I just visited an ENT and got some next steps to take that I would like your input on. To preface, the ENT has a board certification in both Otolaryngology and Sleep Medicine.

I went to the appointment and told him about my sleep apnea diagnosis and asked him if my sinuses were causing it. He poked a couple spots in my nose and asked if it was easier to breath. Yes, slightly, I told him. He told me I probably have UARS based on my sleep study report and decided to give me a CT scan.

Here it is:

He told me to try Rhinomed Mute (or Breathe Right strips). If that helps then nasal surgery would be a good next step.

Surgery recommendations:
1. Vivaer
2. Turbinate Surgery | Concha Bullosa Surgery | Balloon Sinuplasty | BTN (not sure what this is)

My first reaction is that this is a lot and it might not actually solve my problem. I haven’t heard much about Vivaer besides that he says it helps all of his patients.

What should I do now? I’ve heard a lot about MSE but the process sounds terrifying. Nasal surgery seems less severe but I don’t want a surgery that might end up useless. Should I get a DISE? Ideally I want to know with 100% certainty what the root cause of my UARS is and address the problem directly instead of using the process of elimination via surgery.

Thank you

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