{"id":4584,"date":"2021-11-23T21:25:43","date_gmt":"2021-11-23T20:25:43","guid":{"rendered":"https:\/\/dzepina.com\/?page_id=4584"},"modified":"2023-11-08T21:37:37","modified_gmt":"2023-11-08T20:37:37","slug":"snoring-sleep-disorder","status":"publish","type":"page","link":"https:\/\/dzepina.com\/en\/services\/otorhinolaryngology-maxillofacial-surgery\/snoring-sleep-disorder\/","title":{"rendered":"Snoring and sleep disorders"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"4584\" class=\"elementor elementor-4584 elementor-1000\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-10ea549b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"10ea549b\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div 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class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Snoring and sleep disorders<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7241ee0b elementor-widget elementor-widget-spacer\" data-id=\"7241ee0b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4d9925df elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4d9925df\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container 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class=\"elementor-toc__header-title\">\n\t\t\t\tContent\t\t\t<\/h4>\n\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-toc__toggle-button elementor-toc__toggle-button--expand\" role=\"button\" tabindex=\"0\" aria-controls=\"elementor-toc__7ff67a8\" aria-expanded=\"true\" aria-label=\"Open table of contents\"><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-chevron-down\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M207.029 381.476L12.686 187.132c-9.373-9.373-9.373-24.569 0-33.941l22.667-22.667c9.357-9.357 24.522-9.375 33.901-.04L224 284.505l154.745-154.021c9.379-9.335 24.544-9.317 33.901.04l22.667 22.667c9.373 9.373 9.373 24.569 0 33.941L240.971 381.476c-9.373 9.372-24.569 9.372-33.942 0z\"><\/path><\/svg><\/div>\n\t\t\t\t<div class=\"elementor-toc__toggle-button elementor-toc__toggle-button--collapse\" role=\"button\" tabindex=\"0\" aria-controls=\"elementor-toc__7ff67a8\" aria-expanded=\"true\" aria-label=\"Close table of contents\"><svg 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975Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f3cef9a elementor-widget elementor-widget-spacer\" data-id=\"f3cef9a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-66 elementor-inner-column elementor-element elementor-element-315b1aa7\" data-id=\"315b1aa7\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-16162a78 animated-slow elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"16162a78\" data-element_type=\"widget\" data-e-type=\"widget\" id=\"one\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInDown&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-large\">THE SIGNIFICANCE OF THE SNORING<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1e2a6eaf elementor-widget elementor-widget-text-editor\" data-id=\"1e2a6eaf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>If you experience a breathing disorder (short-term cessation) with snoring during sleep, you probably have a disorder professionally called <em><strong>Obstructive Sleep Apnea Syndrome <\/strong><\/em>(<strong>Abbreviated OSAS<\/strong>). In addition to snoring, sleep disorders can also occur.<\/p><p>Such a disorder is uncomfortable for people sleeping next to you. However, it is even more uncomfortable for you due to the consequences after years of sleep apnea and the consequent lack of oxygen (hypoxia). These consequences can also be in the form of heart rhythm disorders and high blood pressure.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4a6df18 elementor-widget elementor-widget-image\" data-id=\"4a6df18\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"273\" height=\"300\" src=\"https:\/\/dzepina.com\/wp-content\/uploads\/shutterstock_599975225_703157217520-273x300.jpg\" class=\"attachment-medium size-medium wp-image-12263\" alt=\"Hrkanje problem\" srcset=\"https:\/\/dzepina.com\/wp-content\/uploads\/shutterstock_599975225_703157217520-273x300.jpg 273w, https:\/\/dzepina.com\/wp-content\/uploads\/shutterstock_599975225_703157217520-933x1024.jpg 933w, https:\/\/dzepina.com\/wp-content\/uploads\/shutterstock_599975225_703157217520-768x842.jpg 768w, https:\/\/dzepina.com\/wp-content\/uploads\/shutterstock_599975225_703157217520-1400x1536.jpg 1400w, https:\/\/dzepina.com\/wp-content\/uploads\/shutterstock_599975225_703157217520-1867x2048.jpg 1867w, https:\/\/dzepina.com\/wp-content\/uploads\/shutterstock_599975225_703157217520.jpg 2000w\" sizes=\"(max-width: 273px) 100vw, 273px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-41682e2 elementor-widget elementor-widget-text-editor\" data-id=\"41682e2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Some of the symptoms of this disorder can be dangerous and unpleasant for drivers, especially professionals, and all those whose job requires absolute vigilance and attention. These include morning fatigue, insomnia, daytime sleepiness, and decreased concentration.<\/p><p>There are often other disorders, such as morning fatigue and insomnia, and sometimes all-day drowsiness. Decreased concentration and sometimes frequent nocturnal enuresis (enuresis) may also occur. Useful information can also be obtained from a close person sleeping with the patient, with the most common complaint being that the family is suffering from unbearable noise. Some patients come for a consultation for surgery to improve the already started CPAP mask treatment (Continuous Positive Airway Pressure).<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e645cf7 elementor-alert-info elementor-widget elementor-widget-alert\" data-id=\"e645cf7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"alert.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-alert\" role=\"alert\">\n\n\t\t\t\t\t\t<span class=\"elementor-alert-title\">Causes<\/span>\n\t\t\t\n\t\t\t\t\t\t<span class=\"elementor-alert-description\"><p>Additional factors associated with snoring: alcohol, sedatives including antihistamines and some medications to reduce cough, allergic rhinitis and other airway inflammation, increased weight gain and sleep on your back.<\/p>\n<\/span>\n\t\t\t\n\t\t\t\t\t\t<button type=\"button\" class=\"elementor-alert-dismiss\" aria-label=\"Dismiss this alert.\">\n\t\t\t\t\t\t\t\t\t<span aria-hidden=\"true\">&times;<\/span>\n\t\t\t\t\t\t\t<\/button>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6fd19bdf elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"6fd19bdf\" data-element_type=\"widget\" data-e-type=\"widget\" id=\"two\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInDown&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-large\">SNORING AND SLEEP DISORDER - CONSULTATION<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-45f3cba4 elementor-widget elementor-widget-text-editor\" data-id=\"45f3cba4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Snoring, and the closely related problem of sleep disorders are the most common reasons for consultation. To make a diagnosis and make a decision about surgical treatment, it is necessary to do an ENT examination and determine the location of the narrowing of the airway passage.<\/p><p>The examination begins with a view of the pharynx in which an enlarged palate (uvula) can be seen. There may be a flabby, drooping, elongated soft palate, a narrow entry to pharynx. It is not uncommon to have a massive root of tongue (macroglossia) that covers the palate, and additional abundant mucosal pharyngeal folds. Examination of the nose aims for the presence of possible trauma, deviation of the septum and inflammatory and other changes that make breathing through the nose difficult.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-083bf6f elementor-widget elementor-widget-image\" data-id=\"083bf6f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"300\" height=\"218\" src=\"https:\/\/dzepina.com\/wp-content\/uploads\/shutterstock_1891467664_703157242687-300x218.jpg\" class=\"attachment-medium size-medium wp-image-12267\" alt=\"Hrkanje dijagnostika\" srcset=\"https:\/\/dzepina.com\/wp-content\/uploads\/shutterstock_1891467664_703157242687-300x218.jpg 300w, https:\/\/dzepina.com\/wp-content\/uploads\/shutterstock_1891467664_703157242687-1024x745.jpg 1024w, https:\/\/dzepina.com\/wp-content\/uploads\/shutterstock_1891467664_703157242687-768x559.jpg 768w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Place of obstruction of air flow at sleep<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6409f4b elementor-widget elementor-widget-text-editor\" data-id=\"6409f4b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>To make a safe diagnosis, it is advisable to supplement the otorhinolaryngological examination with a sleep-based breathing test (<strong>polysomnography<\/strong>). With this test, we distinguish two types of disorders (i. e. obstructive from central apnea, or mixed type of apnea) and determine the severity of the problem itself.<\/p><p>Sometimes radiological examinations (X-rays or CT scan) are also needed. All this aims to determine the exact location of the narrowing so that it can be adequately surgically treated. Many patients with obstructive sleep apnea have excess body mass that is advisable to reduce. In addition, if they are smokers, we advise them to stop smoking, as well as reducing alcohol consumption. These are all risk factors that worsen the condition of apnea and jeopardize the effect of treatment.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-584328b9 animated-slow elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"584328b9\" data-element_type=\"widget\" data-e-type=\"widget\" id=\"three\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInDown&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-large\">SURGICAL TREATMENT<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-317be3a5 elementor-widget elementor-widget-text-editor\" data-id=\"317be3a5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>To address snoring due to throat narrowing, the most common surgical procedure is <b>uvulopalatopharyngoplasty (UPPP)<\/b>. It includes shortening of the uvula (uvulectomy), <a href=\"https:\/\/dzepina.com\/en\/services\/otorhinolaryngology-maxillofacial-surgery\/tonsillectomy-and-adenoidectomy\/\"><strong>removal of the tonsils (tonsillectomy<\/strong>)<\/a> and shortening of the soft palate with reconstruction of the palatal arches with resorptive sutures. The goal of the operation is to strengthen the soft palate and palatal arches (like armature) with the resulting scar. This expands the pharyngeal entrance to improve the patient&#8217;s breathing, and to get rid of unbearable night noise.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-180420a elementor-widget elementor-widget-image\" data-id=\"180420a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"768\" height=\"435\" src=\"https:\/\/dzepina.com\/wp-content\/uploads\/shutterstock_2081721907_703158846134-768x435.jpg\" class=\"attachment-medium_large size-medium_large wp-image-12311\" alt=\"UPPP\" srcset=\"https:\/\/dzepina.com\/wp-content\/uploads\/shutterstock_2081721907_703158846134-768x435.jpg 768w, https:\/\/dzepina.com\/wp-content\/uploads\/shutterstock_2081721907_703158846134-300x170.jpg 300w, https:\/\/dzepina.com\/wp-content\/uploads\/shutterstock_2081721907_703158846134-1024x579.jpg 1024w, https:\/\/dzepina.com\/wp-content\/uploads\/shutterstock_2081721907_703158846134-1536x869.jpg 1536w, https:\/\/dzepina.com\/wp-content\/uploads\/shutterstock_2081721907_703158846134-2048x1159.jpg 2048w\" sizes=\"(max-width: 768px) 100vw, 768px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Laser or RF assisted UPPP<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-502febc elementor-widget elementor-widget-text-editor\" data-id=\"502febc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>If there is a breathing problem on the nose, it is necessary to do appropriate nasal surgery. Extensive reconstruction in the nasal area (septoplasty) is performed as an independent surgical procedure separate from the operation in the oral cavity and pharynx.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t<div class=\"elementor-element elementor-element-cca0452 e-flex e-con-boxed e-con e-parent\" data-id=\"cca0452\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b46623c elementor-widget-divider--separator-type-pattern elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"b46623c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\" style=\"--divider-pattern-url: url(&quot;data:image\/svg+xml,%3Csvg xmlns=&#039;http:\/\/www.w3.org\/2000\/svg&#039; 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In addition to snoring, sleep disorders can also occur. Such a disorder is uncomfortable for [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":1778,"parent":4416,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_eb_attr":"","_uag_custom_page_level_css":"","site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-site-content-layout":"full-width-container","site-content-style":"unboxed","site-sidebar-style":"unboxed","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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