Dr. Hardeep Dhaliwal, a quadruple board-certified surgeon, specializes in procedures that address the structural causes of sleep apnea, helping patients breathe better, sleep soundly, and improve their overall health.
Understanding Sleep Apnea and Its Impact
Sleep apnea is a serious sleep disorder marked by repeated interruptions in breathing during the night. These pauses can lead to fragmented sleep, low oxygen levels, and a wide range of health problems, from fatigue to increased risk of heart disease.
Recent Statistics:
- Prevalence: An estimated 30 million adults in the U.S. have obstructive sleep apnea, yet about 80% remain undiagnosed. 1
- Health Risks: Untreated sleep apnea is associated with high blood pressure, heart disease, stroke, and type 2 diabetes. 2
- Cognitive Impact: Research shows untreated sleep apnea may raise the risk of memory issues and dementia, particularly in women. 3
Effective treatment improves more than just sleep quality. It supports long-term cardiovascular, metabolic, and cognitive health.
Types of Sleep Apnea
Not all sleep apnea is the same. There are two primary types:
1. Obstructive Sleep Apnea (OSA)
This is the most common form, caused by physical blockages in the upper airway when throat muscles relax during sleep. Symptoms include loud snoring, gasping for air, morning headaches, and excessive daytime fatigue.
Dr. Dhaliwal’s surgical treatments, including jaw surgery, maxillary expansion, and genial tubercle advancement, are designed to address these structural issues and improve airflow.
2. Central Sleep Apnea (CSA)
Central Sleep Apnea occurs when the brain fails to send the right signals to the muscles that control breathing. This type is often linked to underlying conditions like heart failure or neurological disorders. Since it’s not caused by a physical blockage, it’s typically not treated surgically but managed through other medical therapies.
Advanced Surgical Treatments for Obstructive Sleep Apnea
Dr. Dhaliwal offers a range of procedures that target the root anatomical causes of obstructive sleep apnea. These surgeries are highly personalized and planned using advanced 3D imaging and surgical simulation technology.
Maxillomandibular Advancement (MMA) Surgery
This procedure repositions the upper and lower jaws to expand the airway and reduce soft tissue collapse. It’s one of the most effective surgical treatments for moderate to severe sleep apnea.
Jaw Surgery for Sleep Apnea
Orthognathic surgery corrects skeletal imbalances contributing to airway obstruction. Dr. Dhaliwal uses virtual surgical planning to create a customized and precise approach for each patient.
Maxillary Expansion with DOME and SARPE
For patients with a narrow upper jaw:
- DOME (Distraction Osteogenesis Maxillary Expansion): A gradual expansion process that improves airflow through the nasal passages.
- SARPE (Surgically Assisted Rapid Palatal Expansion): A faster method that combines surgery and orthodontics to widen the palate in adult patients.
These techniques can be used alone or alongside other surgical treatments.
Genial Tubercle Advancement
This surgery repositions the attachment of tongue muscles, preventing the tongue from collapsing backward and obstructing the airway during sleep. It’s particularly helpful for patients whose apnea is tied to tongue positioning.
What to Expect During Your Consultation
At your consultation, Dr. Dhaliwal will review your sleep study, perform a detailed airway evaluation, and discuss your symptoms and medical history. He will explain your options and create a customized surgical plan to match your anatomy and goals.
Is Surgical Treatment Right for You?
Surgery may be an excellent solution if:
- You have been diagnosed with moderate or severe OSA
- You are unable to tolerate or benefit from CPAP therapy
- Your sleep apnea is due to structural or skeletal issues
- You are looking for a more permanent solution
Why Choose Adara Surgical Institute?
Choosing the right provider for sleep apnea surgery is an important step toward lasting results. At Adara Surgical Institute, every aspect of your care is designed for precision, comfort, and long-term success.
- Dr. Dhaliwal’s unique training and board certifications in both oral/maxillofacial and cosmetic surgery ensure exceptional care.
- We use CBCT imaging, digital impressions, and 3D surgical planning to achieve predictable results.
- You will receive a treatment plan that fits your needs—not a one-size-fits-all approach.
- Our Issaquah facility is designed to provide a safe, relaxing surgical experience.
Adara Surgical Institute
Schedule Your Consultation Today
To book a consultation at our oral surgery office in Issaquah, WA, call (425) 428-5888 or visit us at 6505 226th Pl SE STE #100 Issaquah, WA.
We are located in the heart of Issaquah, WA, in the back of Meadow Creek Business Center. We have plenty of parking and easy access into our building, which is conveniently located on the first floor and easily accessible for all patients.
Request an AppointmentFAQs
Does jaw surgery cure sleep apnea?
Jaw surgery, such as maxillomandibular advancement, can be highly effective for many patients with obstructive sleep apnea. While it’s not guaranteed to be a complete cure, it often leads to a major reduction in symptoms and dependence on devices like CPAP. The success depends on the severity of the condition and individual anatomy.
How long is recovery after MMA surgery?
Most patients resume normal activities in 3–6 weeks, although healing times vary.
What’s the difference between DOME and SARPE?
DOME uses a gradual expansion device, while SARPE is a quicker method involving surgical cuts and an orthodontic appliance. Your surgeon will recommend the best approach for your anatomy.
Can surgery help with central sleep apnea?
Central sleep apnea is caused by neurological signaling issues, not airway obstruction, and is typically treated with devices or medication.
References
- https://aasm.org/new-national-indicator-report-details-importance-prompt-sleep-apnea-diagnosis-treatment/ ↩︎
- https://www.heart.org/en/health-topics/sleep-disorders/sleep-apnea-and-heart-disease-stroke ↩︎
- https://www.michiganmedicine.org/health-lab/sleep-apnea-contributes-dementia-older-adults-especially-women ↩︎