Welcome to Riverside Sinus Center
in Red Bank, NJ
The information found on this Web site is
for your edification
concerning Sleep Apnea a dangerous sleep
disorder.
This information addresses the symptoms and treatments thereof.
We encourage you to learn and educate
yourself as much as
you can regarding this dangerous medical
condition with
the information we have provided.
We would also encourage you, if you feel you suffering from any of these
symptoms
of sleep apnea listed below, to call or e-mail Dr Scaccia for an
appointment so that he can examine, evaluate, and determine through his diagnosis a
treatment for you. Dr Scaccia may ask you to make an appointment with a Sleep Study Center or
a Home Study which can be assisted by our very own Sleep Study Technician
for further elvaluation and lab test reports.
For more detailed information on New Jersey Sleep Study NJ and New Jersey Home Study NJ please click here.
For detailed Surgical Treatments for New Jersey Snoring NJ and New Jersey Sleep Apnea NJ please click here.
"There is important information for children's sleep at the very bottom of
this page."
New Jersey Snoring NJ New Jersey Sleep Apnea NJ
Sleep Apnea links to sinusitis and allergies such as postnasal drip and
nasal congestion, which are the most frequent symptoms. Allergies and
sinusitis, are quite often present in patients suffering from this dangerous sleep
disorder called “Sleep Apnea.” During the night, most medical experts are in
unison that nasal congestion due to allergies and sinus problems exacerbate
or increase in apnea episodes and create a causal link between them. A
deviated septum can also cause breathing dilemmas resulting in snoring. Then
possibly a rhinoplasty and or a sinus surgery procedure can help to greatly
correct the problem.
New Jersey Sleep Apnea NJ
Sleep Apnea • Sleep Apnea Treatments • Sleep Apnea Symptoms • Causes • Diagnosis
A disruption of breathing while asleep "Sleep Apnea" is a deceiving sleep
disorder. Ninety two (92%) of people who have sleep apnea don't realize they
have it!
You may not have any recollection of struggling for breath. Even though
episodes of choking, gasping for breathe and air (oxygen) might occur hundreds
of times throughout the night. Usually it is the bed partner who first
notices that the person is struggling to breathe. If left untreated, this common
disorder can be life-threatening.
NJ Signs New Jersey Symptoms of Sleep Apnea NJ
People who struggle with Sleep Apnea
"Husbands and wives, bed partners, deserve a good night's sleep."
A husband snoring always disrupted his wife's sleep, but she became worried
when she noticed that he seemed to stop breathing periodically at night,
and would wake up gasping for breath, only to fall back asleep and start the
process all over again. The husband occasionally remembered waking up during
the night, but he did not remember the gaps in breathing. Both of them did,
however, know that they were
both exhausted during the day. Chronic fatigue is always a symptom.
"Warning signs and symptoms of sleep apnea include:"
• Frequent silences during sleep due to breaks in breathing (apnea)
• Choking or gasping during sleep to get air into the lungs
• Loud snoring
• Sudden awakenings to restart breathing or waking up in a sweat
• Daytime sleepiness and feeling unrefreshed by a night’s sleep, including
falling
asleep at inappropriate times
What happens when you have an episode of sleep apnea?
When you stop breathing during sleep due to sleep apnea, the balance of
oxygen and carbon dioxide in the blood is upset. This imbalance stimulates the
brain to restart the breathing process. The brain signals you to wake up so
that the muscles of the tongue and throat can increase the size of the
airway. Then, carbon dioxide can escape, and oxygen can enter the airway. These
waking episodes are necessary to restart breathing (and to save your life),
and you may not remember them, but they do disrupt your leep and cause
daytime exhaustion.
Is snoring the same as sleep apnea?
Snoring is not the same as sleep apnea. Snoring is simply a loud sound that
you make during breathing while asleep if there is any obstruction in your
airway. While it may be unpleasant for your sleep partner, snoring is not in
itself a harmful condition. On the other hand, people with sleep apnea are
deprived of oxygen due to a complete blockage of airways, which can have a
major impact on health.
Snoring does often accompany sleep apnea, but just because you snore does
not mean you have sleep apnea.
Snoring and a guide to causes, cures and treatment.
Types of sleep apnea
New Jersey Obstructive Sleep Apnea NJ (OSA)
OSA is the most common type of sleep apnea. It is caused by a breathing
obstruction, which stops the air flow in the nose and mouth. The rest of this
information discusses the causes, symptoms and treatments for OSA.
Central Sleep Apnea (CSA)
Central sleep apnea (CSA), less common than OSA, is a central nervous
system disorder that occurs when the brain signal telling the body to breathe is
delayed. CSA can be caused by disease or injury involving the brainstem,
such as a stroke, a brain tumor, a viral brain infection, or a chronic
respiratory disease. People with CSA seldom snore. However, while the causes of
apnea are different in CSA and OSA, the symptoms and results are much the same –
a deprivation of oxygen and poor sleep. The treatments for CSA include
medications that stimulate the need to breathe and administration of oxygen.
Causes and risk factors of obstructive sleep apnea
When you have obstructive sleep apnea, your throat collapses during sleep,
blocking the airway and preventing air from getting to the lungs. Generally,
your throat muscles keep the throat and airwayopen.
Primary causes and risk factors of obstructive sleep apnea
• Being overweight or obese (although 50% of people with sleep apnea are
not obese)
• Large tonsils or adenoids
• Other distinctive physical attributes (deviated septum, shape of head
and neck, receding chin, enlarged tongue)
• Nasal congestion or blockage (from cold, sinusitis, allergies, smoking,
etc.)
• Throat muscles and tongue relax more than normal during sleep (possibly
due to alcohol or sedatives or age)
Obstructive sleep apnea does seem to run in families which may be a result
of anatomic abnormalities or medical conditions that are genetic.
Effects of sleep apnea on health
Sleep apnea has serious health consequences and can even be
life-threatening. The main effects of sleep apnea are sleep deprivation and oxygen
deprivation.
Sleep deprivation
Sleep deprivation hurts the person with sleep apnea and the bed partner.
Frequent waking, whether remembered or not, causes fitful sleep and prohibits
therapeutic rest. A bed partner may lose an hour or more of sleep each night
from sleeping next to a person with sleep apnea. Along with the apnea
episodes, side effects like excessive sweating and a frequent need to urinate
disrupt sleep.
Often, a person with sleep apnea will wake up feeling like they have not
slept or have difficulty staying awake during the day. Some trickle-down
effects of sleep deprivation include a compromised immune system, poor mental and
emotional health, and irritability.
Oxygen deprivation
When you stop breathing, your brain does not get enough oxygen. Serious
problems can result from the oxygen deprivation of sleep apnea, including heart
disease, high blood pressure, sexual dysfunction, learning, and memory
problems.
Depression and sleep apnea
Approximately one in five people who suffer from depression also suffer
from sleep apnea and people with sleep apnea are five times more likely to
become depressed. Existing depression may also be worsened by sleep apnea. While
it is not clear whether the apnea causes the depression or vice-versa,
studies show that by treating sleep apnea symptoms, depression may be alleviated
in some people.
New Jersey Insomnia NJ
Definition of Insomnia:
Insomnia: The perception or complaint of inadequate or poor-quality sleep
because of one or more of the following: difficulty falling asleep; waking up
frequently during the night with difficulty returning to sleep; waking up
too early in the morning; or unrefreshing sleep. Insomnia is not defined by
the number of hours of sleep a person gets or how long it takes to fall
asleep. Individuals vary normally in their need for, and their satisfaction with,
sleep. Insomnia may cause problems during the day, such as tiredness, a
lack of energy, difficulty concentrating, and irritability.
Types of Insomnia: Insomnia can be classified as transient (short term),
intermittent (on and off), and chronic (constant). Insomnia lasting from a
single night to a few weeks is referred to as transient. If episodes of
transient insomnia occur from time to time, the insomnia is said to be
intermittent. Insomnia is considered to be chronic if it occurs on most nights and lasts
a month or more.
New Jersey Insomnia Symptoms NJ Insomnia Causes New Jersey
"Almost all symptoms of Insomnia are synonymous with Sleep Apnea."
Causes of Insomnia: Certain conditions seem to make individuals more likely
to experience insomnia. Examples of these conditions include: advanced age
(insomnia occurs more frequently in those over age 60); female gender; and a
history of depression. If other conditions (such as stress, anxiety, a
medical problem, or the use of certain medications) occur along with the above
conditions, insomnia is
more likely.
There are many causes of insomnia. Transient and intermittent insomnia
generally occur in people who are temporarily experiencing one or more of the
following: stress, environmental noise, extreme temperatures, a change in the
surrounding environment, sleep/wake schedule problems such as those due to
jet lag, or medication side effects.
Chronic insomnia is more complex and often results from a combination of
factors, including underlying physical or mental disorders. One of the most
common causes of chronic insomnia is depression. Other underlying causes
include arthritis, kidney disease, heart failure, asthma, Sleep Apnea, and
Narcolepsy,
Surgical Treatment for Snoring and Sleep Apnea
Riverside Sinus Center has been awarded accreditation by JCAHO (Joint
Commission on Accreditation of Healthcare Organizations) the nation's leading
evaluator among hospitals and other healthcare groups for quality care and
patient safety. The center underwent a thorough onsite evaluation against
nearly 150 standards which demonstrates our mission to provide the highest level
of care possible. Your safety, comfort, and privacy are our top priorities.
Procedures can be performed under various levels of anesthesia
(including general, local, and twilight sleep) and will be administered by only
board certified physician anesthesiologists. Be sure and visit our Virtual Tour.
"The hallmark clinical New Jersey symptom of OSA NJ is excessive snoring."
Surgical Management of New Jersey Obstructive Sleep Apnea NJ Syndrome. This policy
addresses minimally invasive approaches to the treatment of snoring and OSA:
laser-assisted uvulopalatoplasty (LAUP); radiofrequency ablation of palatal
tissues and the tongue; palatal stiffening procedures.
The following treatments of OSA Obstructive Sleep Apnea and UARS Upper
Airway Resistance Syndrome are available:
The goal of most surgeries for breathing problems is to widen the airway.
This is done by taking out or shrinking excess tissue where the mouth meets
the throat. Nasal and jaw surgery can help correct nose or jaw problems that
contribute to snoring and apnea. This section describes procedures that may
be recommended
for you.
The Pillar® Procedure.
A simple option to treat snoring and mild to moderate obstructive
sleep apnea.
The Pillar™ Palatal Implant System (Restore Medical, St. Paul, MN) is an
implantable device that has been cleared by the FDA 510(k) process. The device
is a cylindrical-shaped segment of braided polyester filaments that is
permanently implanted submucosally in the soft palate. The labeled indication of
the device is as follows:
“The Pillar™ Palatal Implant System is intended for the reduction of the
incidence of airway obstructions in patients suffering from mild to moderate
Obstructive Sleep Apnea OSA.
Dr Scaccia utilizes The Pillar® System for use in the reduction of
symptomatic, habitual or social snoring caused by a flutter of tissue in the soft
palate, and/or upper airway obstruction in patients with mild to moderate
Obstructive Sleep Apnea, OSA. The Pillar System is a minimally invasive implant
that is used to stiffen the soft palate tissue to reduce the flutter that
causes snoring and/or palatal obstruction of the upper airway.
One in four Americans has a problem with chronic snoring. Snoring is a
serious condition called Obstructive Sleep Apnea OSA, which has been linked to
health issues such as high blood pressure, stroke, diabetes and heart
disease. Snoring Is not a good health issue. Chronic snoring disrupts sleep
patterns and prevents a good night's rest. It can damage the husband and wife's
marriage and relationships.
Everyone snores occasionally, but chronic snoring may have serious health
and relationship consequences. If you're one of the millions of people whose
life is disrupted by this condition, you've probably tried many ineffective
remedies to help you stop snoring.
Fortunately, Dr Scaccia can offer you The Pillar Procedure simple, safe and
effective treatment that is designed to help you stop snoring and, in many
cases, help people suffering from Obstructive Sleep Apnea, OSA. It's a
relatively painless procedure that can be performed in a doctor's procedure room
in about 20 minutes, using only local anesthetic. More than 30,000 people
worldwide have been treated with the Pillar Procedure.
UPPP Uvulopalatopharyngoplasty
UPPP trims the uvula and removes other tissue from the back of the mouth.
This is the most common procedure for sleep apnea. It trims the soft palate
and uvula, and removes the tonsils and other tissue. It is major surgery
performed in a hospital two of which Dr Scaccia is affiliated. Riverview
Medical in Red Bank NJ or Bayshore Community Hospital in Holmdel, NJ. Most
patients go home in 1-2 days. In less serve cases, Dr Scaccia's may perform UPPP
in his private state of the art surgical suite (OR) and JACHO Accredited.
Risks and Complications of UPPP
• Bleeding
• Throat pain
• Scarring
• Nasal sounding speech
• False feeling that something is in throat
• Liquids sometimes going into nose when swallowing
LAUP Laser Assisted Uvulopalatoplasty
This procedure helps relieve snoring. It may also be used in some cases of
mild
apnea. The doctor uses a laser or electric current to remove some of the
soft palate and part or all of the uvula. This treatment may be done over
several sessions in the
doctor’s private surgical suite or his procedure room. This is an out
patient procedure
done with the use of local anesthesia.
The LAUP is an outpatient alternative that has been proposed as a treatment
of snoring with or without associated OSA. In this procedure, superficial
palatal tissues are sequentially reshaped using a carbon dioxide laser. The
extent of the surgery is typically different from standard UPPP, since only
part of the uvula and associated soft-palate tissues are reshaped. The
procedure, as initially described, does not remove or alter tonsils or lateral
pharyngeal wall tissues. The patient undergoes from 3 to 7 sessions at 3- to
4-week intervals. One purported advantage of LAUP is that the amount of tissue
ablated can be titrated such that the treatment can be discontinued once
snoring is eliminated. The LAUP cannot be considered an equivalent procedure
to the standard UPPP, with the laser simply representing a surgical tool that
the physician may opt to use. LAUP is considered a unique procedure,
Risks and Complications of LAUP
The risks and complications are the same as for UPPP, but even less likely
to occur.
RFA (Radiofrequency Ablation)
Dr Scaccia prefers radiofrequency treatments in most cases of Obstructive
Sleep Apnea OSA.
This procedure helps relieve snoring. The doctor uses radio waves to reduce
the size of the turbinates or uvula, nearby tissue, and sometimes the back
of the tongue.
Complications are uncommon with this procedure, but some exist.
Radiofrequency ablation of the soft palate is similar in concept to LAUP,
although a different energy source is used, and radiofrequency is used to
produce thermal lesions within the tissues, rather than using a laser to ablate
the tissue surface, which may be painful. For this reason, radiofrequency
ablation appears to be growing in popularity as an alternative to LAUP. The
Somnoplasty device is a device approved by the U.S. Food and Drug
Administration FDA for radiofrequency ablation of palatal tissues for simple snoring
and for the base of the tongue ( tongue stiffening) for OSA. In some
situations, radiofrequency of the soft palate and base of tongue are performed
together as a multilevel procedure.
Risks and Complications of RFA
• Mouth ulcer
• Nerve pain
• Swelling in airway
• Pocket of pus (abscess) on tongue
Palatal stiffening procedures include a cautery-assisted palatal stiffening
operation (CAPSO) and insertion of palatal implants. The CAPSO procedure
uses cautery to induce a midline palatal scar designed to stiffen the soft
palate to eliminate excessive snoring.
Policy:
• Radiofrequency volumetric tissue reduction Somnoplasty™, Coblation® of
the tongue, with or without radiofrequency reduction of the palatal tissues,
is considered investigational for Upper Airway Resistance Syndrome UARS or
OSA.
• Laser-assisted palatoplasty (LAUP) or radiofrequency volumetric tissue
reduction of the palatal tissues is considered not medically necessary in the
treatment of snoring* alone, and is considered investigational as a
treatment for upper airway resistance syndrome or OSA.
• Palatal stiffening procedures, including but not limited to,
cautery-assisted palatal stiffening operation (CAPSO), and the implantation of palatal
implants (The Pillar® Palatal Implant System), are considered not medically
necessary in the treatment of snoring* alone, and are considered
investigational as a treatment for upper airway resistance syndrome or OSA.
• Simple snoring in the absence of documented obstructive sleep apnea is
not considered a medical condition; therefore, any surgical intervention, such
as LAUP, radiofrequency volumetric tissue reduction of the palate, palatal
stiffening procedures, or the Repose™ System is considered not medically
necessary.
Nasal Surgery
Problems in the nose can make snoring or sleep apnea worse. They can also
make CPAP (a common treatment for snoring and sleep apnea) harder to use. If
blockages in your nose are severe, surgery can improve the airflow. It can
reduce the size of the
turbinates, straighten a deviated septum, and remove any polyps or
overgrowths of sinus lining.
Risks and Complications of Nasal Surgery
• Bruising
• Bleeding
• Damage to or perforation of septum
• Dryness in nose
New Jersey Jaw Surgery NJ
If your jaw sits too far back, your tongue may also be too far back. That
makes the tongue more likely to block the airway when you sleep. Moving the
jaw forward moves the tongue forward and widens the airway overall.
Dr Scaccia will recommend you to a dentist who can move your tongue
forward.
If the jaw needs to be reconstructed then Dr Scaccia uses extra precaution
in Jaw Reconstruction which ranks as high risk procedure. In very rare cases he
might perform the procedure.
More Severe Cases
If your apnea is severe and no other treatment helps, other kinds of
surgery may help. Doctor Scaccia can tell you about them. DR will have you
understand their risks as well as their benefits.
After Surgery for Sleep Apnea
Some procedures for sleep apnea are done in the doctor’s office. Others are
done in a hospital or surgery center. If you have a hospital procedure, you
may stay 1–2 nights. Be sure to follow up with the doctor after your
procedure.
Notes About Surgery
Whatever kind of surgery you have for snoring or apnea, keep in mind:
There’s no guarantee that surgery will solve the problem. Surgery may
sometimes stop snoring or apnea, but not both. So you will need a follow-up sleep
study to check the effects of your surgery and to help decide what further
treatment you
might need.
• You may have more than one blockage. So you may need more than
one procedure.
• Surgery may be combined with other kinds of treatment.
• Any surgery has a chance of complications, including bleeding and
infection.
Recovering from Surgery
After surgery, your nose, throat, or jaw may be sore for a few days to
several weeks. Full recovery may take weeks or months. During this time, you may
need to eat only soft foods.
Keep track of changes. It's important that you and your partner both keep
track of
how your sleep and health are different now. What is better? How much
better? Is anything worse? Tell Doctor.Scaccia.
Air pressure adjustments. If you use CPAP after surgery, ask your doctor
when to start using it. Keep your Dr Scaccia informed about how well CPAP is
working for you. If anything about it is uncomfortable, have it adjusted. See
below for more details. (link)
New Jersey Mouthpieces for Sleep Apnea NJ
For simple snoring or mild to moderate apnea, a special mouthpiece may
help. A dental specialist works with your doctor to build and fit a mouthpiece
just for you; A follow-up sleep study checks how well the device is working
for you. Mouthpieces are also called oral appliances.
Moving the jaw and tongue forward with a mouthpiece can open the airway to
reduce sleep apnea.
Moving the Jaw Forward
In some cases Dr Scaccia may recommend a Dentist to move your tongue
forward.
Mouthpieces are available to move the jaw and tongue forward. That keeps
the
tongue from blocking the airway. Mouthpieces can work well, but they are
not for everyone. Dr Scaccia will work with you to get you a mouthpiece that
fits just right for you. And avoid over-the-counter mouthpieces—they often do
not work.
Tips
To have the most success with your mouthpiece, keep these tips in mind:
- It will take some time to get used to wearing a mouthpiece. At first it
may feel
uncomfortable or make your mouth water. If these problems last, call and
inform
Dr Scaccia or someone on staff. Doctor will follow up with you.
- Expect several rounds of adjustments to get the mouthpiece to fit and
work just right
for you.
- Mouthpieces don’t cure the problems that cause snoring or sleep apnea.
So you
need to use your mouthpiece all night, every night.
- Follow your healthcare provider’s instructions for keeping the
mouthpiece clean.
Discharge Instructions: New Jersey Continuous Positive Airway Pressure NJ (CPAP) New Jersey Nasal
Face Mask NJ
If Dr Scaccia may prescribe a Sleep Study Treatment. Continuous positive
airway pressure (CPAP) therapy for you. A CPAP unit is a device (nasal mask)
that helps you breathe better at night. Using your CPAP device can be a key
part of your treatment for sleep apnea and other problems. CPAP is safe and
highly effective, but it can take time to get used to the mask.
CPAP is the most widely recommended treatment for moderate to severe
obstructive sleep apnea. CPAP entails wearing a mask-like device while you sleep,
which provides pressurized air to prevent the airway from collapsing. Most
CPAP units are the size of a tissue box and many now come with a built in
humidifier for comfort.
While CPAP works very well in preventing apnea symptoms, many people find
the apparatus uncomfortable and difficult to use. Luckily, recent
advancements to CPAP technology have made these once cumbersome devices much lighter,
quieter and much more comfortable. Recent refinements include options such as
• bilevel PAP,” which switches from higher to lower air pressure during
the exhalation, making breathing easier for some,
• AutoPAP”, which uses an internal regulator that adjusts pressure rather
than remaining at one fixed setting.
Different types of masks are available and can make using the device more
comfortable
CPAP can cost $1000 or more - but they are usually effective when used
correctly. Unfortunately, many people don’t receive proper coaching and guidance
for using these breathing devices, and give up on them quickly.
The following tips may help you use New Jersey CPAP NJ more comfortably and
successfully:
- Take your time. Start by using your CPAP for short periods during the
day. Use the “ramp” setting to gradually increase air pressure.
- Make small adjustments to the mask, tubing and straps to find the right
fit. Soft pads are available to cover the straps and reduce skin irritation.
- Try masks of different sizes and types. A full mask might work better if
you breathe through your mouth. A mask with nasal pillows should decrease
nose discomfort. A mask with a chin strap will help keep your mouth closed and
reduce throat irritation.
- Put your CPAP unit under the bed if the noise bothers you.
- Use a humidifier with the CPAP unit (or get a unit with a humidifier) to
decrease dryness and skin irritation. Try a special face moisturizer for dry
skin.
- Try a saline nasal spray or a nasal decongestant for nasal congestion.
- Keep your mask, tubing and headgear clean. Replace CPAP and humidifier
filters regularly.
- Work with your doctor or sleep specialist to ensure the right fit and
find the right settings on your CPAP unit.
- Find a support group or others who use CPAP to exchange tips and give and
receive moral support.
- Use the CPAP consistently – every night and during every nap. This will
make the adjustment easier and ensure maximum benefit.
Dental appliances, oral devices, and lower jaw adjustment devices
Most dental devices are acrylic and fit inside your mouth, much like an
athletic mouth guard or orthodontic appliance. Others fit around your head and
chin to adjust the position of your lower jaw. Two common oral devices are
the Mandibular Repositioning Device and the Tongue Retaining Device. These
devices open your airway by bringing your lower jaw or your tongue forward
during sleep.
While oral devices are less cumbersome than CPAP and relatively simple to
use, they are only effective for mild to moderate sleep apnea. There are also
a number of troubling side effects from using this type of treatment –
soreness; damage to/permanent change in position of the jaw, teeth, and mouth;
saliva buildup; and nausea. It is very important to get fitted by a dentist
that specializes in sleep apnea, and to see the dentist on a regular basis
for any dental problems that may occur.
Surgery as treatment
Surgery can increase the size of your airway. The surgeon may remove
tonsils, adenoids, or excess tissue at the back of the throat or inside the nose.
Or, the surgeon may reconstruct the jaw to enlarge the upper airway.
Surgery may be an effective option for some, and can even provide permanent
relief from symptoms. However, any surgery carries risks of surgical
complications and infections, and in some rare cases, symptoms can become worse
after surgery. If you have exhausted other apnea treatment options, you may
want to discuss surgical options with your doctor or sleep specialist.
Doctor Scaccia or his Sleep Center who utilizes a medical supplier who will
give you tips for wearing and caring for your CPAP device. Here’s what you
need to know about using CPAP.
General Guidelines
- Don’t give up! It takes time to get used to wearing the mask at night.
- Practice wearing your CPAP device during the day, especially whenever you
take
a nap.
- Remember, there are several different types of masks. If you cannot get
used to your
mask, ask your doctor about trying another style. One of them should work
for you.
- Take your medications exactly as directed. Dr Scaccia may prescribe a
nasal spray
to help open your nasal passages while you are using your CPAP device.
- Wear CPAP all night, every night, during all naps, and when you travel.
- If you lose or gain weight, ask your doctor to adjust the air pressure
level of
your CPAP.
- Keep your mask clean. Wash it often. Be sure to rinse the mask and tubing
well with
water to remove any soap. Let them air-dry thoroughly before using.
- Make yourself comfortable when sleeping with CPAP. Try using extra
pillows.
Description of The CPAP Nasal Mask:
Fixed-pressure CPAP (Continuous Positive Airway Pressure)
New Technology Acclarent™ Balloon Sinuplasty
Available at Riverside Sinus Center by Dr Frank J Scaccia Otolaryngologist,
physician, surgeon and doctor of Ear Nose and Throat. Dr Scaccia will
perform Balloon Sinuplasty in treating Sleep Apnea patients if his diagnosis so
concludes.
********
What is Balloon Sinuplasty™?
The painful symptoms associated with chronic sinusitis can be overwhelming.
If symptoms are difficult to control with medications alone, your primary
doctor may refer you to an Ear, Nose and Throat (ENT) specialist, who can
determine the best course of treatment, including further medication therapy or
surgery to open the sinus passage ways.
Now, there is an additional surgical option for treatment of blocked
sinuses called Balloon Sinuplasty™ technology. If you have been diagnosed with
chronic sinusitis and are not responding well to antibiotics you may be a
candidate for surgery, you now have a less invasive option that is clinically
proven to be safe, effective and improve the quality of your life.
Balloon Sinuplasty™ technology is an endoscopic, catheter-based system for
patients suffering from sinusitis. The FDA-cleared technology uses a small,
flexible, sinus balloon catheter to open up blocked sinus passageways,
restoring normal sinus drainage. When the sinus balloon is inflated, it gently
restructures and widens the walls of the passageway while maintaining the
integrity of the sinus lining.
Learn more about the technology that has been used to improve the chronic
sinusitis symptoms of thousands of people.
Technology Overview
Balloon Sinuplasty™ devices provide an endoscopic, catheter-based system
for patients suffering from sinusitis. Recently published data in the leading
ENT journal shows that the technology is safe and effective: study
participants experienced no adverse events and received significant relief from their
symptoms.
Balloon Sinuplasty™ technology is used by qualified Ear, Nose, and Throat
(ENT) physicians and involves the use of tiny balloons to open blocked
sinuses similar to how angioplasty uses balloons to open blocked coronary arteries.
The diagram below shows an inflamed left frontal sinus.
What is Balloon Sinuplasty™?
The painful symptoms associated with chronic sinusitis can be overwhelming.
If symptoms are difficult to control with medications alone, your primary
doctor may refer you to an Ear, Nose and Throat (ENT) specialist, who can
determine the best course of treatment, including further medication therapy or
surgery to open the sinus passage ways.
Now, there is an additional surgical option for treatment of blocked
sinuses called Balloon Sinuplasty™ technology. If you have been diagnosed with
chronic sinusitis and are not responding well to antibiotics you may be a
candidate for surgery, you now have a less invasive option that is clinically
proven to be safe, effective and improve the quality of your life.
Balloon Sinuplasty™ technology is an endoscopic, catheter-based system for
patients suffering from sinusitis. The FDA-cleared technology uses a small,
flexible, sinus balloon catheter to open up blocked sinus passageways,
restoring normal sinus drainage. When the sinus balloon is inflated, it gently
restructures and widens the walls of the passageway while maintaining the
integrity of the sinus lining.
Learn more about the technology that has been used to improve the chronic
sinusitis symptoms of thousands of people.
Technology Overview
Balloon Sinuplasty™ devices provide an endoscopic, catheter-based system
for patients suffering from sinusitis. Recently published data in the leading
ENT journal shows that the technology is safe and effective: study
participants experienced no adverse events and received significant relief from their
symptoms.
Balloon Sinuplasty™ technology is used by qualified Ear, Nose, and Throat
(ENT) physicians and involves the use of tiny balloons to open blocked
sinuses similar to how angioplasty uses balloons to open blocked coronary arteries.
The diagram below shows an inflamed left frontal sinus In order to improve
symptoms of chronic sinusitis, an ENT physician will use Balloon Sinuplasty™
devices to open the blockage that is preventing sinus drainage.
The diagram below shows an inflamed left frontal sinus.
The following picture summarizes the steps associated with using the
Balloon Sinuplasty™ technology:
What Is a New Jersey Sleep Study NJ?
* Snoring
• Problems sleeping?
• Experience fatigue most days of the week?
Make an appointment with Dr Scaccia a sleep specialist. Dr Scaccia may
suggest that you have a sleep study. It can help diagnose a sleep disorder such
as sleep apnea or narcolepsy. During the study, a special electronic device
is used to monitor
your sleep.
Do you need New Jersey Sleep Study NJ?
If you have problems sleeping and the dilemma last longer than a few weeks,
you may need a sleep study. Make an appointment with Dr Scaccia and be
prepared to answer questions about your health history. Attempt to keep a daily
sleep diary for a week or two. Jot down the time you go to bed, the time you
wake up, and anything that you feel is affecting your sleep. Then Dr
Scaccia a Sleep Apnea specialist can refer you to a sleep clinic and recommend a
sleep study.
Visitation at a New Jersey Sleep Clinic NJ
Are you concerned about having a sleep study? Dr Scaccia in his initial
consultation will talk to about any concerns you may have. Learn what to expect
at the sleep clinic and try to relax before you go.
Before Your New Jersey Sleep Study NJ
Dr Scaccia will tell you how to prepare. Ask if you should take your usual
medications. Also:
- Don't nap.
- Avoid caffeine and alcohol.
- Stick to your normal routine. If you usually drink alcohol, exercise, or
take
medication before bed, ask Doctor Scaccia whether you should do so the
night of
your study.
- Shower and wash your hair (don’t use hair conditioner, hair spray, and
skin lotions).
- Have a good usual dinner before you go to the sleep study clinic. Pack a
snack if
you'd like to have before bedtime.
- Bring whatever makes you comfortable. Pajamas, robe, slippers,
hygiene items, and even your own pillow.
Description events
At the sleep clinic or sleep lab, a technologist will meet with you in your
private room. A family member or a friend can come along, but cannot stay
overnight. You will change into your nightclothes. The technologist will
adhere small sensors on your head and body with tape and cream. The sensors are
then plugged into an electronic unit that will monitor your sleep. If you
need to use a restroom, the sensors can be unplugged. A video camera in sleep
room will record your body movements. And microphone will record any sounds
you make, like snoring. The technologist will stay in a nearby room and keep
watch. If you need to talk to him or her, use the intercom. Most people
don’t have trouble sleeping during the study. If you need an air pressure
device to help you breathe, one will be available. A CPAP Nasal Mask.
In the morning you can go home. Sometimes you may be asked to come back
for a day napping study.
Checking your sleep during a nighttime sleep study is often the only
way to find out if you have conditions such as sleep apnea or other sleep
problems. A sleep study records how your lungs, heart, and other parts of your
body function while you’re asleep. It’s painless, risk free, and in most
cases takes one full night.
Performance of a New Jersey Sleep Study NJ
Sleep study monitors all the phases of your sleep. Here is what they record:
• Oxygen levels in your blood
• Breathing and snoring
• Heart rate • brain waves • muscle activity
• Eye movements
• Abrupt body or leg motions
CPAP is a device that can help you breathe and improve your sleep.
If you are having problems breathing, a Continuous Positive Airway Pressure
(CPAP) may be used. It might be used during the second half of your study
or on another evening visit.
Results
The results of your sleep study need to be scored and interpreted. The
sleep study results will show whether you have apnea. It can also tell how
severe is the apnea.
The technologist can answer some of your questions about the sleep study.
But only Dr Scaccia can explain the results. Usually it takes a week for your
report of your sleep study to arrive at Dr Scaccia's office. Then the Dr
will discuss your treatment options.
At Home • Home Study: Here at Riverside Sinus Center we have a Home Study
Technician who will come to your home with the computer equipment that is
necessary for monitoring your sleep.
A home sleep study provides most of the same information as a study
done at a clinic. The special computer is loaned to you by a Riverside Sinus
Center.
You will be given expert instructions on how to use it. Before bedtime, you
will turn the computer ad monitor your sleep, all night. In the morning,
you return the computer.
New Jersey Sleep Apnea Children NJ Child
New Jersey Good Sleep for Your Child NJ
It is not always easy to address sleep problems in children and sleep
disorders often go undiagnosed. What are your warning signs when sleep is a
problem for your child? This Web site explains general guidelines for how much
sleep children need.
There is a description below outlining the signs of a problem with sleep
and tips for improving it.
New Jersey Amount Sleep a Child Needs NJ
The following information can give you a sense of how much sleep children
need at different ages. Not all children have the same sleep needs. Some
children need more sleep than the average, and some need less. The best way to
know whether your child is getting enough sleep is to observe him or her
during the day for signs of unusual fatigue.
Age Approximate number of hours of sleep
(including naps)
0 to 2 months...................16 or more hours
3 to 12 months.................13.5 to 15 hours
1 to 2 years........................13 to 14 hours
3 to 4 years........................11 to 12 hours
5 to 8 years........................10 to 11 hours
9 to 11 years......................9.5 to 10 hours
12 to 16 years....................8.5 to 9.5 hours
Signs of Poor Sleep
Warning signs of poor sleep can be confused with many other problems. If
you’re concerned, be sure to talk with Dr Scaccia regarding the issues. Common
signs and symptoms of poor sleep in children include:
• Learning problems
• Hyperactivity
• Irritability
• Difficulty waking up in the morning
• Poor concentration or problems with memory
• Daytime sleepiness
• Falling asleep in school (more common in older children)
• Sleeping longer on weekends than during the week
• More injuries and accidents
Helping Your Child Get Better Sleep
Here are a few things you can do to help your child get good sleep:
Keep a sleep diary. Note the amount of sleep your child is getting,
- Whether signs of sleep problems appear during the daytime.
- Set a regular bedtime and stick to it. Watch for signs of sleepiness and
get your child
to bed before he or she is very sleepy. An overtired child may get a “second wind.”
This makes it harder to get them into bed.
- Encourage relaxing bedtime activities, such as reading or bathing.
- Make bedtime a special time with your child. Keep the routine the same
each
night. Relaxing bedtime routines include reading or listening to
soothing music.
- Avoid big meals close to bedtime. Avoid giving your child foods or drinks
containing
caffeine. If your child eats things like chocolate, avoid it within 6
hours of bedtime.
- Keep the bedroom dark, quiet, and not too hot or too cold. Soothing
music may
help your child sleep.
- Avoid emotional conversations close to bedtime.
- Encourage plenty of exercise during the day. But avoid exercise within 2
hours
of bedtime.
- Cut down on activities if a busy schedule is affecting your child’s
sleep.
- Keep televisions, computers, and other electronic devices out of your
child’s bedroom.
- Take steps to help your child lose weight, if needed. Talk to your Dr
Scaccia
about this. Extra weight can increase the risk of sleep disorders, which
can keep
your child from getting good sleep.
Signs of Sleep Disorders
Have you taken steps to improve your child’s sleep but your child is still
not sleeping well? Have you observed any of the following signs? If so,
contact Dr Scaccia a sleep specialist for a sleep evaluation.
- Chronic tiredness
- Snoring
- Hyperactivity
- Periodic pauses in breathing while asleep
- Waking in the night and having trouble getting back to sleep
- Falling asleep suddenly during the day
- Rhythmically kicking or moving the body during sleep
- Ongoing problems sleeping well at night
- Excessive sleepwalking
Last Updated in Sept 2009
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