CPAP Alternatives & Sleep Apnea Surgery

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CPAP Alternatives & Sleep Apnea Surgery

Quality sleep is critical to your health and wellbeing. In obstructive sleep apnea, breathing during sleep is disrupted. Continuous positive airway pressure (CPAP) is the most common sleep apnea treatment. However, roughly half of patients cannot use CPAP long-term and may benefit from CPAP alternatives, including sleep apnea surgery such as Inspire Therapy.

At Columbia Otolaryngology, our highly skilled sleep surgeons are dedicated to offering personalized care for patients looking for CPAP alternatives. We work closely with you to understand and treat your particular sleep concerns. You can expect a detailed review of your history and sleep studies, as well as a thorough upper airway examination. We offer advanced diagnostics available at few centers across the country. We then synthesize all relevant information and discuss individualized treatment recommendations with you.

Sleep Conditions We Treat

Our experts offer consultations for conditions negatively affecting sleep that may benefit from surgical treatment:

  • Obstructive sleep apnea
  • Difficulty tolerating CPAP or oral appliance treatment
  • Snoring
  • Nasal obstruction
  • Narrowed palate (maxillary deficiency)
  • Recessed lower jaw (mandibular deficiency)

Sleep Diagnostic Services

A detailed understanding of the causes of your sleep breathing issues is important for choosing the right treatment. Our specialists may offer the following state-of-the-art diagnostics:

  • In-office nasolaryngoscopy
  • Drug-induced sleep endoscopy (DISE) with:
    • CPAP titration
    • Mandibular advancement simulation
    • Positional dependence assessment
  • Polysomnography (in-lab sleep study)
  • Home sleep testing
  • Advanced upper airway imaging
  • Wearable sleep trackers

Sleep Medicine Treatments We Provide

We offer a wide variety of surgical and medical treatment options for adults and children with sleep disorders, including:

  • Neurostimulation therapy​
  • Nasal procedures​
    • Septoplasty (to address deviated septum)​
    • Turbinate reduction​
    • Nasal valve stabilization​
    • Polyp removal​
    • Sinus drainage​
  • Throat surgeries​
    • Expansion sphincter pharyngoplasty​
    • Tonsillectomy​
    • Modified uvulopalatopharyngoplasty (UPPP)​
    • Partial uvulectomy​
    • Tongue base ablation​
    • Lingual tonsillectomy​
    • Epiglottis surgery​
  • Jaw surgeries​
    • Surgically-assisted rapid palatal expansion and DOME​
    • Transpalatal advancement​
    • Maxillomandibular advancement​

Multidisciplinary Sleep Care​

​Sleep apnea is a complex disorder and often is accompanied by other sleep disorders. We work closely with our colleagues in other fields to provide the full spectrum of treatment options for sleep disorders:​