Dr. Mansfield explains how he cared for Peggy’s sleep apnea symptoms.
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In Peggy’s case she had been on CPAP machinery and her tolerance wasn’t ideal. So one of our goals was to try to make her tolerant of her machinery to prevent the side effects and complications where a patient is not able to wear their machine, and in that case I did what’s called a phase-1 surgery and phase-1 surgery included nose surgery in which I was able to open her breathing passages for her comfort so she could breathe freely, but also allow the machinery to work successfully for her. Second idea the soft palate surgery – a technique in which I opened the throat breathing passage. If you think about that, when you look back in your throat you’ve got a soft palate that hangs down with what’s called the uvula and the method is to try to open that passageway so that it’s opened to the throat when you are breathing at night. So I did soft palate surgery, and lastly I did a radio frequency treatment to her tongue, and what that does essentially over time is it shrinks down the back of a tongue allowing more room in the back of the tongue for breathing. That combination is called phase-1 surgery as we are discussing today, and in her case it had a very powerful and successful improvement in her machine function and also in her CPAP tolerance and in her CPAP numbers. The results of the procedure were that she is breathing well through her nose; she feels great; she is able to use the machine successfully and comfortably. Her sleep apnea has markedly improved and in Peggy’s case she had a very unique late sequelae of sleep apnea known as pulmonary hypertension and those parameters I think have dramatically improved and we are working through that, and pulmonary hypertension is a well-known complication of late untreated sleep apnea. And as a result of that, that’s had a dramatic change in her overall medical well-being, I think.
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