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Re: point/points of obstruction in OSA

Posted by Carolyn on May 19, 1998 at 11:29:31:

In Reply to: Re: point/points of obstruction in OSA posted by Jeff on May 19, 1998 at 08:54:05:

Jeff,

I hope the list will be useful to you and others that will read it. I believe that most doctors make their evaluation on first physician examinations. From there it depends on what they see if further tests are done. Certainly one would hope that the ENT you are seeing is also a sleep specialist. I think that they would make the best possible evaluation because they would have the most experience with the different surgeries available for OSA.

No, from what I have read I do not believe that they can ascertain the exact point of collaspe in the airway. Probably due to a number of factors. I think a good ENT surgeon will decide to the best of their ability if one is a good candidate for a possible positive outcome. Giving their patient all the facts about the surgery and its positive and negative outcomes. If you find any ENT that will say he or she can give you a 100% possitive outcome I would run the other way fast as I could.

Research that I have read gives about 40% to 60% success for candidates for UPPP. Those are not the greatest odds. I often think that OSA patients are so desperate for another form of treatment besides CPAP that some are willing to try anything. Sometimes looking for 100% success in surgeries where there is non. Besides of course a tracheostomy which since I have one am rather partial to.

If I can be of futher help let me know.

Carolyn

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