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	<title>Comments on: Tongue Retaining Device for Obstructive Sleep Apnea: Does It Work?</title>
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	<link>http://doctorstevenpark.com/tongue-retaining-device-for-obstructive-sleep-apnea-does-it-work</link>
	<description>How You Can Breathe Better, Sleep Better, And Live Better1</description>
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		<title>By: Steven Park</title>
		<link>http://doctorstevenpark.com/tongue-retaining-device-for-obstructive-sleep-apnea-does-it-work/comment-page-1#comment-77628</link>
		<dc:creator>Steven Park</dc:creator>
		<pubDate>Tue, 20 Sep 2011 17:06:37 +0000</pubDate>
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		<description>Mr. McIntyre,

What you&#039;re proposing is certainly possible, but yet to be documented. Another possibility is that your soft palate is flapping back into the opening into your nose, causing a sudden exhalational breathing pauses, with air leaking out through the mouth.</description>
		<content:encoded><![CDATA[<p>Mr. McIntyre,</p>
<p>What you&#8217;re proposing is certainly possible, but yet to be documented. Another possibility is that your soft palate is flapping back into the opening into your nose, causing a sudden exhalational breathing pauses, with air leaking out through the mouth.</p>
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		<title>By: Jim McIntyre</title>
		<link>http://doctorstevenpark.com/tongue-retaining-device-for-obstructive-sleep-apnea-does-it-work/comment-page-1#comment-77555</link>
		<dc:creator>Jim McIntyre</dc:creator>
		<pubDate>Mon, 19 Sep 2011 20:21:13 +0000</pubDate>
		<guid isPermaLink="false">http://doctorstevenpark.com/?p=2664#comment-77555</guid>
		<description>I have had OSA since at least age 15, not diagnosed until much later. CPAP never helped, even at high pressure. Had extensive surgery at age 36 (U3P, septoplasty, turbinectomy, genioglossus advancement, and hyoid suspension. I estimate a 60% improvement in sleep quality (no follow-up sleep study done because health insurance lapsed). 60% improvement was welcome, but I still suffer greatly.

The point: I have come to realize that much of my problem is caused by my &quot;upper&quot; tongue (the visible, in-the-mouth part) blocking EXHALATION. My fat tongue takes up my whole mouth and often protrudes between my upper and lower teeth all-the-way-round from molar to molar. Often, when I wake at night, i find myself making a &#039;Thhh&#039; or &#039;Chhh&#039; sound as I push air out around my tongue. Occasionally, I even wake myself up because I have bitten my tongue!

Of course, this implies that something is blocking my nasal airway at the same time. I suspect that my tongue is also the culprit here too.

How does this relate to Tongue Retaining Devices? Well, I have fashioned my own device. It is more of a bypass that a retainer. It is the mouth piece cut-off from a swimming snorkel, with 2 pieces of clear plastic tube extending through the middle and over my tongue. the tubes are long enough to allow air past most of my tongue, but not long enough to induce gag reflex. 

When I use this device, my sleep is imperfect, but noticeably better. I might only wake up a half-dozen times per night and I will have very long dreams while I sleep that I can remember after i wake (almost unheard of for me).

I&#039;ve never found any mention of &quot;upper tongue-induced, exhaling apnea&quot; on any site. Is my anatomy so unique, or has this condition been overlooked? Or, perhaps more likely, is it just that I have failed to find it with my amateur research skills?

Your opinion/advice would be very welcome.</description>
		<content:encoded><![CDATA[<p>I have had OSA since at least age 15, not diagnosed until much later. CPAP never helped, even at high pressure. Had extensive surgery at age 36 (U3P, septoplasty, turbinectomy, genioglossus advancement, and hyoid suspension. I estimate a 60% improvement in sleep quality (no follow-up sleep study done because health insurance lapsed). 60% improvement was welcome, but I still suffer greatly.</p>
<p>The point: I have come to realize that much of my problem is caused by my &#8220;upper&#8221; tongue (the visible, in-the-mouth part) blocking EXHALATION. My fat tongue takes up my whole mouth and often protrudes between my upper and lower teeth all-the-way-round from molar to molar. Often, when I wake at night, i find myself making a &#8216;Thhh&#8217; or &#8216;Chhh&#8217; sound as I push air out around my tongue. Occasionally, I even wake myself up because I have bitten my tongue!</p>
<p>Of course, this implies that something is blocking my nasal airway at the same time. I suspect that my tongue is also the culprit here too.</p>
<p>How does this relate to Tongue Retaining Devices? Well, I have fashioned my own device. It is more of a bypass that a retainer. It is the mouth piece cut-off from a swimming snorkel, with 2 pieces of clear plastic tube extending through the middle and over my tongue. the tubes are long enough to allow air past most of my tongue, but not long enough to induce gag reflex. </p>
<p>When I use this device, my sleep is imperfect, but noticeably better. I might only wake up a half-dozen times per night and I will have very long dreams while I sleep that I can remember after i wake (almost unheard of for me).</p>
<p>I&#8217;ve never found any mention of &#8220;upper tongue-induced, exhaling apnea&#8221; on any site. Is my anatomy so unique, or has this condition been overlooked? Or, perhaps more likely, is it just that I have failed to find it with my amateur research skills?</p>
<p>Your opinion/advice would be very welcome.</p>
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		<title>By: Nancy Gray</title>
		<link>http://doctorstevenpark.com/tongue-retaining-device-for-obstructive-sleep-apnea-does-it-work/comment-page-1#comment-74256</link>
		<dc:creator>Nancy Gray</dc:creator>
		<pubDate>Sat, 13 Aug 2011 18:08:49 +0000</pubDate>
		<guid isPermaLink="false">http://doctorstevenpark.com/?p=2664#comment-74256</guid>
		<description>I have been using an appliance designed by Jonathan Greenburg DDS Southern CA).  It is effective as long as I can breathe through my nose, which is not always possible because of nasal polyps.  I experienced REM sleep for the first time in many, many years.  My AH went down from 67 to 42 and I feel better rested, but not entirely.  I have been moderately pleased although I would be interested in learning more about your program.</description>
		<content:encoded><![CDATA[<p>I have been using an appliance designed by Jonathan Greenburg DDS Southern CA).  It is effective as long as I can breathe through my nose, which is not always possible because of nasal polyps.  I experienced REM sleep for the first time in many, many years.  My AH went down from 67 to 42 and I feel better rested, but not entirely.  I have been moderately pleased although I would be interested in learning more about your program.</p>
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