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Tracheostomy only the last resort for obstructive sleep apnea

IT is the ultimate OSA Cure but this is a very last resort solution.

Tracheostomy is sometimes used to treat obstructive sleep apnea (OSA) but only as a last resort. In Tracheostomy the surgeon creates an opening in the neck to the trachea-the windpipe; then puts a tube into the opening to let air in.

• A valve keeps the opening of the tube closed during the day, which allows you to speak and breathe normally.

• At night, the valve is opened so that air can go around the blockage in your throat and into your lungs while you sleep.

A Tracheostomy is done only if you have severe sleep apnea, when all other treatments have failed, and other forms of surgery for the condition are not appropriate.

Tracheostomy almost always cures sleep apnea one hundred percent that is caused by blockage of the upper airway.

Complications and risks that may occur with a Tracheostomy include:

• Formation of scar tissue at the opening, which can affect how your neck looks.

• Infection and discharge

• Difficulty speaking.

• Bleeding and infection at the site.

• Increased risk of lung infections.

• Emotional problems, such as change in self-image and depression.

Is it necessary?

Tracheostomy is not generally used to treat sleep apnea, because other treatments are effective in most people.LAUP, CAUP, CPAP etc

People who are very overweight have more long-term problems after a Tracheostomy than other people who have the procedure. For very overweight people, the surgeon must take greater care during the procedure to keep the opening from being blocked by fatty neck tissues.

Dr Paulose is an ENT Consultant Plastic and Laser Surgeon with over 32 years of experience covering in Ear, Nose and Throat procedures, specializing in Laser Surgery and conventional medicine across India, U.K. and Middle East. He is currently engaged with the SUT Hospital, in Kerala, India. You can contact him today for help.

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