sleepiness, lethargy or extreme tiredness, lack of concentration, memory loss, short attention span, poor judgement, rapid weight gain and may even result in depression and personality changes.

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, Dr. Ferdowsmakan will assess the anatomic relationships in the maxillofacial region. With cephalometric (skull x-ray) analysis, Dr. Ferdowsmakan can ascertain the level and degree of airway 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 individuals overnight.

In more complex cases, the bones of the upper and lower jaw may be repositioned to increase the size of the airway. This procedure is done in the operating room under general anesthesia and requires 1-2 days overnight stay in the hospital.

Obstructive sleep apnea syndrome is a very serious condition that needs careful attention and treatment. Please contact us at Torrey Hills Oral & Maxillofacial Surgery for an evaluation.