CPAP forver VS UPPP
Question:
Mitch: Having your toncils out is probably a good step forward. Having the UPPP probably is not. As large as your toncils are, they are probably a big part of the problem. Having worked 3 years in an accredited sleep lab, and having read the patient’s history and physical prepared by the physician, toncils are a contribuiting factor to the OSA. Did you ENT physician tell you the is only a 50% chance of reducing your apnea-hypopnea index (RDI or AHI) by 50%. If you had an RDI of 20, there is a 50% chance that it would reduce the RDI to 10, which you might do well with. If your index was 40 and the UPPP reduced it to 20 you would still need a CPAP machine. Suggestion, have your toncils out then see what your RDI is. –Joe– – Hide quoted text — Show quoted text -Mitch Goldstrom wrote in message <347F4A3C.E5C8D…@cinenet.net>… >I did a split study at the UCLA Sleep Disorder Clinic a while >back. They found that I did have Apnea and that the CPAP (set >at 
brought my Apnea events down to zero. >I asked about other options, and my doctor sent me to an ENT >for a surgury consult. He said that I was a good candidate for >a UPPP and tonsilectomy. He said that what made me a good candidate >was that I was young (29) and that I had unusually large (3 out of 4) >tonsils. >I am considering this operation. I understand that any surgery >may have complications, but if it solves the problem, it is worth it. >Is there anything that I am missing? >-Mitch >–
Response:
On Fri, 28 Nov 1997 14:48:28 -0800, Mitch Goldstrom <mi…@cinenet.net> made the following comments: – Hide quoted text — Show quoted text ->I did a split study at the UCLA Sleep Disorder Clinic a while >back. They found that I did have Apnea and that the CPAP (set >at brought my Apnea events down to zero. >I asked about other options, and my doctor sent me to an ENT >for a surgury consult. He said that I was a good candidate for >a UPPP and tonsilectomy. He said that what made me a good candidate >was that I was young (29) and that I had unusually large (3 out of 4) >tonsils. >I am considering this operation. I understand that any surgery >may have complications, but if it solves the problem, it is worth it. >Is there anything that I am missing? >-Mitch >–
Yup. The doctor not telling you how poor the success rate is! ******************************************** Anti-spam measures in action. For e-mail response delete "nospam" ********************************************
Response:
I had a UPPP w/ tonsilectomy because CPAP caused severe headaches. I was good for about six months, but had to go on BiPAP after nine months. My new sleep specialist told me that a large majority of patients need to go back to xPAP therapy six to twelve months after surgery. Therefore, I would only reccomend surgery to anyone whose obstructions are severe enough to make the use of xPAP unsuccessfull or intolerable for medical reasons (i.e. not mask comfort). — BigAl db-g…@worldnet.att.net – Hide quoted text — Show quoted text -Mitch Goldstrom wrote: > I did a split study at the UCLA Sleep Disorder Clinic a while > back. They found that I did have Apnea and that the CPAP (set > at brought my Apnea events down to zero. > I asked about other options, and my doctor sent me to an ENT > for a surgury consult. He said that I was a good candidate for > a UPPP and tonsilectomy. He said that what made me a good candidate > was that I was young (29) and that I had unusually large (3 out of 4) > tonsils. > I am considering this operation. I understand that any surgery > may have complications, but if it solves the problem, it is worth it. > Is there anything that I am missing? > -Mitch > —
Response:
I did a split study at the UCLA Sleep Disorder Clinic a while back. They found that I did have Apnea and that the CPAP (set at brought my Apnea events down to zero. I asked about other options, and my doctor sent me to an ENT for a surgury consult. He said that I was a good candidate for a UPPP and tonsilectomy. He said that what made me a good candidate was that I was young (29) and that I had unusually large (3 out of 4) tonsils. I am considering this operation. I understand that any surgery may have complications, but if it solves the problem, it is worth it. Is there anything that I am missing? -Mitch —
