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UPPP Surgery

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UPPP Surgery

Postby lexmark_1 » Wed Sep 25, 2013 9:45 pm

Greetings all,

I am scheduled to have the surgery next week and I was wondering if there have been any updates in that area? I was diagnosed in the spring of 2012 and while I'm not sure what all the results of my sleep study were, I do know that I stopped breathing an average of 62 or so times an hour. I think that must be considered severe? And my snoring is loud enough to affect the sleep of other people in my house. I suppose I am a little overweight but certainly not obese but I do have kind of a fat neck. My doctor told me he would fix my deviated septum, remove my tonsils(I've never had any medical issues with them), and do some work rearranging my "narrow soft palate". He didn't specifically say anything about the uvula but since it's the UPPP, I must assume that's part of it. Hopefully it won't end up a colossal waste of time.

Anyway, I guess my main concern is the recovery. There are plenty of horror stories here but not too many positive ones. I've never had any surgery more major than having my wisdom teeth removed so I really have no idea what to expect. I've used up all of my vacation days from work so any time I have to take off will mean no income. I'm having the surgery on Tue. Oct 1st and I'm hoping to be back to to work the following Monday.

Is that realistic or am I looking at several weeks at home? Thanks.
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Re: UPPP Surgery

Postby snuzyQ » Thu Sep 26, 2013 3:59 pm

Hi Lexmark and welcome to the forum.

Whooah there! Why all this rush to surgery? If you are having this major surgery next Tuesday, it is highly unlikely that you will be back to work the following Monday. Your recovery could take a long, long time. Perhaps it would be wise for you to google a search on this topic.

People of all sizes, shapes, ages, sexes, types, etc. get obstructive sleep apnea. While OSA is primarily an anatomical thing, surgery rarely, if ever, cures it. Those who have surgery for OSA are often left with residual apnea that must be treated further at some point and this is done most effectively with CPAP. CPAP is the most effective and least invasive of all the available treatments for OSA. Obstructive sleep apnea is a moving target which often worsens with age and over time...even after surgery.

Yes...you have severe sleep apnea, diagnosed a year ago. I think my own thunderous snoring made all my nearest and dearest wish I would go under the knife as soon as possible to get this fixed. They sadly were not aware of the alternatives, one of which would not only completely take away my audible snoring, but which would also very effectively treat my obstructive sleep apnea... CPAP. Fortunately, I was offered CPAP by my doctor...first. No one in my house (or anybody else's) has heard me snore ever since. CPAP became no big deal for me after about 6 weeks of treatment. Now it is just something I do each night. It feels very natural and normal to me now. I look forward to a good night of sleep each night. CPAP has greatly improved my quality of life...and the lives of everybody around me.

So...the surgery not only gives you a long, drawn-out recovery time, but also eventually puts you back at square one for treatment of your OSA.

Are you sure this is what you want/have to do? It is not too late to postpone this. Why not give yourself the gift of time...to really explore your options and decide which direction will be best for you. Have you been seen yet by a sleep doctor who does NOT do surgery. I highly recommend that you do this. I'll bet you anything that your second opinion from such a specialist will be vastly different from your first.

Good luck to you and welcome again to the forum. Let us know how things go for you.
Severe OSA...both hubby and me. CPAPin' through life.
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Re: UPPP Surgery

Postby Daniel » Thu Sep 26, 2013 8:35 pm

Hi & welcome,

I have to second this...why the sudden rush to surgery ? Particularly the UPPP, which has a dismal success rate for sleep apnoea sufferers.....particularly those with severe apnoea.

If you are hell bent to have surgery, you should look at multi phase surgery and check the Stanford Protocol. I'm not advocating it, but relative to the UPPP as a stand alone surgery it is definitely a better option.

Before undertaking any surgery for OSA, you should be aware that a surgical success is defined as a 50% reduction in your AHI and/or a reduction of AHI below 20. In both cases it leaves you with either severe apnoea (in the first case) or moderate apnoea (in the second case). In both instances you will probably have to use cpap (if you are able to, as there may be complications).

I strongly suggest that you discuss your situation with a respiratory sleep disorders specialist before going forward with this type of surgery.

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Re: UPPP Surgery

Postby guitardad » Thu Oct 03, 2013 7:10 pm

Not to play devil's advocate but I had my UPPP on a Tuesday and was back at work the following Monday.

Depends on your own recovery/tolerance.
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Re: UPPP Surgery

Postby lexmark_1 » Sat Oct 05, 2013 8:18 pm

Thanks for that. I get that alot of people have a very negative recovery but not everyone is the same. It's Saturday and it has been relatively pain free since the morning.. It's there but tolerable. Most of it comes from trying to swallow. Until yesterday afternoon, I was regretting the decision but if the pain keeps diminishing then i'm ok with it. I've booked off next week anyway because my job can be quite physical at times and I really don't want to deal with any pain. Plus I also don't know yet when I'll be able to handle solid food since everything I've eaten so far has been pureed or already soft.

If you have a good surgeon and follow a plan for recovery, there's no reason it has to overly long and painfull. I'll update later in the week.
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Re: UPPP Surgery

Postby guitardad » Tue Oct 08, 2013 11:11 pm

Make mashed potatoes. The instant packets are fine but instead of using milk use chicken/beef stock and make it soupy and drink it. It gives you the calories and carbs you need. Taking small sips at a time helps.

Did they give you a liquid pain killer?
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