Each evening when we close our eyes, we surrender ourselves to a state of disconnection and vulnerability, expecting to be safe, restored, and comforted upon awakening. Your sleep and overall health can be adversely affected if you suffer from snoring, breathing disorders, airway obstruction, or sleep apnea. The effects of having any one of these disorders can be detrimental to one's health.
At FCLA, we are equipped to diagnose these problems and provide effective treatment options.
Watch one patient's story, or click on the links below to read about specific treatments.
AIRWAY ANALYSIS/IMAGING Using a state-of-the-art, non-invasive airway scan, FCLA doctors can accurately measure your airway as a first step in providing effective treatment for snoring and airway obstruction.
Researchers at FCLA are currently conducting a landmark study comprised of more than 1,500 patients ranging in age from young children to teenagers, young adults, middle aged adults, and seniors. This study will be submitted for publication in the spring of 2011. BACK
SLEEP DISORDERED BREATHING
Sleep-disordered breathing (SDB) includes snoring, upper airway resistance syndrome (UPRS) and obstructive sleep apnea syndrome (OSAS), conditions caused by a collapse or a partial collapse or obstruction of the upper airway during sleep.
Nocturnal narrowing or obstruction may be limited to one part or may involve all of the upper airway passages including the nose, palate, and base of the tongue.
FCLA offers both surgical and non-surgical treatments for sleep apnea that can dramatically improve our patients’ lives. BACK
If you suffer from daytime fatigue or sleepiness that may be caused by snoring or sleep apnea, effective treatment starts with measuring the quality of your sleep and brain activity using a standardized polysomnograph test. Experts at FCLA will refer you for a polysomnography as needed to optimize and quantify treatment objectives.
Monitoring brain activity, eye movements, muscle activity, and heart rhythms, a polysomnogram is easy on the patient - you sleep through the entire procedure! This helps our skilled FCLA doctors rule out the other causes of sleep disorders not related to airway obstruction.
TREATMENTS For patients with sleep apnea, FCLA deploys a number of treatment options ranging from:
*Conservative treatments (sleep hygiene, sleep positions, weight loss) *Dental devices (custom molded in our on-site laboratory) to position the jaw and open the airway *CPAP (a mask that gently blows air into your nose to keep the upper airways open) *Radiofrequency *and finally, surgery (nose, palate, genioglossus advancement-hyoid myotomy, or bimaxillary advancement.
FCLA physicians carefully evaluate the unique circumstances and medical needs of each patient to find the most effective treatment or combination of treatments. Click to the next slide to explore the full array of treatment possibilities.
Mandibular Posturing Devices correct mild to moderate obstruction disorders and sleep apnea by positioning the lower jaw (mandible) forward, thus increasing the volume of the airway when you wear the device while sleeping.
Because the device may adversely affect your bite and temporomandibular joint (which connects your upper and lower jaw), FCLA orthodontists and jaw and bite specialists carefully design the appliance for your unique orthodontic conditions. FCLA maintains two full-time technicians on staff at our fully-equipped laboratory to custom-make and quality-check mandibular posturing devices to the precise specifications determined by our orthodontists.
Almost all patients suffering from sleep-disordered breathing can be effectively treated with surgery, which can be highly effective when you consider the difficulties and discomfort associated with many non-surgical treatments. FCLA surgeons bring world-renowned expertise, training, and specialty knowledge to surgically treat, which a high success rate, upper airway narrowing and blockage during sleep.
Nasal Obstruction: Reconstruction Nasal reconstruction is easy and astonishingly successful at treating sleep-disordered breathing for patients with nasal obstructions. Correcting nasal defects reduces the amount of breathing done through the mouth and decreases the negative nasal air pressure which causes the throat to contract and obstruct night time breathing. Oropharyngeal Obstruction: Reconstruction In patients who have been carefully selected and diagnosed with an upper airway obstruction primarily with the palate, this procedure offers a 90% cure rate.
Hypoharyngeal Obstruction: Reconstruction When the tongue is responsible for obstructing nighttime breathing, FCLA surgeons can use techniques on either the soft tissue or the jaw to remove the obstruction. There are multiple, complex causes for tongue obstructions, so our physicians employ several proven surgical techniques for removing soft tissue. In some cases, there are skeletal advancements (genioglossus advancement-hyoid myotomy) that keep the tongue from falling back as far back into the airway. For the most serious cases or cases when more conservative approaches fail, surgeons can move the lower jaw and midface forward (maxillomandibular advancement surgery) to position the tongue out of the airway.