I ordered an MRI with a patient who had severe OSA diagnosed in his mid 20's . His mother told me she saw him have apneas as a baby. Lo and behold his MRI showed no lacunar infarcts or any damage at all.Thats over 25 years of severe nocturnal desaturations

I seem to recall reading about a case years ago involving a patient who developed centrals only after his tracheostomy In his particular case it was somehow associated with him being obese so they called it Obesity Hypoventilation syndrome Now if memory serves me right he used an asv initially till ...

Afrashi

Excellent idea, always wondered about using ferrous implants and using external rare earth magnets to splint the tongue and airway

Yes many downs kids are prone to sleep apnea because of the macroglossia

Tongue reduction surgery should help a lot and the sooner the better.it carries a risk of post op haemorrhage so they probably will do a temporary trachy. How is his mood ?

Not unusual for some people to be disappointed with MMA, after all the airway is a fixed circumference and Mma changes the shape from epileptical to cylindrical It tents the airway in an more open position but over time the tissues behind the pharyngeal mucosa start to sag and you're back to square ...

I'm glad Julie brought this up

broken heart

be fascinating to know just what they did during the sinus surgery

what an awful nightmare for any parent to go through.

very true

BAD SLEEP , awaking unrefreshed , and anhedonia/depression could be a feature of depression not just sleep apnea . Generalised unhappiness and misery can have a profound effect on sleep and cpap /MMA cant fix these aspects. Where did you have your MMA? were you overweight or normal weight prior to s...

its really sad that someone gets labelled a troll for relating their experience AS any maxillo-facial surgeon will tell you , one can experience subtle changes in the jaw when you alter muscle tension or apply abnormal forces to either the jaw or teeth. Look up maxillary distractors so see the power...

A better solution, and more permanent one, to jaw advancement would be in going to an orthodontist and getting an expander (e.g., Crozat). I am undergoing orthodontia with an expander on the bottom jaw; I first started with the expander on top and bottom jaws. My lower jaw has come forward signific...

Hello Nemui Just wondering if you could get a nasal endoscopy to assess the cause + degree of nasal obstruction and get him to do a Mullers manoeuvre and show you the degree of airway collapsibility . Try to find an ENT who has an interest in OSA Have you had the X-ray called lateral cephalogram ? I...

ok cool , thank you

best wishes to all pursuing class action , may the force be with you