Mr. Zhong suffered from severe respiratory apnea combined with parasomnia. Before treatment, he would shake his hands and turn over the table when lying on the sleeping table.

(Photo by reporter Cai Shuyuan)

[Reporter Cai Shuyuan/Taichung Report] A 34-year-old optometrist surnamed Zhong couldn't sleep well since childhood, snored like thunder, turned over the sleeping table in high school, and beat his wife while sleeping after marriage. Due to hypertrophy of the base of the tongue, hypertrophy of the tonsils, and loose soft palate, the upper airway was severely blocked. Two years ago, he underwent a surgery to reduce the base of the tongue with a transoral robotic arm, and the airway was restored. Finally, he can sleep well. Beating his wife makes the relationship between husband and wife sweet.

Cao Jiehan, a doctor of otolaryngology head and neck surgery in Zhongshan, pointed out that sleep apnea is a disease of upper airway obstruction. The breathing passage is narrowed during sleep, which blocks breathing during sleep, resulting in interruption of breathing, inability to sleep well, resulting in high blood pressure, stroke, and diabetes Difficult to control, poor energy during the day, insomnia at night, parasomnia, daytime narcolepsy, narcolepsy, and severe sleep apnea. According to the statistics of the National Institutes of Health, less than 60% of those who have survived for more than 18 years have a higher chance of sudden death. It is 3.3 times that of the average person and cannot be ignored.

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Cao Jiehan pointed out that Mr. Chung suffered from severe respiratory apnea, and his breathing passage was narrowed during sleep. The tongue base reduction surgery with the oral robotic arm restored the smooth airway.

(Photo by reporter Cai Shuyuan)

Cao Jiehan said that Mr. Zhong suffers from sleep apnea combined with parasomnia, which means that he wakes up due to the apnea of ​​breathing during the deep sleep period. Separate beds.

Mr. Zhong said that he has not been able to sleep well since he was a child. No matter how long he sleeps, it seems that he only sleeps for 10 minutes. During the day, he is poor in spirit and inattentive. He turned the table over due to shaking hands, and was taken away by his family as an evil spirit. After growing up and getting married, he would unconsciously slap his wife next to him while sleeping. In the end, he simply slept sitting up to avoid hurting others and destroying the relationship between the couple. It was very painful.

Before the operation, Mr. Zhong’s upper airway was severely blocked due to hypertrophy of the base of the tongue, hypertrophy of the tonsils, and loose soft palate. The narrow airway space is shown in green.

(Provided by Cao Jiehan)

Mr. Zhong has been diagnosed with severe sleep apnea. During sleep, he will stop breathing 64 times per hour (more than 30 times in severe cases), with an average stop of breathing for 34 seconds, and the longest stop of breathing is more than 1 minute. The dreaming period is also measured during sleep examination. The electromyographic image of the hand waving. Because he could not accept the treatment of anti-snoring braces or wearing a positive pressure respirator, he evaluated the traditional electric knife and plasma knife surgery. The hypertrophic part of the patient was removed, as well as the hypertrophic adenoids and soft palate plastic surgery to restore the airway. She was hospitalized for 6 days and returned to work after 1 week.

Mr. Chung's airway enlarged (dark green icon) 3 days after surgery and returned to normal.

(Provided by Cao Jiehan)

Cao Jiehan said that about 10% of the national population suffers from sleep apnea to varying degrees, which is equivalent to 2.3 million people. The number is huge. According to statistics, 66.7% of the partners found that the person next to their pillow is snoring, and 66.7% suffer from sleep apnea. Be alert, because there are many potential related diseases, but curing can prevent and improve many chronic diseases, including stroke, high blood pressure, heart disease, tinnitus, depression, anxiety and irritability.

Cao Hanjie said that since 2015, Zhongshan Affiliated Hospital has treated more than 300 cases of sleep apnea with Da Vinci arm surgery, and now the treatment process and quality have been further improved, in line with the policy of the Medical Policy Association this year to promote the recovery process after surgery (ERAS).

In addition to the good surgical items of Da Vinci surgery, postoperative nutrition, postoperative rehabilitation, and pain relief with various drugs are also added to achieve good pain control. The efficiency of Da Vinci surgery is better than traditional surgery, and the pain situation is better than in the past. Surgery is much lower.

Cao Jiehan checked Mr. Zhong after the operation, and the airway was unobstructed.

(Photo by reporter Cai Shuyuan)

Mr. Chung suffered from severe respiratory apnea combined with parasomnia, and recovered after undergoing tongue base reduction surgery. Thanks to Dr. Cao Jiehan.

(Photo by reporter Cai Shuyuan)

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keywords

• chronic

• sudden death

• snoring

• sleep apnea

• Upper respiratory tract

• Parasomnia

• Tonsil hypertrophy

• Anxious and irritable

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