{"id":4125,"date":"2018-04-30T22:22:49","date_gmt":"2018-05-01T01:22:49","guid":{"rendered":"https:\/\/ecos.panchroma.dev?page_id=4125"},"modified":"2024-07-01T15:04:35","modified_gmt":"2024-07-01T18:04:35","slug":"apnee-de-sommeil","status":"publish","type":"page","link":"https:\/\/eastcoastoralsurgery.ca\/fr\/chirurgie-buccale\/apnee-de-sommeil","title":{"rendered":"Apn\u00e9e de sommeil"},"content":{"rendered":"

Apn\u00e9e du sommeil<\/h1>\n<\/div>
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Qu\u2019est-ce que l\u2019apn\u00e9e du sommeil?<\/h2>\n

Les personnes atteintes d\u2019apn\u00e9e obstructive du sommeil (AOS) ont un sommeil fragment\u00e9 et un faible taux d\u2019oxyg\u00e8ne sanguin lors du sommeil. L\u2019AOS se produit lorsque la langue ou le palais s\u2019affaisse contre le fond de la gorge, ce qui bloque les voies respiratoires sup\u00e9rieures et emp\u00eache la respiration. Quand le taux d\u2019oxyg\u00e8ne dans le cerveau diminue suffisamment, le dormeur se r\u00e9veille partiellement, sa gorge se d\u00e9gage et le flux respiratoire recommence, habituellement avec un hal\u00e8tement ou un grognement bruyant. Les ronflements bruyants figurent parmi les sympt\u00f4mes les plus fr\u00e9quents de l\u2019AOS et sont souvent ennuyeux pour une autre personne qui dort dans la m\u00eame pi\u00e8ce.<\/p>\n

Les cycles r\u00e9p\u00e9t\u00e9s d\u2019oxyg\u00e9nation r\u00e9duite peuvent engendrer de graves probl\u00e8mes cardiovasculaires. Les personnes atteintes d\u2019AOS peuvent \u00e9galement souffrir de fatigue excessive durant le jour, de d\u00e9pression et d\u2019une baisse de la concentration.<\/p>\n<\/div>

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\"\"<\/p>\n<\/div>

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\u00c9valuation<\/h2>\n

La premi\u00e8re \u00e9tape du traitement consiste \u00e0 reconna\u00eetre les sympt\u00f4mes et \u00e0 consulter les bons professionnels. Les sp\u00e9cialistes en chirurgie buccale et maxillo-faciale offrent des services de consultation et diff\u00e9rentes possibilit\u00e9s de traitement.<\/p>\n

En plus de recueillir les ant\u00e9c\u00e9dents m\u00e9dicaux, les sp\u00e9cialistes \u00e9valuent les relations anatomiques de la r\u00e9gion maxillo-faciale. \u00c0 l\u2019aide d\u2019une analyse radiographique (\u00ab\u00a0rayon-x\u00a0\u00bb), nos sp\u00e9cialistes peuvent d\u00e9terminer le niveau probable d\u2019obstruction des voies a\u00e9riennes. Ils ont parfois recours \u00e0 une cam\u00e9ra flexible \u00e0 fibre optique pour r\u00e9aliser un examen du nasopharynx. Pour confirmer la gravit\u00e9 de l\u2019atteinte cardiovasculaire et les niveaux r\u00e9duits d\u2019oxyg\u00e9nation, les m\u00e9decins peuvent aussi recommander une \u00e9tude du sommeil, o\u00f9 l\u2019on surveille le patient pendant la nuit afin de confirmer le diagnostic et d\u2019\u00e9valuer la gravit\u00e9 du probl\u00e8me.<\/p>\n

Traitement<\/h2>\n

Plusieurs options de traitements sont possibles. Comme traitement initial, on pourrait recommander l\u2019utilisation d\u2019un appareil de ventilation spontan\u00e9e en pression positive continue (CPAP), qui fournit de l\u2019oxyg\u00e8ne comprim\u00e9 \u00e0 travers un masque nasal afin de limiter l\u2019obstruction durant la nuit, ou le port d\u2019un appareil dentaire con\u00e7u pour faire avancer la m\u00e2choire inf\u00e9rieure pendant le sommeil. Le traitement de l\u2019apn\u00e9e du sommeil exige en g\u00e9n\u00e9ral l\u2019intervention de plusieurs professionnels de la sant\u00e9. Votre chirurgien pourrait recommander une consultation avant d\u2019entreprendre une op\u00e9ration ou un traitement.<\/p>\n

Interventions chirurgicales<\/h2>\n

L\u2019uvulopalatopharyngoplastie (UPP) est l\u2019une des solutions chirurgicales \u00e0 l\u2019apn\u00e9e du sommeil. Elle se pratique au niveau du palais mou et de la gorge. Une intervention semblable, appel\u00e9e uvulopalatoplastie assist\u00e9e par laser (UPAL), est parfois r\u00e9alis\u00e9e \u00e0 l\u2019aide d\u2019un laser. Dans d\u2019autres cas, le chirurgien utilise une sonde \u00e0 radiofr\u00e9quence pour effectuer une mise en tension du palais mou minimisant son affaissement lors du sommeil.<\/p>\n

Dans certains cas, il faut repositionner les os des m\u00e2choires sup\u00e9rieure et inf\u00e9rieure afin d\u2019augmenter le volume des voies respiratoires (chirurgie orthognatique). Cette intervention est faite \u00e0 l\u2019h\u00f4pital et exige un jour ou deux d\u2019hospitalisation. Malgr\u00e9 que cette intervention semble \u2018\u2019extr\u00eame\u2019\u2019, il s\u2019agit de la chirurgie ayant le meilleur taux de succ\u00e8s pour traiter les cas s\u00e9v\u00e8res d\u2019apn\u00e9e de sommeil. C\u2019est une intervention s\u00e9curitaire que nos chirurgiens pratiquent sur une base r\u00e9guli\u00e8re.<\/p>\n

L\u2019AOS est un probl\u00e8me de sant\u00e9 s\u00e9rieux qui exige une attention et des soins particuliers. La plupart des grands r\u00e9gimes d\u2019assurance-maladie couvrent le diagnostic et le traitement de l\u2019AOS.<\/p>\n

Pour en savoir plus sur le traitement de l\u2019apn\u00e9e du sommeil, appelez-nous d\u00e8s aujourd\u2019hui!<\/strong><\/p>\n<\/div>

Nous joindre<\/span><\/i><\/a><\/div>\n
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