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Sleep Apnea... Jaw reconstruction?

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  • Sleep Apnea... Jaw reconstruction?

    I have terrible obstructive sleep apnea, officially since i was 22 but i believe since i was 19.

    In addition to always feeling tired, unmotivated, dealing with harsh food cravings, brain fog, and just plain not being worth a damn without tons of caffeine and/or epherdra, I am certain that the reduced sleep quality is stifling GH secretions and thus ultimately limiting my size potential and my ability to get in contest condition.

    I do not have tonsils, or adenoids, and I try to use my CPAP, which is set to 15 mmH20. Current surgical treatments involving the throat and or tongue are almost always ineffective, in the long term at least, and the leave the potential for scar tissue which both blocks and limits flexibility and could make the sleep apnea worse.

    Someone told me that surgeries designed to move the jaw forward ( in all honesty i would love a more prominant jaw/chin ) can help to open the airway and really help sleep apnea AND I can get two in one ( a nicer face and better physique) if the Dr approves the surgery for the sleep apnea.

    Feedback, experiences, expertise?? Dave Palumbo, i know you have sleep apnea and I'm sure many bodybuilders do, so please help!

  • #2
    Man, sorry about your OSA. The jaw surgery would most likely be performed by a maxillofacial surgeon, if the surgery was deemed necessary and helpful in your situation.

    How much is your CPAP helping when you are using it?

    Good luck...

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    • #3
      The first 6 months I had it (set to 13) I could sleep all night with it on and immediately noticed a difference. I lived alone and i could keep my apartment very dark and quiet ( just noting here, i dont believe the change in sleeping environment is to blame) Shortly thereafter I moved in with my now wife, and it has been a battle since about that time. Supposedly, wearing the mask for at least 4 hours per night is considered successful. I might go as long as four hours or as few as 10 minutes, on average between 30 and 60 minutes. Often times i go to bed dead tired but after strapping the mask on and getting situated (which is a process with a full face mask) I will find myself laying there, and laying there. Then i take the mask off so i can lay on my side to get comfortable enough to begin a night of crappy sleep and nudging from the wife cuz i sound like a cross between a broken bullfrog call, skipping mid-croak, and 100 lbs chain dragged across asphalt in bursts. She actually recorded it on her phone last week and made me listen the next morning!

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      • #4
        Originally posted by jrlight View Post
        The first 6 months I had it (set to 13) I could sleep all night with it on and immediately noticed a difference. I lived alone and i could keep my apartment very dark and quiet ( just noting here, i dont believe the change in sleeping environment is to blame) Shortly thereafter I moved in with my now wife, and it has been a battle since about that time. Supposedly, wearing the mask for at least 4 hours per night is considered successful. I might go as long as four hours or as few as 10 minutes, on average between 30 and 60 minutes. Often times i go to bed dead tired but after strapping the mask on and getting situated (which is a process with a full face mask) I will find myself laying there, and laying there. Then i take the mask off so i can lay on my side to get comfortable enough to begin a night of crappy sleep and nudging from the wife cuz i sound like a cross between a broken bullfrog call, skipping mid-croak, and 100 lbs chain dragged across asphalt in bursts. She actually recorded it on her phone last week and made me listen the next morning!

        i feel your pain i have the REMstarAuto mseries it works pretty good but i always manage to knock it off or get situated and then fall asleep without it on. but my girlfriend isnt bothered by it cuz sleeps like a log! lol. But she does get pist when it blows air into her face lol.

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        • #5
          I snore too, but it's not OSA--mine is a deviated septum I never got fixed from breaking my nose 101 times in high school football. It drives my wife nuts too. I wish you the best bro. Keep us posted...

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          • #6
            My Mother is a Polysomnographic Technologist. She does sleep studies, (she is the highest level of sleep Tech there is.) If you want a serious profesionals opinion, you can PM me and i'll be happy to send you her Phone number. She's Very passionate about her job and would be happy to advise you on any questions you have. this sounds like a serious situation and you need some serious help and advice. So dont be afraid to lemme know if ur interested in the help.
            -2012 NPC Illinois State Heavyweight and Overall Champion

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            • #7
              I'm actually a Oral/Maxillofacial surgery resident. We perform these surgeries quite frequently, especially at our insitution. The surgery is referred to a maxillo-mandibular advancement. It involves fracturing your upper jaw from your skull base and moving it forward approximately 6-10mm. As well as spliting the mandible in and telescoping that forward as well. They are then fixated with titatium plates and screws. The surgery has a success rate of approx. 98% if the apnea is due to decreaed posterior airway space. We do them weekly here. It usually requires a 2-3 day hospital stay and takes around 6 weeks for the bones to heal and to return to a normal diet.
              Any other questions let me know. Or if you need help looking for a good surgeon I can give you some tips.
              On a side note my sister is a respiratory therapist in a sleep lab and she has also seen great success with this surgery.

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              • #8
                I have extreme sleep apnea as well, I am actually going to talk about the surgery on the 30th with an ENT specialist.

                I had my dentist actually make me a snore guard, much like a retainer but it pulls your lower jaw forward a few cm. Helps out a little bit to the point where its worth checking out but doesnt solve the problem by a long shot.
                5'10 250

                Training at metroflex, looking for a training partner. PM me.

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                • #9
                  Cool i will continue to look into such devices. I have to find a dentist anyways so i'll see what my insurance will cover.

                  Keep up posted if you don't mind about your possible surgery.

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                  • #10
                    You may just have to have the machine adjusted to either a higher or lower flow of air. Also do you use a humidifier on your machine? I know that makes a world of difference to me. You may just have to switch to a different mask too. I can't stand the full face ones, so I use one just for nasal breathing. its real trial and error, and surgery sounds iffy at best.
                    “War is peace.
                    Freedom is slavery.
                    Ignorance is strength.”
                    ― George Orwell

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                    • #11
                      I was diagnosed in 2003 and have a cpap since then, I am going for a new sleep study and Doc is going to switch me to the apap I believe it called. One is positived pressure at 12psi and the other goes along with your inhale and exhale..
                      www.NJBodybuilding.com www.NPCNewJersey.com

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                      • #12
                        Im pretty sure I have this too. How much does the surgery cost (total cost including hospital stay and everything) ? Somewhere I heard it could be like 30 grand is that true?

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                        • #13
                          Jrlight I also had SEVERE Sleep Apnea and had the surgery last October, where the Dr. trimmed my palate, performed deviated septum surgery, as well as drain my sinuses. I had the surgery because I could not sleep with that CRAP(CPAP)machine. I have to say that was by far the most PAINFUL SURGERY that I have ever had, and just to let you know I have had 8 Orthopedic Surgerys since 1994 the last one I had my neck fused. If I were you I would try to loose some weight which may help, leave the surgery for the LAST Option. I still snore, not as much and every now and then I gasp for air, not as bad as before the surgery.

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                          • #14
                            I had a UPPP done in 1997 after terrible apnea. my sleep study was interesting....
                            I still had my tonsils at the time, so they took my tonsils, uvula and a throat lift.

                            http://en.wikipedia.org/wiki/UPPP
                            www.bodybybryan.org

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                            • #15
                              and, I still have no apnic issues to this day.
                              www.bodybybryan.org

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