Sleep Apnea Surgery Chennai | CPAP Alternatives - THANC
Need expert consultation? Book an appointment with Dr. Vidhyadharan at THANC Hospital.
Book AppointmentAre you struggling with persistent snoring and daytime fatigue? You might be one of the millions affected by sleep apnea. While CPAP (Continuous Positive Airway Pressure) is a common treatment, it's not always the ideal solution for everyone. Fortunately, advanced surgical options are available, and at THANC Hospital in Chennai, Dr. Vidhyadharan Sivakumar offers comprehensive sleep apnea surgery treatment and CPAP alternatives to help you breathe easier and sleep better.
Understanding Sleep Apnea and Its Impact
Sleep apnea is a sleep disorder characterized by pauses in breathing or shallow breaths during sleep. These interruptions can occur multiple times per hour, leading to fragmented sleep and reduced oxygen levels in the blood. The two main types of sleep apnea are:
- Obstructive Sleep Apnea (OSA): The most common type, OSA occurs when the muscles in the back of your throat relax, causing a blockage of the airway.
- Central Sleep Apnea (CSA): This type is less common and occurs when the brain doesn't send the proper signals to the muscles that control breathing.
Left untreated, sleep apnea can lead to a range of serious health problems, including:
- High blood pressure
- Heart disease
- Stroke
- Type 2 diabetes
- Daytime sleepiness and fatigue
- Increased risk of accidents
Why Consider CPAP Alternatives?
CPAP therapy involves wearing a mask over your nose and mouth while you sleep, delivering a constant stream of air to keep your airway open. While effective for many, CPAP can be uncomfortable and inconvenient. Some common reasons why people seek CPAP alternatives include:
- Mask discomfort: Many people find the mask uncomfortable or claustrophobic.
- Dryness and irritation: CPAP can cause dryness of the nose and throat.
- Difficulty adjusting: It can take time to get used to sleeping with a CPAP machine.
- Lack of compliance: Some individuals simply stop using CPAP due to these challenges.
Surgical Options for Sleep Apnea: A Comprehensive Overview
When CPAP isn't the right fit, surgical interventions can provide effective and long-lasting relief. Dr. Vidhyadharan Sivakumar specializes in a range of surgical options for sleep apnea at THANC Hospital, Chennai, tailoring treatment to each patient's unique needs.
1. Uvulopalatopharyngoplasty (UPPP)
UPPP is a traditional surgical procedure that involves removing excess tissue from the soft palate, tonsils, and uvula to widen the airway. While still performed, it is less common now due to the advent of newer, more targeted techniques.
2. Genioglossus Advancement (GGA)
GGA focuses on the tongue, which can often contribute to airway obstruction. The procedure involves pulling the base of the tongue forward to create more space in the airway. This is often done in conjunction with hyoid suspension.
3. Hyoid Suspension
This procedure involves suspending the hyoid bone (a U-shaped bone in the neck) forward, which helps to stabilize and open the airway. It's often performed alongside genioglossus advancement.
4. Maxillomandibular Advancement (MMA)
MMA is a more complex surgery that involves moving both the upper and lower jaws forward to enlarge the airway. It's typically reserved for patients with severe sleep apnea or those who haven't responded to other treatments.
5. Transoral Robotic Surgery (TORS)
Dr. Vidhyadharan Sivakumar is a pioneer in Transoral Robotic Surgery (TORS) for sleep apnea in India. TORS is a minimally invasive technique that uses a surgical robot to precisely remove or reposition tissues in the throat.
Advantages of TORS:
- Minimally invasive: Smaller incisions lead to less pain and faster recovery.
- Enhanced precision: The robotic system provides enhanced visualization and control.
- Targeted treatment: TORS allows for precise removal of obstructing tissues.
As one of the first surgeons in India to perform TORS-assisted Total Laryngectomy (2022), and a member of the World's First Endo-Robotic Surgery Team (2023), Dr. Sivakumar brings unparalleled expertise to this advanced technique. You can learn more about the benefits of robotic surgery at THANC Hospital on our Robotic Surgery page.
6. Drug-Induced Sleep Endoscopy (DISE)
Drug-Induced Sleep Endoscopy (DISE) is a diagnostic procedure performed under sedation to visualize the airway during sleep. This helps the surgeon identify the specific areas of obstruction and determine the most appropriate surgical approach. Dr. Vidhyadharan uses DISE extensively to personalize treatment plans. In my practice, DISE is crucial for identifying the specific patterns of airway collapse, allowing for a tailored surgical approach that maximizes the chances of success.
Choosing the Right Surgical Option
The best surgical option for sleep apnea depends on several factors, including:
- Severity of sleep apnea: Mild, moderate, or severe
- Location of airway obstruction: Tongue, soft palate, tonsils, etc.
- Overall health: Any underlying medical conditions
- Patient preferences: Individual goals and expectations
Dr. Vidhyadharan Sivakumar conducts a thorough evaluation to determine the most appropriate surgical approach for each patient. This evaluation typically includes:
- Physical examination: Assessing the airway and surrounding structures
- Sleep study (polysomnography): Measuring breathing patterns and oxygen levels during sleep
- Drug-Induced Sleep Endoscopy (DISE): Visualizing the airway during sleep to identify areas of obstruction
- Imaging studies: X-rays or CT scans to assess the anatomy of the airway
What to Expect Before and After Surgery
Before Surgery
- Consultation: A detailed discussion with Dr. Vidhyadharan to review your medical history, discuss treatment options, and answer your questions.
- Pre-operative testing: Blood tests, EKG, and other tests to ensure you are healthy enough for surgery.
- Medication adjustments: You may need to stop taking certain medications before surgery.
- Lifestyle modifications: Quitting smoking and losing weight can improve surgical outcomes.
After Surgery
- Hospital stay: Typically 1-3 days, depending on the type of surgery.
- Pain management: Pain medication to manage discomfort.
- Dietary restrictions: Soft diet for the first few days to weeks.
- Activity restrictions: Avoiding strenuous activity for several weeks.
- Follow-up appointments: Regular check-ups with Dr. Vidhyadharan to monitor your progress.
Success Rates and Potential Risks
The success rates of sleep apnea surgery vary depending on the type of surgery and the individual patient. Generally, surgery can significantly reduce the severity of sleep apnea and improve quality of life.
Potential risks of sleep apnea surgery include:
- Bleeding
- Infection
- Swelling
- Difficulty swallowing
- Changes in voice
- Nasal congestion
- Need for additional surgery
Dr. Vidhyadharan Sivakumar takes every precaution to minimize these risks and ensure the best possible outcome for his patients.
Comparing CPAP and Surgical Options
| Feature | CPAP | Surgery |
|---|---|---|
| Mechanism | Continuous air pressure to open airway | Structural correction of airway |
| Invasiveness | Non-invasive | Invasive |
| Compliance | Requires consistent nightly use | One-time procedure |
| Side Effects | Mask discomfort, dryness, irritation | Pain, swelling, bleeding, infection |
| Long-Term Relief | Effective with consistent use | Potentially permanent relief |
| Cost | Ongoing cost of machine and supplies | Higher initial cost |
The Importance of Expert Care in Chennai
Choosing the right surgeon is crucial for successful sleep apnea treatment. Dr. Vidhyadharan Sivakumar is an internationally renowned Head & Neck Surgical Oncologist with extensive experience in sleep apnea surgery. His qualifications include:
- MCh (Head & Neck Surgery) - Gold Medal, First Rank - Amrita Institute
- MS (Otorhinolaryngology) - Annamalai University
- Fellow, Indian College of Robotic Surgeons (FICRS)
- Fellow, European Board of Otorhinolaryngology (FEB-ORL HNS)
Dr. Sivakumar's expertise, combined with the state-of-the-art facilities at THANC Hospital in Chennai, ensures that you receive the highest quality care. Patients often ask me about the best treatment options, and I emphasize the importance of a personalized approach. At THANC Hospital, we tailor our treatment plans to each individual's specific needs and anatomy.
THANC Hospital: Your Partner in Sleep Apnea Treatment
THANC Hospital (The Head and Neck Centre & Hospital) is a leading center for head and neck care in Chennai. Our multidisciplinary team of experts provides comprehensive diagnosis and treatment for a wide range of conditions, including sleep apnea. We are committed to providing personalized, compassionate care to help you breathe easier and sleep better. Our location at 747, Poonamallee High Road, Kilpauk, Chennai - 600010, is easily accessible.
For personalized treatment options and expert care, consult Dr. Vidhyadharan Sivakumar at THANC Hospital. Call +91 44 4074 2000 or request an appointment online. You can also learn more about our Airway Management services on our Airway Clinic page.
If you're experiencing persistent snoring, daytime fatigue, or other symptoms of sleep apnea, early consultation is crucial. Book an appointment with Dr. Vidhyadharan at THANC Hospital, Chennai. Addressing sleep apnea promptly can significantly improve your health and quality of life. You might also find our Voice Disorders clinic helpful if you have voice-related issues [/specialties/voice-clinic].
References
- Epstein, L.J., Kristo, D., Strollo, P.J., Friedman, N., Malhotra, A., Patil, S.P., ... & Weaver, T.E. (2009). Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults. Journal of Clinical Sleep Medicine, 5(3), 263-276. [Link if available]
- Kapur, V.K., Auckley, D.H., Chowdhuri, S., Kuhlmann, D.C., Mehra, R., Schwab, R.J., ... & Rosen, C.L. (2017). Clinical practice guideline for diagnostic testing for adult obstructive sleep apnea: an American Academy of Sleep Medicine clinical practice guideline. Journal of Clinical Sleep Medicine, 13(3), 479-504. [Link if available]
- Aurora, R.N., Zak, R.S., Karippot, A., Auerbach, S.H., Casey, K.R., Chowdhuri, S., ... & Morgenthaler, T.I. (2012). Best practice guide for the treatment of obstructive sleep apnea in adults. Journal of Clinical Sleep Medicine, 8(3), 308-324. [Link if available]
- Weaver, T.E., Maislin, G., Redline, S., Gottlieb, D.J., Giovannetti, M., Loredo, J.S., ... & Ferguson, K.A. (2012). Adherence to continuous positive airway pressure therapy: the challenge to effective treatment. Proceedings of the American Thoracic Society, 9(3), 160-168. [Link if available]
- NCCN Guidelines. Head and Neck Cancers. Version 2.2024.
- American Academy of Otolaryngology-Head and Neck Surgery. Sleep Apnea. [Link if available]
- Cleveland Clinic. Sleep Apnea. [Link if available]
Written by
Dr. Vidhyadharan Sivakumar
MS, DNB, MRCS (Ed), MCh (Surgical Oncology)
Clinical Director & Senior Consultant at THANC Hospital, Chennai. India's pioneer in Transoral Robotic Surgery (TORS) with 15+ years of experience in complex head & neck cancer treatment.
