At our center, we offer comprehensive management of both snoring and Obstructive Sleep Apnea (OSA). Dr. Matorin is one of the few sleep specialists in Houston that is trained and board certified in both the medical and surgical treatment of sleep apnea and snoring.
What Exactly is Snoring?
What is Sleep Apnea?
There are two basic types of sleep apnea:
1: Obstructive sleep apnea
2: Central sleep apnea
1: Obstructive Sleep Apnea (OSA)
- CPAP (continuous positive airway pressure) is a machine worn like a mask to help maintain an open airway while sleeping.
- The CPAP pressure settings are determined by performing a titration sleep study in which the pressure is changed during the study to minimize obstructive episodes.
- A special machine called an auto-titrating CPAP can be used to determine the CPAP settings using an algorithm.
- CPAP is successful in treating OSA about 80% of the time.
- Oral appliances may be used in mild to moderate cases of OSA.
- Oral appliances are custom devices worn in the mouth while sleeping to slowly pull the jaw forward and open up the airway. The amount of pull is gradually increased over several weeks until the obstructive episodes are resolved.
- Use of oral appliances may be limited by tooth grinding, TMJ disorders, or pain.
- Oral appliances may also cause tooth shifting and alteration of your bite over many years.
- Surgery may also be used to treat sleep apnea. The surgery may be complex and may require more than one procedure depending on the patient.
- Surgery is usually reserved for patients that are unable to tolerate any other form of treatment.
- In many situations, the obstruction may be caused by a combination of blockages at several different levels of the airway — the nose, the palate and tonsils, the lower throat (hypopharynx), and the base of the tongue.
- Surgical interventions are directed at the sites of the obstruction and are often performed at different times.
- These surgeries include septoplasty, palate reconstruction, base of tongue resection, hyoid suspension, or genioglossus advancement.
2: Central Sleep Apnea (CSA)
West Houston Office
12121 Richmond Avenue, Suite #104
Houston, Texas 77082
6699 Chimney Rock Road, Suite #202
Houston, Texas 77081