Snoring persists after surgery for sleep apnea?
My daughter started snoring loudly about three months after her surgery for sleep apnea (she snored very little and softly after the surgery).
She is complaining of phlegm in her throat and nasal congestion, which I suspect might be caused by a cold.
Can treatment improve her snoring? A concerned mother.
Fang Ni, 40~49 year old female. Ask Date: 2008/09/21
Dr. Hong Guangliang reply Otolaryngology
Hello: Due to individual variations in anatomical structures, the approach and extent of sleep apnea surgery can differ.
It is advisable to consult with the original surgeon for evaluation and recommendations.
Reply Date: 2008/09/21
More Info
Post-surgery snoring can be a concerning issue, especially when it arises after a significant procedure. In your daughter's case, it seems that her snoring has increased in volume and frequency about three months post-surgery, which is a notable change from her previous condition. There are several factors that could contribute to this situation, and understanding them can help in determining the best course of action.
Firstly, it's essential to consider the type of surgery your daughter underwent. If it was related to the upper respiratory tract, such as tonsillectomy or adenoidectomy, changes in the anatomy of the throat could lead to altered airflow during sleep, resulting in snoring. Additionally, swelling or inflammation in the throat area post-surgery can also contribute to snoring. If she is experiencing symptoms like a sore throat, phlegm, and nasal congestion, it could indicate an upper respiratory infection or allergies, which can exacerbate snoring.
The presence of phlegm and nasal congestion suggests that there may be an underlying issue, such as a cold or allergies, that could be contributing to her snoring. Allergies can cause inflammation in the nasal passages, leading to difficulty breathing through the nose and increased snoring. Similarly, a respiratory infection can cause swelling and mucus production, which can obstruct airflow and lead to snoring.
To address your concerns, it is advisable to consult with a healthcare professional, preferably an otolaryngologist (ear, nose, and throat specialist). They can perform a thorough examination to assess the anatomy of your daughter's throat and nasal passages, check for any signs of infection or inflammation, and determine if there are any structural issues contributing to her snoring.
In terms of treatment options, several approaches can be considered:
1. Medication: If allergies or an infection are identified, appropriate medications such as antihistamines, decongestants, or antibiotics may be prescribed to alleviate symptoms and reduce nasal congestion.
2. Nasal Irrigation: Using saline nasal sprays or performing nasal irrigation can help clear mucus and reduce congestion, making it easier for your daughter to breathe through her nose.
3. Sleep Position: Encouraging your daughter to sleep on her side rather than her back can help reduce snoring. When lying on her back, the tongue and soft tissues of the throat can collapse backward, obstructing airflow.
4. Humidifier: Using a humidifier in her room can help keep the air moist, which may reduce throat irritation and congestion.
5. Lifestyle Changes: If your daughter is overweight, losing weight can significantly reduce snoring. Additionally, avoiding alcohol and sedatives before bedtime can help keep the throat muscles more toned and less likely to collapse during sleep.
6. Surgical Options: In some cases, if structural issues are identified, surgical interventions may be necessary to correct the problem. This could involve procedures to remove excess tissue or correct anatomical abnormalities.
In conclusion, while post-surgery snoring can be concerning, it is often manageable with the right approach. Identifying the underlying cause is crucial, and working closely with a healthcare professional will help ensure that your daughter receives the appropriate treatment. With proper care, there is a good chance that her snoring can be improved, leading to better sleep quality for her and peace of mind for you as a parent.
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