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KTPH: Obstructive Sleep Apnoea (OSA)
Overview

Department of Otolaryngology (ENT) | Head & Neck Surgery, KTPH

What Is Obstructive Sleep Apnea?

You've just been diagnosed with Obstructive Sleep Apnea, or OSA. This might feel overwhelming, but understanding your condition is the first step toward better health

OSA only happens in your sleep:

• Muscles in your throat relax too much during sleep

• Your airway becomes narrow or close completely

• Airflow to your lungs are blocked

• Your brain notices you're not breathing and briefly wakes you up to reopen your airway

This can happen dozens or even hundreds of times each night—though you probably won't remember it.

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Why Does This Happen?

Several factors can contribute to OSA:

• Excess weight around the neck

• Naturally narrow airways

• Large tonsils and/or tongue

• Aging (muscles become less firm)

• Sleeping position

The good news? OSA is treatable, and you have options.

Why Treatment Matters

Untreated sleep apnea is more than just snoring or feeling tired. Imagine struggling to breath throughout the night during what should be your most peaceful hours!

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This relentless cycle has damaging effects on multiple body systems

The Hidden Risks of Untreated OSA

Cardiovascular 

OSA increases the risk of: 

• High blood pressure 

• Heart attack

• Stroke 

• Irregular heart rhythm

Untreated OSA can make blood pressure harder to control.

Brain & Mental Health 

OSA may cause: 

• Memory problems 

• Poor concentration 

• Mood changes 

• Depression

Repeated drops in oxygen levels stress the brain.

Metabolism & Hormones 

OSA is associated with: 

• Type 2 diabetes 

• Weight gain 

• Poor blood sugar control

Poor sleep quality can affect hormone balance.

Safety Concerns 

OSA can cause: 

• Excessive daytime sleepiness 

• Poor reaction time 

• Increased accident risk

Many serious road accidents are linked to untreated OSA.

Untreated OSA does not go away. The good news is treating your OSA can reduce or eliminate these risks and dramatically improve how you feel every day!

Treatment Options: Finding What Works for You

Lifestyle Changes

• Adequate sleep (>7hrs) is recommended for adults

• Weight loss is important to reduce disease severity

Continuous Positive Airway Pressure Therapy

• CPAP therapy is the most effective method for control. It is a small machine that delivers gentle air pressure through a mask, keeping your airway open all night. It is non-invasive and immediately improves your symptoms as long as you use it

If CPAP isn't working for you, don't give up! Alternatives exist:

Oral Appliance Therapy A custom-fitted device (like a sports mouthguard) that holds your lower jaw slightly forward during sleep. This keeps your airway open.

Surgical Solutions Various procedures can remove bulky tissue, reposition structures via tightening, stimulate loose muscles or expand the airway space. The right surgery depends on where your airway is collapsing.

OSA treatment is a lifelong journey, but you are not alone. We're your partners in this. Treatment protects your health and improves your quality of life. Your health is worth the effort.

ENT.DE.12.0326

This article was published by Khoo Teck Puat Hospital and updated in 2026.