What are the most common causes for sleep apnea in Singapore?

Doctor's Answers 1

Hi Quen Sang, thanks for the D2D!

People get sleep apnea if a block in the airway passage results in significant oxygen desaturation in sleep. In sleep apnea, there is reduced oxygen in the blood from obstruction or collapse of the nose-oral-pharyngeal- laryngeal airway.

The most common causes in children are allergic rhinitis, adenoid and tonsils enlargement. For adults, the common causes are nose block from allergic rhinitis, deviated nose bone, hypertrophic turbinates, polyps; soft palate redundancy and medialisation; receded lower jaw, prolapsed large tongue base, poor muscle tone and obesity.

Both obesity and aging are on the rise in Singapore, resulting in rising incidence of sleep apnea too. Just by virtue of being Chinese, with more restricted facial and head proportions, there is also increased risk of sleep apnea.

In Singapore, there is still a lot more that needs to be done to increase awareness amongst the population wrt snoring and sleep apnea. The Singapore Health Study 2012 noted that 31% of the population had moderate to severe sleep disordered breathing. Amongst those affected, 90% were undiagnosed.

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What are the steps to get Sleep Apnea diagnosed and treated in Singapore?

Thank you for your questions. As your questions have been answered well by Dr Chua, I shall not be repetitious. However, I would like to elaborate on why snoring is a significant symptom and the assessments involved for a snorer. Snoring is a common symptom and a local study has shown that up to 30% of Singaporeans snore. It is a significant symptom for 2 main reasons: 1. If the snorer has a bed partner, he/she will be frustrated and possibly sleep deprived from the constant or loud snoring. 2.

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What are my options to treat sleep apnea, and how effective is sleep apnea treatment?

thanks for the D2D. Please refer to my reply on “How to treat sleep apnea without CPAP or surgery? ” for conservative first line measures to treat sleep apnea. Additionally, surgical measures may be needed when these conservative modalities do not suffice, or if the patient cannot tolerate the CPAP mask or prefer a surgical option. What I have found to be most importantly, is to tailor treatment for each patient’s medical and anatomical condition, preferences, needs and comfort level. A multidisciplinary and multilevel approach is often needed.

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