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order viagra viagra canada Urgical protocol have been widely published and successfully used by drs. Powell and riley to treat thousands of patients. It is now widely recognized as a standard of care throughout the world. Each patient is encouraged to undergo medical treatment before surgery is considered. viagra for sale viagra without a doctor prescription cheap generic viagra http://classicmotocrossimages.com/mbs-viagra-cheap-buy-canada-gi/ buy viagra buy generic viagra cheap generic viagra viagra online viagra for sale viagra for sale The mainstay of medical management is nasal continuous positive airway pressure (cpap). Those patients who cannot tolerate nightly use of this device may be candidates for the staged surgical protocol. Not all patients can tolerate or remain compliant using nasal cpap. Surgery, like medical management, is not always an option. This can be caused by preexisting medical conditions, fear of surgery, concern over pain and discomfort, loss of work or income during recovery, advancing age, and/or cost. Continued research their research protocol saw tremendous success but this was not enough for drs. Powell and riley. They wanted to develop a treatment that was less invasive. This led them to a new technology known as radiofrequency energy. They, along with their team, collaborated with engineers who had extensive knowledge and experience with this technology. Radiofrequency had not previously been used to treat the delicate soft tissue of upper airway obstruction in patients with osas. However, it had been successfully used for several decades in the fields of cardiology, oncology, neurology, and urology. This research team felt that radiofrequency held potential as a minimally invasive treatment for obstructive sleep apnea syndrome. This began with animal studies designed to better define the basic science of radiofrequency and assess safety parameters, and then progressed to human clinical trials. These trials, done in steps, allowed the research team to develop algorithms to manage the energy, and to assess the limits and potential risks of the procedure. Over a four-year period they complete four studies. These results substantiated that radiofrequency can now safely treat portions of the upper airway including the nose, palate, and tongue base for nasal airway obstruction, snoring, and obstructive sleep apnea syndrome. Even though there has been much success, the team at the california sleep institute continues to research new options and procedures. Another choice for patients when looking for any type of procedure a patient enjoys having a choice. This new research and development of radiofrequencies has given patients another viable option again.