This is such a Great Video. well presented !!! also, the turbulence concept is why im assuming things like deviated septum/turbinate issues (in moderate to severe cases) where one nostril is completely blocked can contribute to snoring. Air coming in only thru one side would greatly increase turbulent flow, increasing risk of snoring... man, i really need to get my nasal congestion issues fixed lol... i feel like addressing nasal congestion is essential to fixing airway issues. Looking forward to the book, i think it would be amazing if the exercises are incorporated in the book as well. that would be incredible help to so many ppl. thanks again...
Really glad that you liked the video. Nasal congestion is really important I agree. I promise to add those exercises in the book. Sadly I am nowhere near that point yet. Still trying to explain snoring....
Thanks for your vids. It made me to see the doctors and now Im diagnosed with "moderate/severe sleep-disordered brething known as obstructive sleep apnoea." Keep posting. And who knows perhaps we shall see each other at some point...
Thanks for taking the time to make these videos and doing them in such a friendly/authentic way. It can be very anxiety provoking to suddenly start getting problems from snoring. I am aware that I have snored for a while, but I have recently started waking up with a sore throat / sore soft palate. When I heard about the Palatal stiffening procedure I felt hopeful that this might be the answer, but you have highlighted that there may be an underlying airflow disruption causing the vibration, so I'm not sure what the best next step is for me?
Great stuff! Thanks doctor! After I had my tonsillectomy as an adult (enlarged tonsils that had holes in them and kept building up "stones") my snoring were completely away. *I have a deviated septum / enlarged turbinates, but even so, the snoring was coming completely due to my tonsils!
Some of us take medications that cause dry mouth. I was sent to a sleep clinic that would either put me on the fast track to a CPAP or do nothing at all. The Nurse practitioner asked me if I ever wake up with a dry mouth. I said yes, two or three of the medications I take give me a dry mouth that I'm sometimes aware of in the morning. She denied that; nope, I must be breathing through my mouth. Do you ever snore? Yes, when I'm having major post-nasal drip that is dot draining well. She put me down as having a snoring problem. Not going back there if I can help it.
I guess it would work in some areas but it is worth remembering that the throat has many functions and you would not want to stop it from working. It would be the equivalent of causing a temporary stroke which on the whole is not great if you want to speak, drink or eat. But I am glad that you are thinking from a surgical standpoint. It honestly makes me feel very proud!
@@VikVeerENTSurgeon may be it can be done as few wide strip's to begin with may be two. Then assess the function and do the O2 sats like a sleep study. Then do another strip, a graduated approach. Worth trying.
Hi Vic Veer. Love your videos, I have snored pretty much my entire life, I snored as a child. I'm so sick of it, I can't sleep anywhere in public, flights etc. It's getting really bad. It's effecting my marriage, I'm tired all the time. It's really making me depressed. I don't live that far away from London, how can I get an appointment with you? How can I get an appointment with you?
Timely video about snoring! Ive got some pretty good explanations for why the airflow does what it does to the soft tissue, has to do with fluid dynamics. I’ll try to contact your office soon. I’ve been struggling with sleep problems for the past two years, I’ve still got flow limitation issues using a ASV machine, Alaxo nasal stents, and a mandibular advancement device all at the same time. I’ve had a lot of time to think about airflow and why things are affected by it.
I didn't go into fluid dynamics in the video I just struck to explaining turbulence. Sounds like you are doing every thing possible. Keep up the good work.
I am coming to see you on Tuesday at 1.30pm. Is it possible for you to access my NHS DISE video from 8th December, when we meet? Many thanks, Ron Johnson.
I'm left with one question - if the nose has been unblocked (including via turbinate reduction) and the mouth is closed at night, what causes the "snore" from the nose? You know, the rattle that still seems to be coming from behind the nasal cavity? I've resolved, like 70% through mouth exercises, exciteosa, and a turbinate reduction, but I still have a nose rattle.
@VikVeerENTSurgeon thank you for your videos. I am following your recommended exercises, watching your videos and remaining hopeful. I have one question, I have OSA and only one solution helped, Theravent. A stick on EPAP that is no longer made. Is there anything else like it? I’ve failed Bipap multiple times over multiple years with multiple masks. I’ve had a little help with a cheap MA device (but I ruined my bite) and practicing nasal breathing. Thank you!!!!!!!
Hello Doctor , would you know any ent surgeon based out of Qatar? ..how do i guage the severity..there are breathing pauses ..can i book an online appointment with you
Snoring is usually only noisy when inhaling correct? That being the case your illustration and laminar flow discussion doesn't seem to make sense. What am I seeing wrong here?
do you think lingual tonsillar hypertrophy contributes to sleep apnea? is there a specific pillow or specific wedge pillow you recommend for snoring ~and~ definitely sleep apnea? thank you so much
Such an interesting video! Would a narrow airway (based on lateral ceph/mri) cause this turbulent flow? If so, are there any solutions other than jaw surgery to increase it? This is something I developed after orthodontic treatment with extractions, which pushed both jaws backwards.
There are so many options it is very hard to explain them all. In time I will try but currently I have approximately 42 operations for snoring and sleep apnoea that I use on a regular basis. I will get round to explaining the more in time.
i wanted ur thoughts about this if you dont mind. something causes the turbinates to enlarge correct, and if a turbinate reduction is done without identifying the cause in the 1st place, can it just enlarge again? im just trying to be cautious before undergoing surgery and want to exhaust all conservative measures first. i have tried nasal steroids spray for a while and it did not help significantly unfortunately. i used fluticasone proprionate nasal spray. thinking perhaps i would need surgical options but want to be well informed to make sure this is a good decision for me long term. thanks again
If you aren't 100% sure about surgery, don't do it. There are all sorts of options including the breathing technique I talk about in my last video, nasal dilators, a big vibrating nasal pack (can't remember the name but it made my eyes water), alaxo stent, nastent, breathe right and loads of other options. I've looked at a few of these in my videos so far.
@@VikVeerENTSurgeon I appreciate the reply. absolutely agree regarding surgery. i will have to check out those other options and try them out. i have used breath right strips (they are awesome), as well as mute/turbine(works great) so far. neti pot also helps me a lot. im just wondering my the actual bony part of the turbinate has enlarged. from my understanding, if its not, i can try many other ways to shrink it down or keep it from swelling and obstructing airway. Ideally, i would want to avoid surgery, however equally ideally, i want to be able to breath well and sleep well lol. thank u again.
Thank you doctor for your video on remedies to reduce snoring. Just came as a suggestion from RU-vid. One question which comes to my mind, is there a permanent cure for snoring with the exercises you have suggested and if yes, how much time frame should I look for complete cure.
I.ve been diagnosed with moderate sleep apnea.. after originally being 3 st heavier and mild /moderate. .. Consultant has referred me on a sleep specialist. ? Is that the right thing.. I asked about ENT consultant to find out why. But they said the specialist was higher up? Is that right? Also type 2 diabetic insulin dependent.. which doesn't help ..