Upper Airway Resistance
It was first described in 1976 by Professor Christian Guilleminault of Stanford University (often known in medical circles as the "Father of Sleep Apnea") to describe cases where there are no periods of apnea or lowering of oxygen levels, but there is laboured breathing and a similar effect on the heart.
Diagnosis can be made using information from a number of sources:
The observations of patients, spouses and family members Physical examination of the nose, mouth, throat, palate and
neck by the ENT specialist (Snoring Doctor)
An additional option is for a polysomnogram (a sleep study). The patient may be admitted overnight into a "sleep centre"
(available at a number of hospitals) or special arrangements can be made for the study to be done at home by a technician.
There are a range of treatments for the various causes of snoring and OSA. The treatment must be tailored to the cause of the problem and to the individual patient. The possible treatments include:
Weight management and the control of any obesity problems.
Medical treatment of nasal congestion from sisnusitis, polyps or allergic rhinitis (or possibly snoring surgery if the patient does not respond to medical treatment) .
Snoring surgery to remove obstruction in the airway (such as enlarged tonsils or adenoids).
Laser surgery to for removal of obstructions.
Uvulopalatopharyngoplasty (UPPP) – a surgery to tighten the flabby tissues in the soft palate and throat, thereby creating enlarged airway.
Radiofrequency of obstructive parts, such as the base of the tongue and the soft palate.
In cases that for one reason or another cannot be successfully treated medically or surgically, CPAP (continuous positive
air pressure) machine is a possible means to ensure that the sleeper gets adequate amounts of air. The CPAP machine has
an air pump that pumps air directly to the child through a firmly-fitting facial mask that must be worn continuously
through the night. The air provides a positive pressure that keeps the upper airway open during sleep.