u/Placid123677

I just got my sleep study results back and could really use some insight from anyone familiar with this type of data. Every single morning I wake up feeling completely wiped out with zero energy, like my sleep is constantly being interrupted and fragmented into micro-pieces all night.
On paper, my overall AHI is technically labeled "mild" at 9.5, but I’m confused on how to interpret it because it’s almost 100% hypopnea-dominant (29 hypopneas, 0 full obstructive apneas, 7 central). On top of that, my AHI spikes to 24.0/hr during REM, and I only got 5 total minutes of REM sleep the entire night with an arousal index of 24/hr. I’m 20M, normal BMI, so I don't fit the classic sleep apnea stereotype at all.
How does hypopnea-dominant / flow-limitation sleep apnea differ in how it affects daytime fatigue compared to standard obstructive events?
Any comments would be appreciated

I just got my sleep study results back and could really use some insight from anyone familiar with this type of data. Every single morning I wake up feeling completely wiped out with zero energy, like my sleep is constantly being interrupted and fragmented into micro-pieces all night.
On paper, my overall AHI is technically labeled "mild" at 9.5, but I’m confused on how to interpret it because it’s almost 100% hypopnea-dominant (29 hypopneas, 0 full obstructive apneas, 7 central). On top of that, my AHI spikes to 24.0/hr during REM, and I only got 5 total minutes of REM sleep the entire night with an arousal index of 24/hr. I’m 20M, normal BMI, so I don't fit the classic sleep apnea stereotype at all.
How does hypopnea-dominant / flow-limitation sleep apnea differ in how it affects daytime fatigue compared to standard obstructive events?
Any comments would be appreciated

I just got my sleep study results back and could really use some insight from anyone familiar with this type of data. Every single morning I wake up feeling completely wiped out with zero energy, like my sleep is constantly being interrupted and fragmented into micro-pieces all night.
On paper, my overall AHI is technically labeled "mild" at 9.5, but I’m confused on how to interpret it because it’s almost 100% hypopnea-dominant (29 hypopneas, 0 full obstructive apneas, 7 central). On top of that, my AHI spikes to 24.0/hr during REM, and I only got 5 total minutes of REM sleep the entire night with an arousal index of 24/hr. I’m 20M, normal BMI, so I don't fit the classic sleep apnea stereotype at all.
How does hypopnea-dominant / flow-limitation sleep apnea differ in how it affects daytime fatigue compared to standard obstructive events?
Does this point to anatomical airway narrowing? Did they omit reras from scoring (look at observations)

SO, I got my CBCT report back yesterday and it said that my right ramus is 4.6mm longer than the left. My bite is still class 1 (either maxillary or dental compensation), but is slopes/cants down to the right. I used Frankfort horizontal centering to really see and now I'm starting to understand why I have so many functional bite issues, mainly premature contact on right molars. Can this be the driver of my right-sided facial asymmetry? If so, could orthodontics help, or is this an orthognathic case? Any insight would be greatly appreciated

Just got my cbct back, it shows my maxilla is a bit larger on right side with longer ramus, but externally my soft tissue drape looks very asymmetrical. My right cheek area looks so much more anteriorly projected and it destroys my facial harmony as opposed to what it was before. Could those dimensions make the asymmetry make sense or no? Any reason why this is? The only picture where my face was symmetrical like before is the one where im smiling with short hair which was before orthodontic work at 13 (no extractions). The rest are current. How is forward projection and occlusion as well? Side profiles look uneven as well

Made a post a few weeks ago about my breathing issues and cbct scans and now I fonally got my sleep report back. Note that my arousals are high but my RERA is low, as I think it is because the clinic did not use esophageal manometry and/or did not score nasal transducer correctly, shown by the discrepancy between RERA and arousals. What do you guys think?

I made a post yesterday about my symptoms of disordered breathing and sleep, and currently waiting in a long queue to hear back from a radiologist and sleep specialist to interpret my results. If anyone here is a radiologist or can read cbct scans, your advice or comments would be GREATLY APPRECIATED!

Childhood nasal trauma cascade

Sorry for the long text, but I’m losing my mind here. At 12–13, I took a direct hit to the bridge of my nose (nasal dorsum) from an overhand basketball throw. No immediate bleeding occurred, but during a 4-inch growth spurt around ages 14–15, major structural issues surfaced: a dorsal "camel" hump formed, my nose shifted left, my tip began drooping when I smile, and severe bilateral obstruction developed (left external valve collapse on inhalation, right internal valve narrowing).
I had braces from 16–17 (now with permanent retainers). An ENT at 17 confirmed a severely deviated septum but missed my valve collapse. At 19, I underwent an endonasal septoplasty and turbinate reduction, but over a year post-op, my breathing is still terrible. A recent ENT confirmed right internal valve collapse and recommended an open functional reconstruction (mid-vault rebuilding, tip support, and re-correcting the septum).
During this time I’ve developed daily fluctuating "air hunger" and dyspnea despite no history of asthma or lung issues. It worsens when exercising, lying down, or chewing (forcing me to shift food to take deep breaths), and I wake up 2–3 times a night with severe daytime fatigue. Additionally, my bite feels shifted and right-side dominant, my lower jaw drops off-center to the right, and my teeth feel loose. Post-puberty, I also developed right-sided soft tissue hypertrophy (nasolabial, malar, and infraorbital regions) causing visible facial asymmetry, along with fluctuating right retro-orbital eye strain. I’m seeing both an omfs and ENT for these issues but I have to wait extremely long as wait times in Ontario are brutal.

Last 3-4 years (currently 20M) I’ve had really unrefreshing sleep that has led to my whole day being basically ruined. I’m constantly tired and wake up multiple times in the morning middle of the night. Along this I have both mouth and nasal breathing issues, where I struggle to take deep breaths and get a satisfying breath. This leaves me feeling very fatigued at different times throughout the day, especially when chewing or exercising. I do not snore, but I wake up multiple times through the night, and wake up with mouth open even when i consciously try to sleep with mouth closed. I just took CBCT scans and am waiting for the radiology report, determining whether I need marpe or MMA surgery or potentially both although visibly I’m not very recessed. Anyone have some insight?