We offer a wide variety of effective treatments. Arrange a consultation with Dr. Rotenberg to find out which treatments may be right for you.
In many cases, snoring is caused by obstructions in the mouth or throat that can be removed or made more manageable through surgery. Most commonly the palate and tonsils are the problem but there may be other areas as well. We use leading edge techniques and evidence-based proven procedures to diagnose and treat conditions that can be improved through appropriate surgeries.
Septoplasty is surgery to straighten a deviated septum – the ridge of cartilage and bone the separates your nostrils. If the septum is crooked or broken, it can create breathing problems that significantly affect sleep. This can be corrected with a minimally invasive procedure through the nostril to improve your airway.
Breathing problems can also be addressed through rhinoplasty, which is a re-shaping of the inside and outside of the nose. Rhinoplasty is often performed for cosmetic reasons, and can be very effective in improving nasal breathing.
Turbinates are long, thin layers of bone and tissue found in the nasal passages. They include blood vessels that warm and humidify the air you breathe. Nasal congestion is often caused by swollen turbinates, and swollen turbinates can also be a factor in sleep apnea. Turbinoplasty repositions and reshapes turbinates to restore balanced air flow and normal turbinate function.
A lengthy palate or uvula is often a problem in snoring and sleep apnea. Uvulopalatoplasty surgery is a procedure intended to reduce or eliminate snoring by reshaping part or all of the uvula at the back of the throat to shorten it and reduce obstruction and snoring.
Expansion Sphincteroplasty surgery involves removing tonsil tissue to create space in the back of the throat, and then repositioning the palate so as to widen the airway. For some people it can be an effective treatment for breathing problems and sleep apnea.
The tonsils – two small lymph nodes located at the back of the throat – can sometimes become inflamed, causing swelling and making breathing difficult. During a tonsillectomy, which is a very common procedure to treat snoring and apnea, the tonsils are removed so as to open up the airway.
Tongue Base Ablation
Tongue Base Ablation (also called Radiofrequency Ablation) uses radio frequency energcy to strengthen tongue muscles. As the tongue muscles recover from the procedure and grow stronger from scar placement, they become tighter and more compact, creating space in the throat and making breathing easier.
The lingual tonsils are located on the back of the tongue (as opposed to the tonsils we more generally think of in the throat). When enlarged lingual tonsils can cause breathing problems and exacerbate sleep apnea. A lingual tonsillectomy removes most of the lingual tonsil tissue to create more space in the air passage.
Drug-Induced Sleep Endoscopy
Drug-Induced Sleep Endoscopy is a diagnostic tool designed to study the upper airway of patients who have obstructive sleep apnea. During the procedure, the patient is induced to sleep in the operating room so the doctor can observe the airway and identify the point of obstruction. The results of the procedure are helpful in creating a treatment plan.
The epiglottis is a flap of tissue in the back of the throat that stops food from going into the windpipe during swallowing. The epiglottis is normally in an upright position to allow air to pass into the trachea, but can sometimes become weakened and fall back across the opening, blocking air flow. Epiglottis surgery can strengthen or reshape the epiglottis to prevent it from blocking the windpipe.
Sleep studies can be an important step in diagnosing and treating sleep apnea or other sleep-related disorders. Sleep studies are generally conducted overnight. The patient is connected to various monitors that measure brain activity, breathing, heart function, movement, muscle activity, and other factors that affect sleep. The results give a clearer picture of what is causing the sleeping issue and provide the basis for a treatment plan. Dr. Rotenberg offers ambulatory sleep studies, which can be done in the comfort of your own home as opposed to needing to go to a dedicated sleep lab or hospital.