does surgery for deviated septum help?

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
McSleepy
Posts: 473
Joined: Fri Nov 26, 2010 10:32 pm
Location: USA

Re: does surgery for deviated septum help?

Post by McSleepy » Fri Jun 07, 2019 11:36 am

stevej1234 wrote:
Fri Jun 07, 2019 8:53 am
McSleepy, Can you explain "inability to breathe"? Were you mouth breathing the whole time? Anyway, kudos to you for going through this trouble, hopefully you'll tell us it was worth it in a month or so.
I plan to write up my whole experience, for the benefit of those who are considering this procedure. To answer your question, after the surgery, the splints (and probably the swelling of the tissue right behind them) limited the airflow to an amount that is barely enough to keep me alive, if I am at complete rest. In other words, if I am laying down in my bed, calmly resting, and try to breathe through the nose only, I could sustain that most of the time. I timed my breathing rate at around 5 BPM (!) But with any exertion, even to reach for a cup of water, that would be insufficient and I'd need to be breathing through my mouth. Sitting in a chair, I had to breathe mostly through my mouth: inhale though nose, exhale through mouth (for the humidification), and occasionally take a few breaths through the mouth only, to oxygenate better. Sipping water was helpful to keep the mouth moisturized. At night, I used the oral mask with the machine set at maximum humidification, but it was still not enough. This with all the saline nasal rinses, steam inhalations and showers, and ointments. With the splints out, I can now breathe through my nose just fine. There is still a lot of discharge that crusts as it dries out, but it doesn't prevent me from breathing through my nose. I even slept last night without the machine for the first time in ages (propped up in bed), and it seemed just alright. I'll do it again tonight and I'll see how it goes. I wish I could get some breathing data, but how to get it without the machine? Don't you wish there was a way to get the same data we get from our CPAP machines, but without one (or when you have a "brick")? Well, that shouldn't be too difficult to make happen, but it's a topic for another time.

By the way, at the appointment yesterday my surgeon once again mentioned about this new surgical procedure that is supposed to be designed to treat/alleviate OSA: AirLift. Anybody heard about it?

McSleepy

_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier
Additional Comments: Previous machine: ResMed S9 VPAP Auto 25 BiLevel. Mask: Breeze with dilator pillows. Software: ResScan ver. 5.1
ResMed AirCurve 10 VAuto; Puritan-Bennett Breeze nasal pillow mask; healthy, active, middle-aged man; tall, athletic build; stomach sleeper; on CPAP since 2003; lives @ 5000 ft; surgically-corrected deviated septum and turbinates; regular nasal washes

User avatar
ChicagoGranny
Posts: 15081
Joined: Sun Jan 29, 2012 1:43 pm
Location: USA

Re: does surgery for deviated septum help?

Post by ChicagoGranny » Fri Jun 07, 2019 12:21 pm

McSleepy wrote:
Fri Jun 07, 2019 11:36 am
By the way, at the appointment yesterday my surgeon once again mentioned about this new surgical procedure that is supposed to be designed to treat/alleviate OSA: AirLift. Anybody heard about it?
Hyoid tongue suspension surgeries have been used for 20+ years. This is just a newer version using slightly different fasteners.

It's not nearly as effective as the therapy a committed CPAPer can achieve.
standalone tongue suspension improves the AHI an average of 38%

https://www.entnet.org/content/tongue-suspension

stevej1234
Posts: 20
Joined: Thu Dec 06, 2018 11:30 am

Re: does surgery for deviated septum help?

Post by stevej1234 » Fri Jun 07, 2019 12:49 pm

>>>>>> airflow to an amount that is barely enough to keep me alive,

That had to be hell.

McSleepy
Posts: 473
Joined: Fri Nov 26, 2010 10:32 pm
Location: USA

Re: does surgery for deviated septum help?

Post by McSleepy » Fri Jun 07, 2019 2:08 pm

ChicagoGranny wrote:
Fri Jun 07, 2019 12:21 pm
McSleepy wrote:
Fri Jun 07, 2019 11:36 am
By the way, at the appointment yesterday my surgeon once again mentioned about this new surgical procedure that is supposed to be designed to treat/alleviate OSA: AirLift. Anybody heard about it?
Hyoid tongue suspension surgeries have been used for 20+ years. This is just a newer version using slightly different fasteners.

It's not nearly as effective as the therapy a committed CPAPer can achieve.
standalone tongue suspension improves the AHI an average of 38%

https://www.entnet.org/content/tongue-suspension
Thank you, very much! That little improvement is not nearly enough to justify the risks and side effects.

McSleepy

_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier
Additional Comments: Previous machine: ResMed S9 VPAP Auto 25 BiLevel. Mask: Breeze with dilator pillows. Software: ResScan ver. 5.1
ResMed AirCurve 10 VAuto; Puritan-Bennett Breeze nasal pillow mask; healthy, active, middle-aged man; tall, athletic build; stomach sleeper; on CPAP since 2003; lives @ 5000 ft; surgically-corrected deviated septum and turbinates; regular nasal washes

McSleepy
Posts: 473
Joined: Fri Nov 26, 2010 10:32 pm
Location: USA

Re: does surgery for deviated septum help?

Post by McSleepy » Fri Jun 07, 2019 2:12 pm

stevej1234 wrote:
Fri Jun 07, 2019 12:49 pm
>>>>>> airflow to an amount that is barely enough to keep me alive,

That had to be hell.
Well, I didn't have to breathe through my nose - so I didn't, most of the time. And mouth breathing while annoying, is not quite the end of the world; some people do it all the time. It was mostly to give my mouth some rest - lay down, calm down, and get the best of it. :)

McSleepy

_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier
Additional Comments: Previous machine: ResMed S9 VPAP Auto 25 BiLevel. Mask: Breeze with dilator pillows. Software: ResScan ver. 5.1
ResMed AirCurve 10 VAuto; Puritan-Bennett Breeze nasal pillow mask; healthy, active, middle-aged man; tall, athletic build; stomach sleeper; on CPAP since 2003; lives @ 5000 ft; surgically-corrected deviated septum and turbinates; regular nasal washes

User avatar
ChicagoGranny
Posts: 15081
Joined: Sun Jan 29, 2012 1:43 pm
Location: USA

Re: does surgery for deviated septum help?

Post by ChicagoGranny » Fri Jun 07, 2019 4:57 pm

stevej1234 wrote:
Fri Jun 07, 2019 12:49 pm
>>>>>> airflow to an amount that is barely enough to keep me alive,

That had to be hell.
He meant through his nose. So, he just opened his lips to breathe.