Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Is Uvulopalatopharyngoplasty An Effective Treatment For Severe Obstructive Sleep Apnea?
Question: Hello Soecialist ENT,//Sleep surgeon,
Going to have Sleep apnea surgery on 29 March , nodified mallampatti score 3 and 4,Weight 114 kg, height 5"6", diabetic, thyroid,acid reflux, severe obstructive sleep apnea.
a)What are expectations for sleep apnea benefits,.?b) Does General anaesthesia can give any concern/problem during surgery and post surgery -recovery , during extubation and intubation, c)Any chance of long term side effects -voice,taste,swelling,eating,tongue sensitivity.d)Does size of tongue will be reduced e)Can we expect weight control/reduction after surgery due to improvement in sleep apnea.f) Any effects of low Hb,Low Ferritin,Low Igm, L5- S1 sacrilization, moderate to severe foraminal stenosis on left at C5-6 and right C6-7,.high amaylase having IPMN 9 mm and 3mm,. g)Sleep endoscopy not done by surgeon, but have Xray - report can be send in case required. h) Looking to have answer from Sleep surgeon who is doing such surgeries
Going to have Sleep apnea surgery on 29 March , nodified mallampatti score 3 and 4,Weight 114 kg, height 5"6", diabetic, thyroid,acid reflux, severe obstructive sleep apnea.
a)What are expectations for sleep apnea benefits,.?b) Does General anaesthesia can give any concern/problem during surgery and post surgery -recovery , during extubation and intubation, c)Any chance of long term side effects -voice,taste,swelling,eating,tongue sensitivity.d)Does size of tongue will be reduced e)Can we expect weight control/reduction after surgery due to improvement in sleep apnea.f) Any effects of low Hb,Low Ferritin,Low Igm, L5- S1 sacrilization, moderate to severe foraminal stenosis on left at C5-6 and right C6-7,.high amaylase having IPMN 9 mm and 3mm,. g)Sleep endoscopy not done by surgeon, but have Xray - report can be send in case required. h) Looking to have answer from Sleep surgeon who is doing such surgeries
Brief Answer:
Surgery will definitely help you.
Detailed Answer:
Hi,
I am practising sleep physician. I do refer many patients for surgery in which surgery is indicated. So I have a fair idea about OSA surgery.
The answer to your 1st question:
Surgery is having an excellent outcome in obstructive sleep apnea patients. So you should definitely go for surgery.
The answer to your 2nd question:
Mallampati score 3 or 4 makes you difficult to intubate. So experienced anaesthetist is required for intubation. You can also discuss nasal intubation. Since there's obesity, you may need lesser anaesthetic drugs because they're mostly being stored in fat tissue. So if a normal or higher dose is given then the patient can have longer sedation.
So, please discuss these things with your anesthetist.
The answer to your 3rd question:
With an experienced team of anesthetists, chances of these side effects are very very less.
The answer to your 4rth question:
Amongst all, hemoglobin (if too low - less than 8) and amylase (too high - more than 100) should be checked. So please let me know your hemoglobin and amylase levels.
The answer to your 5th question:
No need for sleep endoscopy.
Hope I have solved your query. I will be happy to help you further.
Regards,
Dr. Kaushal Bhavsar, Pulmonologist
Surgery will definitely help you.
Detailed Answer:
Hi,
I am practising sleep physician. I do refer many patients for surgery in which surgery is indicated. So I have a fair idea about OSA surgery.
The answer to your 1st question:
Surgery is having an excellent outcome in obstructive sleep apnea patients. So you should definitely go for surgery.
The answer to your 2nd question:
Mallampati score 3 or 4 makes you difficult to intubate. So experienced anaesthetist is required for intubation. You can also discuss nasal intubation. Since there's obesity, you may need lesser anaesthetic drugs because they're mostly being stored in fat tissue. So if a normal or higher dose is given then the patient can have longer sedation.
So, please discuss these things with your anesthetist.
The answer to your 3rd question:
With an experienced team of anesthetists, chances of these side effects are very very less.
The answer to your 4rth question:
Amongst all, hemoglobin (if too low - less than 8) and amylase (too high - more than 100) should be checked. So please let me know your hemoglobin and amylase levels.
The answer to your 5th question:
No need for sleep endoscopy.
Hope I have solved your query. I will be happy to help you further.
Regards,
Dr. Kaushal Bhavsar, Pulmonologist
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Thanks Dr.Bhavsar,
Amylase- 148 U/L,Ferritin 24 ug/L, Hb128 g/L,, HEMATOCRIT 0.38 L/L, Lymphocytes 3.6 10E9/.., iRON 11 umol/L,, TSH 2.89 mIU/L ,,
Do you need X RAY, Sleep surgeon note, his name is Dr. XXXX XXXXXXX based in Calgary.
I will send you biopsy results done by GI during endoscopy and colonoscopy and MRI showing follow up IPMN ..
Regards.
Sorry to for get - can you mention names of sleep surgeons under your contact with their contact inf,.
Amylase- 148 U/L,Ferritin 24 ug/L, Hb128 g/L,, HEMATOCRIT 0.38 L/L, Lymphocytes 3.6 10E9/.., iRON 11 umol/L,, TSH 2.89 mIU/L ,,
Do you need X RAY, Sleep surgeon note, his name is Dr. XXXX XXXXXXX based in Calgary.
I will send you biopsy results done by GI during endoscopy and colonoscopy and MRI showing follow up IPMN ..
Regards.
Sorry to for get - can you mention names of sleep surgeons under your contact with their contact inf,.
Brief Answer:
Are you an alcoholic?
Detailed Answer:
Hi,
Your amylase is high.
Please let me know
1. Are you an alcoholic?
2. What is the normal range for amylase in your report?
And sorry to say but I can not give contact details of sleep surgeons. And they all are from XXXXXXX not from the US.
Hope I have answered your query.
I will be happy to help you further.
Regards,
Dr. Kaushal Bhavsar, Pulmonologist
Are you an alcoholic?
Detailed Answer:
Hi,
Your amylase is high.
Please let me know
1. Are you an alcoholic?
2. What is the normal range for amylase in your report?
And sorry to say but I can not give contact details of sleep surgeons. And they all are from XXXXXXX not from the US.
Hope I have answered your query.
I will be happy to help you further.
Regards,
Dr. Kaushal Bhavsar, Pulmonologist
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Amylast- reference range-30-110 .
No ,never have take alcohal.
So sleep surgeries are being done in XXXXXXX .
lipase- 45 U/L, REF 0-80.
No ,never have take alcohal.
So sleep surgeries are being done in XXXXXXX .
lipase- 45 U/L, REF 0-80.
Brief Answer:
What is the cause for high amylase?
Detailed Answer:
Hi,
Yes, sleep surgeries are done in XXXXXXX
What is the cause for high amylase?
Is it obesity related?
Have they checked for pancreas?
Hope I have answered your query.
I will be happy to help you further.
Regards,
Dr. Kaushal Bhavsar, Pulmonologist
What is the cause for high amylase?
Detailed Answer:
Hi,
Yes, sleep surgeries are done in XXXXXXX
What is the cause for high amylase?
Is it obesity related?
Have they checked for pancreas?
Hope I have answered your query.
I will be happy to help you further.
Regards,
Dr. Kaushal Bhavsar, Pulmonologist
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
It is not serious.
Detailed Answer:
Hi,
I don't think this is a serious rate of growth.
It might be due to observational error from a radiologist.
Hope I have answered your query.
Regards,
Dr. Kaushal Bhavsar, Pulmonologist
It is not serious.
Detailed Answer:
Hi,
I don't think this is a serious rate of growth.
It might be due to observational error from a radiologist.
Hope I have answered your query.
Regards,
Dr. Kaushal Bhavsar, Pulmonologist
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
