How Sleep Apnea Affects Your Daily Life and What You Can Do About It

1. CoastalEar,Noseand Throat HowSleepApneaAffectsYourDailyLifeandWhat YouCan DoAboutIt info@coastalhearing.com (732)280-7855 www.coastalearnoseandthroat.com

2. AboutSnoringandSleep Apnea At Coastal ENT, we provide comprehensive sleep services starting from diagnosis, to both medical andsurgicaltreatment.Weareperformingthelatestproceduresonthosewho fail CPAPmedical therapy,championedbyDr.KennethNewkirk. SleepStudy DiagnosticPolysomnography CPAPTherapy GoldStandard AirwaySurgery Uvulupalatopharyngoplasty (UPP) InspireImplant HypoglossalNerveStimulator

3. AboutSnoring Snoring is the sound created by vibrations of the soft palate when breathing is partially obstructed during sleep. Snoring is often a sign that the airway is partially blocked, usually by soft tissue in the throat. The flow of air causes the soft tissue to vibrate, whichgeneratesnoisefromthemouthornose.Whilesnoringisacommonand usually harmless condition, it may sometimes indicate a serious health problem. Loud and habitual snoring can disrupt sleep and be irritating. Snoring is more common in men than women and occurs more often in older people and those who are overweight. Snoring that disrupts sleep may cause excessive daytime sleepiness and difficulty concentrating.Heavysnorers,especiallythosethatexperiencegaspingorchoking, may suffer from sleep apnea, a condition where snoring is frequently interrupted by periodsofcompletelyobstructedbreathing.

4. AboutSleepApnea Sleep apnea is a common sleep disorder that involves repeated breathing interruptions during sleep. These interruptions may occur hundreds of times each night, and may be the result of structural abnormalities or brain malfunctions. During normal breathing,airpassesthroughthenose,pasttheflexiblestructuresinthe backofthethroat,includingthesoftpalate,uvula and tongue. When a person is awake, the muscles hold this airway open. When they are asleep, these muscles relax and the airway usuallystaysopen. Sleep apneaoccurs whentheupper airway andairflowareblocked,causingtheoxygen levelstodrop in bothinthebrainand theblood,resultinginshallow breathingorbreathingpausesduringsleep.

5. HowisSleep ApneaTreated? For some ofourpatientsatCoastalEar, Nose &Throat,conservativetreatmentoptions could start with lifestyle changes, such as losing weight, limiting alcohol consumption, and quitting smoking. These could provide sufficient relief, but it is more likely that more involved treatments will be necessary. These are two common non-surgical treatments: CPAP The next step up from oral appliance therapy would be continuous positive airway pressure (CPAP).CPAPisabreathing system that uses air pressure tokeep the upperairway passages open. The patient wears a mask over his or her nose during sleep. The mask createsairpressurethatissomewhatgreaterthantheairpressureinthebedroom,andthis difference in pressure keeps the airway open. The problem with CPAP, however, is that some people find it difficult to sleep with the tubes and mask. This can lead to a low compliancerate. OralApplianceTherapy In some patients with mild to moderate obstructive sleep apnea, oral appliance therapy can be successful. This involves fitting and ordering a custom-made mouthpiece for the patient to wear while sleeping. The mouthpiece is similar to a sports mouth guard. It supports the jaw in a forward position to help keep the airway open. Currently, there are over 100 FDA- approvedoralappliances,andwe helpourpatientsfindtheoptionthatisbestforthem.

6. SurgicalTreatment Ifconservativetreatmentisunsuccessfulintreatingsleepapnea,thereareotheroptions available. Individuals who suffer from severe cases of sleep apnea that may lead to seriousmedicalconditions,maybenefitfromsurgery. Thegoalofmostsurgicalproceduresistoremovetheexcesstissuefromthenose orthroatandopenupperairpassagestofacilitatebreathing.

7. InspireImplant Inspire works inside your body while you sleep. It’s a small device placed during a same-day, outpatient procedure. When you’re ready for bed, simply click the remote to turn Inspire on. While you sleep, Inspire opens your airway, allowing you to breathe normally and sleep peacefully.OurHead&NecksurgeryexpertDr.KennethNewkirk,isoneofthefewsurgeonsin thestatewhoperformsthiscuttingedgeandqualityoflifesavingprocedure. Howdoesitwork? Sleepapneaiscausedbyupperairwaycollapse,oftenwhenthebackofthetongue falls back into the throat. This device gives just enough stimulation to the nerve thatcontrolsthetongue,thatitpreventsthiscollapsewhenyouinspire. Howistheprocedureperformed? There is a small incision placed in the neck to find the nerve and anotheroverthechest.Theimplantisplacedinaskinpocketsimilarto apacemaker. Whathappensafter? Onceyouhaverecoveredfromsurgery,thenwetitratethe stimulationtoeffect,withaconvenientremotecontrol.

8. Neptune, NJ 3700Route33 ContactUs Neptune,NJ07753 (732)280-7855(main) (732)280-7815 1301Route72 Unit340 Manahawkin,NJ08050 (609)978-0590 (732)280-7815 Manahawkin,NJ Thankyouforyourtime!Reachoutto usforquestions. Holmdel,NJ 100CommonsWay#210 Holmdel,NJ07733 (732)280-7855 (732)-280-7815 info@coastalhearing.com (732)280-7855 www.coastalearnoseandthroat.com