Snoring and Sleep apnea 
  
    - Snoring or upper respiratory noise while sleeping, is one of the most common afflictions  adult population
    - As many as one-half of males and one-quarter females may snore to varying degrees.
    - However, Snoring is only a medical problem if it is :
           1. part of a sleep apnea syndrome
           2. socially disruptive, that is, interferes with the quality of life of the patients, or his or her bed partner,
               roommates, housemate or neighbors
    - Obstructive sleep apnea is a disease  state characterized  by pathologic obstruction of upper airway in the
      deeper state of sleep.
    - Sometimes people who snore also suffer from sleep apnea


Investigation
    - Investigation of snoring and sleep apnea would be
      performed in a hospital sleep laboratory
    -This sleep test is necessary for patient to diagnostic 
      only snoring or obstructive sleep apnea (OSA)
    -This is important to rule out OSA from snoring and this  test 
      can determine the degree of severity of OSA 

Treatment of Snoring and Sleep apnea
    - Once diagnosed, there are several types of treatment 
    - For snoring people should be losing weight and avoiding sleep medication and alcohol 
    - Treatment of snoring and sleep apnea can be performed
          1. Non-surgical technique => Radiofrequency tissue volume reduction (office  procedure)
          2. Surgical technique by lasers



Radiofrequency for treatment of snoring
    - Radio frequency treatment of snoring is a new, completely painless way to control snoring.
    - There are no cuts, stitch or bleeding, and minimal post-treatment discomfort
    - This is no time lost form daily activities, including work.
    - This procedure is office-procedure
    - The patient can go home after performed RFTVR
    - RETVR in this case the transmitter is planed on your soft palate and the energy that is  
      release coagulated the deep tissue of the  soft palate 
    - Subsequent healing and scaring stiffen the soft palate so that it can no longer vibrate 
      and  cause snoring 
    - Afterward, you can go home, eat and drink anything you like, and return to work on the same day.
    - There is usually a small amount of swelling of  the soft palate for 24-48 hours, but it will not interfere
      with you activities.
    - This treatment is as successful as laser treatment for controlling snoring, but much less painful.
    - The total cost for a full course of treatment is $ 900 US,



Surgery
    - The most widely accepted treatment for adults with OSA is UPPP.
    - In this procedure, the uvular is removed, the palate shortened, and the pharynx tighted.
    - This eliminates the excessive tissues that  tends to obstruct the airway
    - If there is no obesity or if  excessive weight is lost, UPPP has a very high rate of success.
    - The vast majority of persons experience an improvement in their sleep apnea. 
       And a great number are eared.
    - The total cost for surgery is 1000 US