The choice of treatment options for snoring

    With the improvement of people’s living standard and the demand for quality of life, the number of patients who seek medical treatment for snoring and breath-holding during night sleep as the main symptom is increasing greatly every year, but how to treat and what treatment plan to choose varies from one medical institution to another, so many patients are troubled. Don’t be afraid of the trouble and don’t care too much about the examination fee of several hundred yuan, the general cost of sleep monitoring in Beijing is within one thousand yuan, which is decisive for the diagnosis and positioning of the disease.  Second, treatment Except for some patients with obvious congenital deformities, such as small jaw deformity and hypoplasia of the lower jaw, which causes recession of the lower jaw and easily leads to backward fall of the tongue, such patients usually have snoring and breath-holding symptoms soon after birth.  For most patients, it is mostly related to autogenous weight gain, so conservative treatment is mainly to reduce weight, and ideal weight BMI = weight (Kg)/height 2 “24 is appropriate.  1. If the monitoring result is snoring, i.e. snoring is loud, but there is no obvious breath-holding, and oxygen saturation is generally maintained above 90% during sleep, minimally invasive surgical treatment can be chosen, please refer to the article of minimally invasive treatment of snoring in my website.  2. For mild and moderate patients, the conservative treatment can be oral appliance and CPAP machine, and the surgery is mainly palatopharyngeal molding, tonsillectomy, optional chin advancement, tongue suspension, etc. The effect is generally understood.  3, severe patients, if the tonsils are not large that is, the pharyngeal lateral wall expansion is limited, or the body mass index is too large, foreign generally greater than 40, domestic generally greater than 30, such as 1.8 meters tall, weighing more than 100 kg, surgery needs to be careful, often after surgery can only partially reduce the disease, postoperative still need to perform respiratory (CPAP) oral appliance, and combined with weight loss treatment, in order to achieve good results.  In conclusion, not all patients are suitable for surgical treatment, especially severe patients are sometimes treated directly with respiratory and other auxiliary appliances, which is effective and avoids the pain of surgery, and is not a wise choice.