"I have never felt as well taken care of as I have by Dr. Gilani and staff..."
"I now have a beautiful, healthy smile and recommend Dr. Gilani to anyone..."
“I would not go to anyone else.”
"Dr. Gilani is very personal, a wonderful doctor."
|Sleep apnea is a medical condition where the soft tissues of the throat become are loose and drop into the throat, obstructing breathing while sleeping. These disruptions last anywhere from a few seconds to a few minutes. The breaks in breath also range in frequency occurring once or twice a night or more than 30 times in an hour. The disrupted breath can also interrupt the sleep cycle either causing the person to move from deep sleep to light sleep, or even to wake up. The result is poor sleep, which has its own range of symptoms and risks. Symptoms can be mild or nonexistent or they can severe such as snoring, snorting, or choking while asleep. |
For milder cases of sleep apnea, your doctor may recommend only lifestyle changes, such as losing weight or quitting smoking. If these measures don't improve your signs and symptoms or if your apnea is moderate to severe, other treatments options are available. Certain devices can help open up a blocked airway. In other cases, surgery may be necessary.
If you have moderate to severe sleep apnea, you may benefit from a CPAP machine. This machine delivers air pressure through a nose mask while you sleep. The air pressure from the CPAP keeps your upper airway passages open preventing apnea and snoring. Although CPAP is the most common and reliable method of treating sleep apnea, some people find it cumbersome or uncomfortable. With some practice, most people learn to adjust the tension of the straps to obtain a comfortable and secure fit. If you are using a CPAP and find it uncomfortable, don't just stop using it, check with your doctor to see what modifications can be made to make you more comfortable.
If you cannot tolerate the CPAP even after modifications made by your doctor, you may be able to use a different type of airway pressure device that automatically adjusts the pressure while you're sleeping. For example, units that supply bi-level positive airway pressure (BPAP) are available. These provide more pressure when you inhale and less when you exhale. For example, you may benefit from an Expiratory Positive Airway Pressure (EPAP). This Food and Drug Administration (FDA) approved treatment uses small, single-use devices, which are placed over each nostril before you go to sleep. The device is a valve that allows air to move freely in, but when you exhale, air must go through small holes in the valve. This increases pressure in the airway, keeping it open.
Another option is wearing an oral appliance designed to keep your throat open while you sleep. Oral appliances are often easier or more comfortable to use than air pressure machines. Some devices are designed to open your throat by bringing your jaw forward, which can sometimes relieve snoring and mild obstructive sleep apnea. A variety of devices are available from your dentist.
Surgery is typically only considered when other less invasive options have not resolved the issue. Generally, at least a three-month trial of other treatment options is suggested before considering surgery. However, for those few people with certain jaw structure problems, it's a good first option. The goal of surgery for sleep apnea is to enlarge the airway through your nose or throat that may be vibrating and causing you to snore or that may be blocking your upper air passages and causing sleep apnea. Surgical options may include:
Other types of surgery may help reduce snoring and contribute to the treatment of sleep apnea by clearing or enlarging air passages:
"This place is like my home, Dr. Gilani is my favorite. He takes his time and listen to your needs. He doesn't rush on appointments."
“Dr. Sam Gilani is seriously the best surgeon I have ever been to! I had a great experience with his office...they treat me like family!”
"Dr. Sam Gilani and his staff are fabulous. They really were caring, and they even checked in with me a couple of times afterward just to make sure I was doing fine."
"This place is like my own home. Dr. Gilani does [a] great job every time I visit him. He definitely should get more than 5 stars. I love his professional staff..."