Snoring and Obstructive Sleep Apnea
Snoring and the associated problem of
obstructive sleep apnea is a serious condition that can result
in severe complications in up to 2-4% of adult patients. These
complications include stroke, and heart attack. Snoring in and
of itself causes problems for the snorer , such as high blood pressure.
Also the significant other in the bedroom loses sleep or gets poor
People are supposed to sleep quietly and without effort.
Air is breathed in through the nose, passing past the nasal septum
and inferior turbinate bones, then the back of the nose, the soft
palate, the tonsils, base of tongue, larynx including the epiglottis
and vocal folds, and finally into the trachea and the lungs. Any
of these sites could be the source of the obstruction. Collapse
of the airway can result from fast breathing, excess pressure from
obesity, and poor breathing technique. So – to put it simply- it
is complicated! The best physician for treating this problem is
the Otolaryngologist/Head and Neck Surgeon. Proper History and
Physical Examination of all these sites is imperative for proper
In children, the diagnosis is usually
made from history from the parents. It has always been my opinion
that Mom’s are the smartest folks on the planet. They know their
children. Rarely is a study required.
Adult patients who complain
about snoring need referral to a quiet Sleep Lab. It is still difficult
at this time to rule out Sleep Apnea by simple history/questions/
physical exam. However- after the sleep study is found to be positive-
sending the patient for a sleep mask without proper exam risks
poor compliance. For example- It is impossible to use nasal CPAP
breathing machine if you cannot breathe through your nose!
ENT Doctor (otolaryngologist/Head and Neck Surgeon) will examine
your nose, mouth, throat, and will often use a flexible fiber optic
scope to examine your entire airway, before making any recommendations.
Genetics are also very important. This means the facial bone structure
the patient has, the relationship of the chin to larynx (voice
box). This is why traditional snoring operations yield only a little
better than 50% success.
In essence- if you or your partner snores-
come see us.
solutions for snoring or
obstructive sleep apnea (OSA).
Wladecki is one of few surgeons certified for two new innovative
Pillar® Palatal Implant System
Repose THS (Tongue & Hyoid
Articles & Medical Facts.