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Sleep Surgeon Question 30

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Question 30 - Do I need to try CPAP before surgery?

From: D.

Have been diagnosed years ago and have been treated w ith different drugs. CHange of doctors, says I have to use CPAP as the meds are KILLING me. Yes, cost is of concern as sleep labs are expensive.

Going in tonight for CPAP study, I can`t see myseflf sleeping with a device. I`m wondering can one get the surgery so I don`t have to through life wearing a mask at night? If so, how long is one kept in hospital for this or is this handled as outpatient surgery?

If surgery would wrok, why go the expense of CPAP machine and all that entails? My diagnosis is Severe Sleep Apnea.

Thanks, D.

Answer Provided by Dr. Kasey Li
Jan 25, 2008

I always recommend trying CPAP as the first treatment. This is because CPAP is non-invasive and has the best chance for improvement. Clearly, surgery can be very successful. However, surgery is not 100% successful and is associated with risks.

The duration of hospital stay is related to the type of operation as well as the health of the patient. If you have severe sleep apnea, you will require a minimum of 1-2 nights of stay regardless of the type of surgery.

Lastly, no medications are available for the treatment of severe sleep apnea. You should proceed with CPAP study first and then try CPAP at home for a few months before considering any other options.


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