Out of Breath The Wall (Ep 2)
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Sep 29, 2023 Over 30 million Americans face obstructive sleep apnea, igniting debates among healthcare providers. The conversation reveals power struggles in sleep medicine and advocates for integrated care. Innovative procedures like turbinate reduction are critiqued, emphasizing simpler, holistic solutions. Highlighting the importance of nasal breathing, the discussion calls for collaboration between dentists and physicians. The podcast champions educating patients about their options, promoting oral appliances over CPAPs, and optimizing care through the 'breathing triangle' concept.
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Nose Is The Foundation Of Airway Care
- Madan Kandula argues nasal function is the essential starting point for treating airway problems and sleep apnea.
- Fixing the nose often profoundly improves outcomes and is mandatory before appliance or CPAP therapy.
Use Office-Based Nasal Procedures First
- Use minimally invasive office procedures like turbinate reduction and balloon sinuplasty to open nasal and sinus passages.
- Perform these under local anesthesia to restore nasal breathing effectively and quickly.
Nasal Problems Common In Sleep Apnea
- Around 80% of patients with sleep apnea have nose and sinus issues alongside throat obstruction.
- Skipping nasal care often causes CPAP or appliance intolerance and apparent treatment failure.