The effect of nasal surgery on continuous positive airway pressure device use and therapeutic treatment pressures: a systematic review and meta-analysis.
While asleep, the Inspire implant opens the patient’s airway, allowing them to breathe regularly and sleep soundly.
Power socket needed – CPAPs require a nearby power socket, as well as a secure surface to sit on, whereas an EPAP simply sits in the user’s nostrils without being attached to a machine.
About a month after the procedure, patients have a follow-up appointment with a sleep physician to activate the Inspire implant and learn how to use their Inspire remote.
Scientists are still debating whether CPAP therapy can cause voice changes over time. That said, some studies have suggested that using a CPAP machine may cause mild hoarseness in a small number of people. This issue is thought to stem from recurring dryness in the mouth, throat, and airway.
g., adenoids). These can be corrected with surgical intervention. Pathophysiological conditions are common and include allergic or vasomotor rhinitis, for which patients require appropriate education and counselling, skin prick allergy testing, allergen avoidance advice and treatment with antihistamines and intranasal steroids (20). CPAP rhinitis is due to inflammatory changes in the nasal mucosa as a result of the persistent high air pressures—this also requires similar treatment with saline douching and intranasal steroids (21). Pathological processes such as sinusitis and nasal polyposis are often problematic and can be missed during routine respiratory review as they are better evaluated with rigid and flexible endoscopes in otolaryngology outpatients. This can be treated effectively, either medically, or surgically, in the form of endoscopic sinus surgery (22,23). Correction of these factors can lead to an improvement in CPAP compliance via a reduction in pressure requirements but rarely, alone, can it lead to resolution of OSA (24).
The Inspire sleep apnea device is surgically implanted by a trained surgeon. Before the operation, you may undergo a sleep study, medical and surgical consultation, or endoscopy to screen for surgical eligibility.
Use Heat to Reduce Bloating and Pain: A heating pad or warm bath may encourage trapped air to move through your body so that it can be released.
A CPAP device can cause anxiety for patients, especially those who are prone to claustrophobia. Some patients may even experience a severe emotional response to a CPAP mask, such as having a panic attack. These patients can also experiment with oral appliance therapy as an alternative.
After a few months of use, patients have a follow-up sleep study to ensure their Strugle with CPAP sleep goals are being met. Once all is confirmed, patients will have check-ins with their sleep physician every 6-12 months at physician discretion.
Use a Heated Humidifier: A heated humidifier is a tried-and-true method to direct moisture to your airway and can help you get relief from congestion.
Our team of Inspire Advisors are ready to help you. They can answer your questions, help determine if you meet the basic qualifications and help you find an Inspire-trained doctor in your area when you’re ready to set up an initial consultation.
The post-STAR literature provides guidelines for an integrated coordination of medicine and surgery to appropriately screen and manage patients.
Over the last 20 years there have been developments in both non-surgical and surgical options available for patients who fail to tolerate CPAP. Advances in positive airway pressure technologies have allowed lower pressures to be delivered to the patient’s airway, with the underlying concept being that higher pressures lead to more patient discomfort and side effects. However, this has not been substantiated in observational studies and prospective, randomized trials—pressure levels do not necessarily correlate with adherence (25,26). Nevertheless, BiPAP was initially developed in order to vary the pressure delivered during the respiratory cycle.