Services & Treatment Options
Our sleep medicine services are comprehensive and are all managed by one of our skill clinicians. Our team includes nurse practitioners, board-certified otolaryngologists and board-certified sleep physicians.
SERVICES INCLUDE:
Sleep Consultation
Meet in person or via telemedicine with one of our qualified sleep specialists to discuss your symptoms and concerns related to your sleep. Together, we can determine the best course of action to improve your sleep and overall well-being.
Home Sleep Testing
Use one of our state of the art NOX-T3 home sleep testing devices to test for a sleep disorder in the comfort of your own home.
Get Your Test Results
You have the option to meet with one of our qualified sleep specialists to review and discuss the results of your home sleep test in person or via Zoom and go over the recommendations for next steps with one of our sleep providers. You can also choose to simply get the report from your sleep test and review it on your own.
Treating your Sleep Disorder
We offer a variety of treatments for your sleep disorder including but not limited to Positive Airway Pressure Therapy (CPAP/APAP), Oral Appliance Therapy (OAT) also known as Mandibular Advancement Appliance Therapy, Lifestyle Coaching and Weight Loss Support, In-Office procedures to open your airway and improve your breathing as well as your sleep and lastly Surgery of the nose, and sinuses and/or throat to open the airway and help improve your sleep and breathing performed by one of our board-certified ENT physicians.
TREATMENT OPTIONS
All of the treatment options below are available directly though Bay Area Sleep
POSITIVE AIRWAY PRESSURE (PAP) MACHINE
CPAP/AutoPAP/BiPAP
These machines are the gold standard treatment for OSA. They are used nightly to maintain an open airway and allow for uninterrupted restorative sleep.
ORAL APPLIANCE THERAPY
Oral Appliance Therapy (OAT) or Mandibular Advancement Device (MAD)
Oral appliances or mandibular advancement devices are custom made by a dentist. They look similar to a mouth guard or retainer and work by stabilizing your jaw to keep the soft tissues and tongue from collapsing. This has been proven to an effective management approach to treat mild to moderate OSA. It can also be considered for patients with severe OSA who were unable to tolerate treatment with a CPAP machine.
WEIGHT LOSS & LIFESTYLE MODIFICATIONS
Healthy diet, regular exercise and weight management are all an important aspect of managing not only OSA but also your overall health and well-being. Studies have shown that losing 10% of your body weight can result in lowing your apnea-hypopnea index (AHI) by as much as 46%! This means that some patients with mild OSA who are overweight or obese can cure their OSA simply by losing weight. Patients with moderate or severe OSA can still improve the severity of their OSA with weight loss and often respond better to treatment as a result. We have nutritionists and health coaches who are happy to work with you to assist you in achieving and maintaining a healthy lifestyle, dietary changes and weight loss.
PROCEDURES & SURGERIES
NASAL SURGERY:
Turbinate Reduction
Available both in-office or at a surgical center. This procedure is performed to reduce the amount of excess tissue lining the nasal passageway to increase airflow into and out of the nose.
Nasal Valve Repair
Available either in-office with a stent or performed in a surgical center with a graft. This surgery uses an implant or tissue graft to support the lower lateral cartilage in your nose, helping you to breathe more easily.
Septoplasty
Performed in a surgical center, this surgery is done to straighten the septum for patients with a moderate to severely deviated nasal septum to improve nasal airflow and prevent nasal obstruction.
Sinus Surgery
Primarily performed in a surgical center, there are various techniques and interventions that can be performed (such as a nasal polypectomy to remove nasal polyps) on the sinus passageway to reduce nasal airway obstruction and improve breathing.
Rhinoplasty
A functional rhinoplasty is performed in a surgery center to correct anatomic nasal airway deformities that compromise airflow. This may include traumatic deformities, narrow bony aperture or abnormally small nares. This surgery typically includes a septoplasty.
Upper Pharyngeal Procedures
Adenoidectomy
Done in the operating room, this surgery is primarily performed on children with known hypertrophy of adenoid glad, causing nasal obstruction and/or other sinus problems.
Tonsillectomy
This surgery is performed in a surgical center to remove the tonsils from the back of the pharynx and reduce crowding of the back of the throat to improve breathing.
Uvulectomy
This surgery can be done in-office or in a surgical center to remove the uvula from the back of the throat, reduce crowding of the pharynx and improve breathing.
Uvulopalatopharyngoplasty (UPPP)
Performed in a surgical center, this surgery is done on patients with severe crowding of the back of the throat. It involves removing tissue and remodeling the back of the throat. During this surgery, tonsils, adenoids (if present) and the uvula are all removed. Additionally, there is removal of tissue and tightening of the posterior surfaces of the soft palate to widen the airway and increase the ease of breathing.
Tongue Surgery
Tongue Reduction
Performed primarily in the office, this procedure uses minimally invasive radiofrequency to shrink the tongue volume, reduce the collapsibility of the tongue base and improve the lower pharyngeal airway to promote healthy breathing.
Hypoglossal Nerve Stimulation
The Inspire Hypoglossal Nerve Stimulation Implant is a surgical treatment option for patients age 22 and older with moderate to severe OSA who are unable to get consistent benefit from CPAP. This small implantable device stimulates the hypoglossal nerve while you sleep to open your airway and promote healthy breathing while you sleep.
Skeletal Surgery
Maxillomandibular Advancement (MMA)
Maxillomandibular Advancement is a surgery performed in the operating room which involves moving the entire lower facial skeleton and attached soft tissues forward. This works to help manage OSA by stabilizing the upper and lower pharyngeal airway as well as by tightening the lateral pharyngeal walls.