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FROM THE EDITORIAL DESK

Dr (Prof) Renu Madan How perfect would human life be, if anger had a stop Editorial Committee
Sr. Consultant & HOD button, mistake-a rewind, hard times - a delete all Dr. Rajiv Malhotra
Pathology & Oncopathology and good times - a pause button. The definition of Dr. Renu Madan
health has expanded beyond treating the malady to Dr. Anil Dhall
cater to the morbidity burdened on the mortal form Dr. Sandeep Singh
because of normal physiological activities in daily living Dr. B. K Dubey
which involves the essential activities like sleeping and Dr. (Brig) Ashok K Rajput
eating. Our articles target these as Snoring, a problem of Dr. Anupam Saha
sleeping and Obesity, a problem of eating. These articles Dr. Shilpa Ghosh
in brief go on to give a comprehensive overview of the Dr. A K Dhar
topics and we hope they will be of some use to all. The Dr. Dinesh Katiyar
case report is interesting because of rare presentation. Dr. Deep Dutta
In the garden of knowledge there are always flowers for Dr. Sunil Kumar Mendiratta
those who want to stop and smell them.
Advisory Committee
Email: editor@venkateshwarhospitals.com Dr. (Lt. Gen) Prem P Varma
Dr. (Prof) Nirmal Kumar
Dr. Anupam Mondal
Dr. Ishwar Singh
Dr. Sarita Sabharwal
Dr. Rakhee Gogoi

CLINICAL ARTICLES

SNORING: A SILENT KILLER

In our society, Snoring is considered as a sign of sound sleep. This is in expert hands. Venkateshwar Hospital is one of the few centres
not true, it’s a lifestyle problem just like Obesity, Hypertension, Diabetes in the capital to acquire this latest technology and also has the
and it is affecting more people than before. Earlier, Snoring used to be expertise to conduct such kind of airway surgeries. Since inception,
associated with advanced age but now we are treating patients who are we have conducted many OSA surgeries, tackling multilevel airway
in their 30s as well as 40s. Our ancient books mention Kumbhkarana, obstructions. It has become a day care to a one day stay procedure
who was affected by sleep disorder, so Snoring is there since ages. that doesn’t require any external cuts and is completely bloodless.
Treatment is indiviualised for maximum benefit. Lifestyle modifications
Snoring is noisy breathing during sleep. The two most common and weight loss are effective in aiding long term benefit to the treatment.
adverse health effects that are believed to be casually linked to Now, there is no need to use cumbersome breathing machines
snoring are daytime dysfunction and heart disease. About, one-half every night.
of the people who snore loudly have Obstructive Sleep Apnea (OSA).

If you cannot Sleep in peace, You cannot live in Peace.

Snoring occurs because, the air flow through the mouth and nose
has been physically obstructed. Such obstruction can be caused by
several (sometimes overlapping) causes, which are:

Obstructed nasal airways: Obstruction can be caused by allergies,
but more serious (and treatable) causes involve a deviated septum (a
defect in the wall separating one’s two nostrils) and nasal polyps.

Poor muscle tone in the throat and tongue: Throat and tongue
muscles can relax due to aging, alcohol consumption, sleeping pills
and even deep sleep. The relaxation causes the muscles to fall back
into the airway, creating a blockage.

Bulky throat tissue: Too much, or bulky throat tissue can also block The two most common adverse health effects that are
the airway and is often the result of being overweight. believed to be casually linked to snoring are daytime
dysfunction and heart disease. About one-half of the people
Long soft palate and/or uvula: A long soft palate or a long uvula who snore loudly have Obstructive Sleep Apnea (OSA).
which is the angling matter at the back of the mouth, can work to
narrow the opening from the nose to the throat, creating an obstruction
that results in snoring.

Treating right is diagnosing right: The first step in treating a snoring Dr. Yatin Sethi
problem is to find out what’s causing it. Fortunately, medical science
is on top of the issue. You will need a Sleep Study which, depends on MBBS, MS
your needs and circumstances. Today, it can even be done in your own
home, to identify the level of obstruction, we pass a camera through Senior Consultant
the nose while the patient is asleep, this is called Drug induced Sleep ENT & Cochlear Implant
Endoscopy or DISE.

With the advent of Coblation Plasma Surgery and Robotic Surgery
Treatment of Sleep Apnea has become completely safe and effective