u/EnvironmentalCod9958

Recently I have learned that Orofacial Myofunctional Therapy (OMT) could be a potential treatment for UARS, especially for people whose issues are caused by soft tissue collapse rather than skeletal abnormalities.

A quick background about me:

• 18M, normal BMI (180cm, 80kg), and I don't really snore.
• Suffering from unrefreshing sleep, daytime fatigue, and brain fog.
• Dentist/X-ray: Cleared. Jaw structure and skeletal airway look completely fine (no recessed jaw).
• ENT Endoscopy: Showed mild nasal turbinate swelling and inflamed tongue base/tonsils. The doctor noted airway collapse at the soft palate and epiglottis during the Muller's maneuver.
• I highly suspect I have LPR (silent reflux) caused by the negative thoracic pressure during sleep, which makes the tongue base inflamed.

I have an in-lab PSG scheduled for the 22nd (specifically requested to score RERAs), but I want to start looking into conservative treatments like OMT to strengthen my tongue and soft palate muscles.

For those who have tried OMT for UARS:

1. Did it actually help with your sleep quality and daytime fatigue?
2. Did you work with a professional myofunctional therapist, or did you use an app/YouTube tutorials?
3. How long did it take to notice a difference?
4. Are there any specific exercises you'd highly recommend for soft tissue collapse?

Any advice would be greatly appreciated!