Dr. Pasha may consider tracheotomy for severe, life-threatening sleep apnea. In this procedure, a small hole is made in the windpipe and a tube is inserted into the opening.
The Epworth Sleepiness Scale is a common screening tool to evaluate for sleep related disorders.
An estimated 15% of the United States population suffers from some type of sleep related disorder, the one of the more common types being sleep apnea and snoring disorders.
Often patients complain of recurrent throat problems including sore throats, bad breath, coughing, itchiness, foreign body sensation, throat clearing, and swallowing difficulties. These complaints may be caused by acid reflux.
Epistaxis is the medical term for "nosebleed." Most nosebleeds stop spontaneously, however, some may be more serious and even life threatening.
Tinnitus is the medical name for noises or ringing in the ears. Tinnitus may be continuous or may come and go.
External Otitis (Swimmer's Ear) means any type of infection of the outer ear canal. External otitis is different than the infection caused by fluid behind the eardrum (otitis media).
Tympanostomy or Pressure Equalization Tubes (PET) are tubes that are placed into the eardrum to allow fluid and pressure to escape into the ear canal.
Otitis media is the inflammation of the space behind the eardrum called the middle ear.
Maxillomandibular advancement (MMA) surgery is indicated for severe sleep apnea.
If the cause of your apneas (blocking of the airway) is from a collapse from the back of your tongue when you sleep, an additional procedure called a Genioglossal Advancement Procedure may be performed.
If the cause of your apneas (blocking of the airway) is from a collapse in the deep part of your throat or the back of your tongue falls back when you sleep, an additional procedure called a Hyoid Myotomy and Genioglossal Advancement Procedure may be performed.
Hypoglossal Nerve Stimulation (HNS) therapy is a newly FDA-approved treatment option for patients with sleep apnea. Dr. Pasha is one of the few providers to offer this treatment option in Texas.
For select patients who have collapse of the airway in the base of the tongue at night, Dr. Pasha may suggest using the newest technology, the da Vinci Robot to access the base of tongue.
For some sleep apneic patients and snorers, the tongue may fall back during sleep causing obstruction and snoring. If this obstruction is significant, you may be recommended reduction of the base of tongue. One technique is called a midline glossectomy.
If your lingual tonsils become too enlarged they may cause collapse of the airway at night causing snoring or sleep apnea. Dr. Pasha may consider removing your lingual tonsils if they are determined to be contributing to your snoring or sleep apnea.
Transpalatal Advancement Procedures create room in the upper portion of the back of the throat creating a more open airway to reduce snoring and apneas.
After performing over 1,600 procedures to treat snorers and sleep apneic patients, Dr. Pasha believes that palatal reconstruction is a much-improved method than traditional approaches.
Nasal Valve Reconstruction Procedures are performed through the nose without any scars on the outside of the nose or face.
Dr. Pasha utilizes many different surgical techniques that are designed for snorers and sleep apneic patients to open their upper airway.
For many patients your uvula or the "bell" in the back of the middle of your throat may be enlarged or elongated.
Although for most patients traditional endoscopic sinus techniques suffice to treat recurrent sinus disease, Dr. Pasha may occasionally suggest advanced surgical techniques.
Partial Turbinate Reductions are performed through the nose without any scars on the outside of the nose or face.
Septoplasties are performed through the nose without any scars on the outside of the nose or face.
The next step is to identify the source of your airway collapse or the cause of your snoring.
Dr. Pasha may request that a special imaging study (CT scan) be performed in order that it may be used in the operating room for stereotactic guidance.
If you suffer from recurrent sinus problems or are tired of repeatedly having to take sinus medications including antibiotics, nasal sprays, and decongestants, you may be a candidate for Endoscopic Sinus Surgery (ESS).
For those who have long-standing nasal complaints, recurrent or severe sinus infections, nasal polyps, or difficulty breathing through the nose, surgical management may be your long-term solution.
Sublingual Immunotherapy (SLIT) or Allergy Drops, is a form of immunotherapy which does not require injections.
Immunotherapy (shots or sublingual drops) is one of the only scientifically proven methods to control allergies for the long-term or potentially "cure" allergic rhinitis.
Allergies occur when your body’s defense system mistakes harmless allergens such as pollens, dust, or grass for harmful antigens such as bacteria.
In-office Radio-Frequency (RF) Reduction of the Turbinate addresses the most common source of nasal obstruction: the turbinates.
This particular implant is designed for those patients who have had prior sinus surgery or have advanced sinus disease such as nasal polyps or severe chronic sinusitis.
The Pasha Snoring and Sinus Center takes a special interest in minimally-invasive techniques that may be performed in the office.