Board-certified specialists treating snoring, sleep apnea, and airway obstruction.
Same-week appointments · 3 Denver-area offices
We offer sleep evaluations and procedures for sleep apnea.
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If you wake up tired no matter how much sleep you get, snore heavily, or your partner has noticed pauses in your breathing at night, this test checks for sleep apnea. It tracks things like your breathing patterns, oxygen levels, and effort while you sleep normally at home, giving your provider a picture of what's happening overnight.
You'll be prescribed a small device along with instructions on how to wear it. It typically includes a belt around your chest, a sensor on your finger, and a small cannula that rests just under your nose. You wear it for one night while you sleep as usual, then return it the next day. There's no pain involved, though some people find the sensors feel a little unfamiliar at first. Most people are still able to sleep normally with it on.
Your provider reviews the data from your night at home. If the results show sleep apnea, your provider will talk through options such as a CPAP machine, an oral appliance, or other next steps. If the results are unclear, an in-lab sleep study might be recommended to get a fuller picture.
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Obstructive sleep apnea happens when tissue in your throat, like your soft palate, tonsils, or tongue base, blocks your airway during sleep. Sleep apnea surgery addresses the specific area contributing to that blockage. The exact procedure depends on your anatomy and what your evaluation shows, so your provider will recommend the approach that fits your situation.
You may be a candidate if you have obstructive sleep apnea and haven't tolerated or found relief with CPAP, an oral appliance, or other treatments, and an evaluation has identified a specific area of your airway contributing to the blockage.
This isn't the right fit if your sleep apnea is primarily central rather than obstructive, or if there isn't a clear anatomical target for surgery to address. Your provider will use an exam and imaging to help determine if surgery is likely to help.
The setting and length of surgery depend on the specific procedure being done, but it's typically performed under general anesthesia at a surgery center or hospital, not in the office. Some procedures are outpatient, meaning you go home the same day, while others may involve an overnight stay for monitoring, especially when the throat or airway is involved.
Recovery time varies depending on the specific procedure, and can range from about one to two weeks before returning to normal activity. Throat soreness, swelling, or discomfort with swallowing is common in the days after, especially with procedures involving the soft palate or throat. Your provider typically recommends a follow-up sleep study after you've healed to see how much your sleep apnea has improved.
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Inspire is a small device placed under the skin of the chest, similar to a pacemaker, with a thin wire that connects to the nerve controlling tongue movement. During sleep, it gently stimulates that nerve to keep your tongue from blocking your airway, which helps you breathe more easily. It's turned on and off with a small remote and used only while you sleep.
You may be a candidate if you've been diagnosed with moderate to severe obstructive sleep apnea and haven't tolerated or found relief with CPAP. Eligibility also depends on certain body weight and anatomical criteria, which your provider evaluates through a sleep study and an exam of your airway. This isn't the right fit if your sleep apnea is primarily central rather than obstructive, or if an airway evaluation shows a pattern of collapse that isn't well suited to this device. Your provider will walk you through your evaluation results.
Before surgery, you'll have a sleep study and an airway evaluation to confirm this is a good fit. Surgery itself is done under general anesthesia at a surgery center or hospital - not in the office. Your surgeon places the device under the skin near the collarbone, with a sensor near the ribs and a wire connecting to the nerve. Most people go home the same day or after a short stay for monitoring.
You'll have some soreness and swelling at the incision sites, and your provider will give you guidance on limiting arm movement and activity while you heal. The device stays off for several weeks after surgery. At a follow-up visit, your provider turns it on and adjusts the settings, often fine-tuning them further with a follow-up sleep study, so improvement in your sleep apnea builds gradually as settings are adjusted.
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"Dr. Manan Shah has a unique combination of exceptional skill and genuine kindness. He performed my septoplasty to fix a deviated septum, and he also performed balloon dilation of my eustachian tubes. I can breathe and sleep much better, and I can finally pop my left ear after decades of pressure and inability to do so."
"I was very impressed with Dr. Fairmont who treated my sinus symptoms. She was genuinely interested in my care & she recommended new medications and therapies which are covered by my insurance. Also, she was very kind and empathetic."
"This was my first visit. Dr. Sohal has a terrific bedside manner, is very knowledgeable and the care he has for his patients is obvious. He took time to discuss my condition and treatment. And spent time answering my questions. I highly recommend Dr. Sohal!"
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