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point/points of obstruction in OSA

Posted by Jeff on May 18, 1998 at 11:43:16:

Hi all,

Are there tests which can determine where the airways are collapsing or becoming obstructed in OSA or is it simply a guessing game? In 2 years of limited tests, my doctors have no idea where the point/points of blockage is/are. I was advised against a dental device, not because it was determined that my tongue is not blocking the airway, but because the number of events I suffer suggests that such a device would not be effective. I was advised against UPPP surgery, not because it was determined that the soft palate is not closing off my airways, but because the number of events suggests that this surgery would not be effective. A new doctor has now suggested septoplasty and a submucus resection of the inferior turbinate, not because there is anything that he has observed suggesting a problem in these areas, but rather this procedure is being recommended based on my impression of where the air stops flowing and in his words, "it can't hurt."

Is medical science really that much in the dark as to the treatment of OSA when CPAP does not produce the desired effects? Is a tracheotomy the only 100% cure for OSA?

Any and all responses will be greatly appreciated.

Jeff

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