Chapter Two
Snoring and SurgeryLiving in the
twenty-first century affords wonderful advances in medicine and surgery. Snoring is something that has plagued mankind
since time immemorial. A person who
snores in this day and age does is lucky in the sense that the impact of
snoring is really starting to be understood.
Before taking any approach to stop snoring, take advantage of what the
medical community has to offer; find out why
you are snoring. Knowing the root
cause behind a snore will help to point you in the right direction as to how to
eliminate or mitigate the snore as much as possible. Available options for relief can include
allergy medicine up to surgery, although surgery for snoring is rarely if ever
the best choice.
Snoring Does Not Equal Surgery
Surgery is often considered to be the ultimate remedy to many of life’s problems. This does not always apply to snoring. In fact, the nature of surgery and snoring do
not really go too well together. Surgery
should be considered as the very last resort for several reasons. There are risks involved with any surgical
process, and in many cases, these risks are outweighed by the benefits; but this
is usually the case where there are few if any other options to taking care of
a problem that is affecting a person’s health and well being.
Snoring Surgery
Surgery is an
exploratory process. The very nature of
what surgery it seems somewhat counterproductive to solving something like
snoring, especially when there are other methods to address the issue that are
much less invasive and can be just as successful. Surgery causes scarring, and because it is an
exploratory process, there is no way to know what a doctor is going to
encounter until they are in the process of cutting and opening up the
patient. Surgery can often be the actual
cause of snoring after going through a procedure such as a rhinoplasty.
The truth is that
surgeries performed to resolve issues with snoring have not always
yielded the desired result for a large percentage of people who have had
it. Surgery for snoring is not a common
process and is not as reliable as some surgical procedures that are performed
regularly. Because snoring is
the result of tissue blocking the air passage, the surgical answer is to remove
any excess tissue that may be causing the blockage.
For certain
people, this may be a reasonable and acceptable answer to their snoring
problem, but this is most definitely not the case for the majority of people
who snore. Keep in mind that snoring is
not always the source of the problem; snoring is more often, if not most often
a symptom of something else in the body.
The cause of individuals snoring issue is going to be unique and
distinct to each person, therefore, there is not one simple cure-all remedy to
take care of every person snoring problem.
The following page contains an example of the complexity involved with
snoring and how surgery does not always address the root cause.
An Example: From Snoring to Insurance
Let’s look at something simple and
non-medical: car insurance. Let’s take
20 people who are considered bad drivers by their insurance
companies. As a result of that dubious
distinction, all of these drivers are going to face a premium increase of $500
when their insurance is renewed.
Now, seen at a distance, it might
appear as though all of these drivers are in the same boat (or same car,
as it were). And given that assumption,
a method to deal with this problem might be to simply give each of these people
an extra $500 in cash. Really, as
strange as that sounds, this is a way to solve this problem for each of
these 20 drivers: they need to find $500 more to pay their insurance premium,
and hence, that is what this so-called solution is going to do. Yet is this wise? No!
Some of those drivers – probably
more than a few of them – are not going to actually correct why they
might be classified as a “bad driver” by their insurance company. They simply won’t know why
they’re bad drivers, and hence, some of them will likely remain a “bad driver”,
and face higher insurance premiums next year – but this time after a few more
accidents or tickets.
As you can easily see, the real cause
of the so-called “bad driving” isn’t solved when each person is given a nice
gift of $500 with which to pay his or her increased insurance premium. And since the problem isn’t really solved, bad driving can crop up again, and cause financial problems and even
worse, it can endanger health and safety.
So when people readily turn to
trachea tissue-cutting surgery to cure their snoring, they may quite
easily be overlooking the real root cause of the snoring; something that may be
related to diet, sleep position, jaw or tongue dysfunction, lifestyle,
genetics, or be an indication of an even more serious health problem; an
indication that could be dangerously suppressed (temporarily, at least), after
a seemingly successful surgery.
Going to surgery as an easy,
off-the-cuff solution for snoring, is like giving these bad drivers $500 in
cash. It may seem to solve their
problem, but for many, it will just be a temporary fix; masking even deeper
problems that can lead to severe consequences down the road, including
Sleep Apnea.
Reasons to Deny Surgery for
Snoring
Surgery is often
prescribed as the first and only solution for a person who has a problem with
snoring. Surgery in many cases, for
different ailments, is considered as the first and only form of treatment there
might be. This is not so with snoring. Where surgery can save lives and minimize
suffering, it also comes with costs in addition to the finances involved. There is a multitude of reasons that surgery
should not be considered due to the risks involved with surgery which include
the following:
- Post-operation cosmetic effects
- Infection
- Scar tissue and inflammation
- Costly follow-up surgical procedures
- Time intensive healing process
- Costly drugs to ease pain and manage to swell
- Potential of damage to speech and tone of voice
- Complications with swallowing
- Potential seepage from wound and haemorrhaging
- Potential for irritating dry mouth
- Potential for severe pain in ears
Overview of Surgical Procedures
for Snoring
Surgery is a life-saving tool that has saved countless lives, but in this day and age, there is a
surgical procedure for just about everything.
Some of these procedures can be frivolous and unnecessary. When it comes to snoring specifically,
surgery is not a guaranteed solution to the problem. Anyone who deals with snoring either directly or indirectly must be aware of this when looking for a way
to fix the problem. The following
examples go over the common surgical procedures for snoring and how they might disappoint
the patient. These examples state the
name of the surgical procedure, what it is designed to do and most importantly
the many ill effects that have been reported as a result of each respective
procedure.
The problems
listed as a result of the different surgical processes are serious. These problems range from finances to long
term or permanent issues the patient may have to deal with after undergoing
snoring surgery. What each of these
surgeries is actually designed to do can be an absolute turn off, and when you
consider the problems associated with them, the compounded effects are
something to be gravely considered when there are so many other options
available. Again, this is why in most
cases, surgery should be considered as a last resort, if at all.
These are the
risks associated with surgical procedures for snoring specifically; other risks are a part of any surgical procedure, but these other kinds of
issues cannot be compared to the unique set of problems that snoring creates
and the different surgeries designed to fix snoring. Cost, for example, is always an issue but
should be taken into account for an issue like snoring whereas, for an issue like
cancer, or a failing organ, the cost must be incurred to preserve and improve
life. Another risk is anaesthesia. Being “put under” for surgery is not always
the case, but for any kind of major surgery, it is the case. Having surgery performed for snoring would
require this and anaesthesia has been known to result in complications if not
death in some instances.
|
Name of Surgery |
Designed to… |
Reported Problems…
|
||
|
Tracheostomy |
Create
an opening in the trachea (sometimes this is called a tracheotomy) |
û irritating to tissues and possible scarring û requires follow-up surgery û nasal secretions can clog air pipe and lead to breathing
difficulties |
||
|
UPPP
(Uvulopalatopharyngoplasty) |
expand
the airway and end snoring |
û expensive û may require follow-up surgery if obstruction occurs again û post-operation infection û possible speech defects û higher than normal haemorrhage risk û swallowing problems û not effective for Sleep Apnea |
||
LAUP
(Laser-Assisted Uvuloplasty) |
Uses
lasers to remove the uvula and obstructing tissues, without removing tonsils or
lateral tissues |
û dry mouth û Changes to voice (to be avoided by people who require their voice
to earn their living!) û pain in the ears û unpredictable success rate û can mask deeper problems and/or lead to new complications |
||
|
CAPSO
(Cautery-assisted palatal stiffening operation) |
Burns
the palate to stiffen it against vibration, and removes the mucosa
along with the uvula. |
û post-operation discomfort and pain û currently in experimental stages (unproven) û difficulty predicting if surgery will be successful û expensive |
||
Aside from these
examples, there are other new kinds of snore specific surgeries that have been
developed which include somnoplasty and
snoreplasty. These procedures are new and as yet
unproven to have any kind of reliable success rate in addition to not knowing
what any long term effects may arise from these kinds of surgeries for snoring.
In general, surgery
is a good thing, a very good thing; but this does not mean that surgery is the
best step to take when looking to resolve an issue with snoring. To be clear; there are cases where surgery is
absolutely the best possible solution for a person suffering from snoring and
the positive effects resound just like the negative ones did when snoring was
causing loss of sleep and all the negative health issues and frames of mind
that go along with that.
Luckily there are
other options available. Non-surgical
answers to snoring abound, some of these remedies have been around for a long
time, while others are relatively new.
These less invasive steps to alleviating snoring are where the majority
of relief from snoring comes from.
Countless people use these alternative methods with great success around
the world, making it easier for them and those around them to sleep and feel
good which we will now take a look at.
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