Sleep Apnea
Conditions
Brief summary
Obstructive sleep apnea (OSA) is one of the most common sleep disorder. There are numerous conditions that are related to OSA, such as diabetes, cardiovascular diseases, and metabolic syndrome. If the patient with OSA have large tonsils, soft and largened uvula or flacid soft palate, one might benefit from operative treatment of OSA. The aim of our study is to find out whether an operative treatment is effective in mild OSA patients with carefully assessed anatomical predispositions. Our ultimate goal is to evaluate the effects of operative treatment in mild OSA itself and in the diseases related to OSA. We measure the cardiovasculary functions, symptoms, postoperative recovery, antropometry, laboratory tests, the quality of life, the quality of sleep and the inflammatory system in sleep apnea before and after the surgery.
Interventions
* Tonsillectomy * Uvulectomy * Soft palatal resection * Lifestyle counselling by physician: General (e.g. avoidance of smoking, alcohol drinking) and nutritional education, and sleeping positional guidance
General (e.g. avoidance of smoking, alcohol drinking) and nutritional education, and sleeping positional guidance.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 18-65 * BMI \<35 * AHI 5-30 events/h * Largened tonsils Grade ≥1
Exclusion criteria
* Age \<18 or \> 65 * BMI \>35 * AHI \<5 or \>30 * Tonsil size \< 1 * Severe nasal polyposis * Pregnancy * Chronic kidney, liver or thyroid disease * Active treatment of OSA of any kind
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Apnea Hypopnea Index | One year(before and after surgery) |
Secondary
| Measure | Time frame |
|---|---|
| Quality of life | One Year |
Countries
Finland