Otolaryngology (ear, nose, throat)


Snoring Who gets?

Snoring Who gets?

Tongue and throat muscles loose in the building.
In the thick throat tissue.
Soft palate and uvula in the longer than usual.
In people with nasal congestion.
In men, it is more common in overweight people and the elderly.


What are the signs and symptoms of snoring?

Restless sleep.
Rest and get up without headache in the morning.
Daytime sleepiness and sleep request.
Complaints of palpitations and hypertension.
Irritability, sexual inability and unwillingness


What is sleep apnea?

The most advanced of snoring, sleep apnea (breath holding while sleeping) is known. Person during sleep, often, after a certain period of loud snoring does not take breath. In this case, if more than 7 times within 10 seconds and takes longer than an hour, it is serious. Your doctor, depending on your situation, you may want a test performed during sleep.

A night in sleep apnea patients at 30 to 300 "breath holding" live and sleep half the time of some, normally referred to as low blood oxygen levels. Breath taking the time, heart, equally more power to pump blood. This leads to irregular heartbeats, and will result in high blood pressure and cardiac hypertrophy. People with obstructive sleep apnea, they can not spend their sleep and deep sleep as this will prevent them from waking up well rested.

 

How a path followed by radiofrequency method of operation?

Radiofrequency palate stretching operation by the method of attaching the device used in the treatment of patients expected 5-10 minutes. Palate tissue that leads to snoring with radiofrequency waves to be given by entering into the tissues is reduced and provided some stress on the palate. Implementation is simple, this method sometimes need 2-3 sessions. The success rate is very high patient compliance with this method is quite good.

 

The advantages of radiofrequency method

Snoring is the new method of treatment.
Anaesthesia is required.
Short implemented in time.
Snoring in most patients after only one session can be treated effectively.
Bleeding problems during and after the application is very rare.
Pain after surgery is less common than other methods.
The patient can go home the same day.


Snoring for a living:

1- to lose weight, a regular life, to be a powerful muscle building and exercise program.

2. Before going to sleep, sleeping pills, avoid sedatives and antihistamines.

  3. Stay away from drinks containing alcohol.

  Leave to eat 3 hours before 4- sleep.

5. Avoid excessive fatigue and sleep regularly.

6. Lie on your back instead, try to lie on their side.

7. Remove the foot of the head of your bed up to 20 centimeters.

 

RADIOFREQUENCY WHAT?

Called the nasal turbinates meat and soft palate in the treatment of nasal congestion due to snoring surgery done now connected to sag with radiofrequency waves are preferred. Uvula with radiofrequency waves, soft palate and tongue interference is one of the latest techniques developed in this area.

Application of radiofrequency surgery is limited by conventional methods. Snoring is a condition caused by a slender drooping and soft palate and can be applied in cases where concha grow blocked nasal passages. Radiofrequency thermal energy by creating a volume reduction of the target tissue is a surgical method is provided. Very low levels of radiofrequency energy is used. Application of this method is simple, sometimes 2 sessions are required. Most of the radiofrequency procedure under local anesthesia and is performed in semi-sitting position. Based on the application area can be done within a few minutes and the patient can go home the same time.

This method does not cause any loss of function does not require general anesthesia, and soft palate. Also not seen any sore throat after treatment. After the application should not exceed 4-6 weeks for onset of therapeutic effect.

Other treatment methods should be preferred in patients with breathing pauses during sleep next to snoring.

 

Radiofrequency thermal ablation

RF's histological results

• The effects of tissue coagulation occurs typically within 1 hour

Cells that lose their integrity and acquire a homogeneous dilapidated appearance.
The edema and congestion in the tissues.
Thoroughly limited lesions within 24 hours.
Hyperemic tissue ring is formed around the damaged tissue and White
Mild or moderate acute inflammatory response develops
Thoroughly necrosis occurs within 72 hours
The cells lose their nuclei intensely
10 days after the lesion borders white tissue
This white tissue that replaces the dead muscle tissue collagen deposition results show consisting of fibrosis
Fibrosis is accompanied by minimal inflammation and minimal edema
3 weeks after the lesion win whiter and brighter look with scarring
Small blood vessels in the border of the lesion and can be damaged during the RF, but they reoccur during the formation of scar
Vessels around the lesion remains alive and intact


Clinical Implementation rfta

Most of the RFT process under local anesthesia and can be done on an outpatient
Application can be done in few minutes, depending on the application area
After the procedure, the patient may be a little swelling and pain, analgesic requirement may be 1-2 days
After the treatment, patients can return to work and normal life as soon as possible


Highlights RTF Application

Distal end of the electrode should be placed correctly in the target tissue
Wherein the mucosa to which the proximal end of the electrode during operation, this portion is sealed to protect from mucosal damage terrnal
Inlet of the electrode, heal completely within 24-48 hours after the first occurrence of reduced swelling
The healing process may take 3-8 weeks tissue under the mucous membrane
After this time takes the place of the scar tissue, necrotic tissue, tissue volume is reduced and formed in the tissue tension
Over time scar tissue takes place greater reduction in tissue volume will be removed by the body
In a study conducted in pigs language rfta after 10 days was reported that 26% reduction in tissue volume.
In Summary;

1. RF, using radiofrequency is a minimally-invasive surgical technique that provides a complete reduction of the volume of the target tissue.

2. This technique for small, controlled lesion is created and is minimally affected the surrounding tissue, thus can be used in areas close to vital organs.

3. necrotic tissue comprising the lesion scar tissue replaces the removed tissue and body in their natural process.

4. The use of radiofrequency energy at low power causes a relatively quick and painless process.

5. There are several areas in the body of this energy: Cranial nerve problems, oncology, cardiology, and prostate enlargement are used for 20 years, is still in use respiratory tract agenda.