Let’s talk about sleep.

Do you wake up gasping for air or to a bed partner complaining about your snoring?  Are you unable to focus or feel excessively sleepy, even after a full nights rest?  If you answered yes to any of these questions, you may be suffering from Obstructive Sleep Apnea

Sleep is a fundamental component of human existence. On average, we spend about 25-35% of our lives sleeping!  Having a sleep disorder can cause a range of health problems and even dire consequences if left untreated.

SnoringSymptoms of OSA include:
→ Disruptive Snoring
→ Waking up choking or gasping
→ Witnessed Apnea
→ Morning Headaches
→ Excessive Daytime Sleepiness
→ Restless Sleep
→ Fatigue
→ Nocturia


 

Home Sleep Testing – now available through SLENT.

SLENT offers patients the ability to screen for Obstructive Sleep Apnea from the privacy of their own home!

The ARES (Apnea Risk Evaluation System) Home Sleep Device by Watermark Medical provides an integrated approach to assist in the diagnosis of Obstructive Sleep Apnea (OSA). The ARES design combines existing knowledge on sleep disordered breathing with an easy to apply data acquisition system. When worn in the home, the ARES provides a better profile of the patient’s breathing during sleep in his/her normal sleep environment. The small size of ARES allows it to be comfortably worn in all sleep positions. Patient’s nightly routine is unaffected.

What is the process?
Once evaluated by Dr. Connolly, patients will be scheduled for a Home Sleep education appointment. The patient will be shown how to properly use the equipment and it will be sized accordingly – this appointment takes place in our office and usually takes no more than 15 minutes. The patient will take the device home and sleep with it overnight. The device will be returned the next business day. Interpreted results will be available within approximately 24 hours.

Home Sleep Test

 

PAP Therapy

PAP Therapy is the first & most effective treatment option for OSA. There most common types of PAP are listed below. Please note, each type of machine has its own purpose. A board certified sleep physician must determine which form of therapy is best suited to treat your sleep disorder. 

APAP Automatic Positive Airway Pressure
Auto Pap machines also use one pressure to treat sleep apnea, however, this pressure setting automatically adjusts with the patient as needed during sleep. Pressure settings typically range between 4-20cm H2O.

CPAP Continuous Positive Airway Pressure
CPAP is the most common treatment option for sleep apnea. CPAP provides a constant, pressurized flow of air that keeps the airway from collapsing. These machines are set on 1 pressure setting. This pressure setting is determined by having an overnight titration study.

BiPAP Bilevel Positive Airway Pressure
BiPAP machines deliver two levels of pressure: a higher pressure when the patient inhales, a lower pressure when the patient exhales. 

ASV Adaptive Servo Ventilation 
ASV machines are used by patients who have been diagnosed with Central Sleep Apnea, Mixed Sleep Apnea or Cheynes-Stokes Respiration. ASV therapy must be closely monitored by your physician. A recent study has shown ASV therapy to be harmful in patients who have been diagnosed with chronic heart failure & with a reduced left ventricular ejection fraction (≤ 45%).

PAP Therapy & PAP ReSupply are now available through SLENT.

Oral Appliances

Oral Appliance Therapy has been recognized as a useful option that helps to maintain an open airway by restricting the reward collapse of the tongue during sleep by advancing the lower jaw, in a more forward position. This option has been recognized by the FDA and most insurers to be a safe and reliable option for many patients suffering from OSA, who may not be able to tolerate PAP therapy.  The ideal candidate has been diagnosed with mild to moderate OSA. Oral Appliance Therapy is not recommended for those diagnosed with severe OSA.  Oral Appliances are custom made in office by Dr. James Connolly.


myTAP
is a precision fit treatment solution for snoring and sleep apnea that is both patient friendly and affordable. This sleep apnea device advances and stabilizes the jaw so the soft tissues of the throat and tongue do not collapse into the airway; preventing snoring and sleep apnea.

 

Oral ApplianceTap 3 Elite forces the lower jaw into a forward position to reduce the risk of obstructions in the airway.

 

Surgical Options

Have you been diagnosed with moderate to severe Obstructive Sleep Apnea but cannot tolerate PAP therapy? You may be a candidate for Inspire – the breakthrough sleep apnea treatment that works inside your body with your natural breathing process. No mask, no hose, no noise. Now performed by Dr. James Connolly.

Inspire - Dr James ConnollyInspire therapy is a breakthrough implantable treatment option for people with Obstructive Sleep Apnea who are unable to use or get consistent benefit from Continuous Positive Airway Pressure (CPAP). While you’re sleeping, Inspire monitors every breath you take. Based on your unique breathing patterns, the system delivers mild stimulation to the hypoglossal nerve which controls the movement of your tongue and other key airway muscles. By stimulating these muscles, the airway remains open during sleep.

The Inspire obstructive sleep apnea device is controlled by a small handheld sleep remote. The remote allows you to turn Inspire therapy on before bed and off when you wake up, increase and decrease stimulation strength, and pause during the night if needed. Click here to learn more about Inspire.

Other Surgical Options

  • Septoplasty
  • Inferior Turbinate Reduction
  • Nasal Valve Stenosis Repair
  • Pillar Implants
  • Injection Snoreplasty
  • Uvulectomy
  • UPPP
  • Palatoplasty
  • Pharyngoplasty
  • Lingual Tonsillectomy
  • Genioglossal Suspension
  • Hyoid Suspension
  • Midline Glossectomy
  • Tracheotomy
  • Elevo Implants