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Re: general/surgical advice

Posted by cjm36 on December 02, 2002 at 17:18:38:

In Reply to: general/surgical advice posted by M3LFL on December 02, 2002 at 16:06:23:

Hi. I'm reading through the forum tonight and thought I'd respond to your post with what I know or can suggest. Can you tell if the problem falling asleep with CPAP is related to the sensation of having the mask on your nose or the actual pressure it's self? If you're new to CPAP and to this forum, I can tell you that finding a comfortable mask and a proper fit are the biggest hurdles to tolerating CPAP. There are many different designs of masks and several manufacturers on the market. You may need to try a few different styles. Ask your provider to help in this case. A second consideration with the CPAP...are you trying to use it with the ramp feature? A pressure of 16 seems a bit strong for a new patient. That may actually be your best pressure, but being new to CPAP...WOW.. that's quite a pressure to get used to at first. Using the ramp feature will start you off at a lower setting and get you there more slowly. About your surgery options: There are three mainline establishment ways of treating sleep apnea. CPAP, oral appliance, and surgery in that order. I'm sure you've been told this. The oral appliance works best for those who are obstructing with their tongues and other structures related to the jaw, as it moves and holds the jaw forward of the upper teeth during sleep. If you're not suited to the oral appliance and CPAP just doesn't work, surgery may be the only option. ABout surgery: All doctor-patient relationship are not the same, and this may be the factor with the type of surgery that is reccomended. Two people with the SAME condition may walk into the surgeon's office...one gets the septoplasty and the other gets the UUUP. The septoplasty is usually the first step because it has less risks and recovery time, but has less of a chance of working. It's more acceptable to people who want to go slow. But some may opt for the UPPP because it has a better chance of working. However, the surgery carries more risk, has more post op pain, and more recovery time. It may be a case of what you're talked into. I hope what I've said is of some help or use to you. Good luck with your treatment. If it makes you feel better, just think of all the people out there who are suffering from OSA and don't know it, or don't seek treatment.

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