Snoring is the sound produced by upper airway tissues vibrating during inspiration, when asleep. Studies report that it affects nearly half the population. Males are affected almost twice as often as are females.
Anything narrowing the upper airways, like enlarged tonsils/adenoids or an elongated uvula will cause partial obstruction, and these floppy tissues vibrate during inspiration. Obesity results in fat being deposited in tissues around the throat, which also causes narrowing, and is a leading cause of snoring.
A deviated nasal septum or chronic nasal congestion has the same effect.
Excess alcohol acts as a muscle relaxant, causing floppy tissues in the throat.
Studies show that smokers who snore far outnumber non-smokers. It is thought that nightly nicotine withdrawal somehow contributes to snoring.
This specific syndrome produces enough airway obstruction to completely prevent breathing for a while. Periods of increasingly loud snoring (as the airway becomes increasingly obstructed) are followed by up to 10 seconds of total obstruction when breathing stops completely. When oxygen levels drop too low, and carbon dioxide levels reach dangerously high levels, brain activity causes the person to wake up, which forces the airway open with a loud gasp. This cycle is repeated several times during the night.
Lying on one’s back significantly increases the likelihood of snoring.
This is very simple: the sleep partner is usually the one to complain and describe the problem. The patient may complain of constant tiredness and excess daytime sleepiness. A child who snores must be referred to a paediatrician or ear, nose & throat (ENT) specialist.
A general history and examination are standard, but with special attention to weight, smoking/alcohol habits, other airway problems and the use of any medications inducing muscle relaxation.
Persistent snoring causes enough sleep disturbance to lead to day-time sleepiness, which has many risks, including higher motor accident rates. There is also an increased risk of developing high blood pressure and stroke.
The basic aim of treatment is to maintain an open airway, by combining patient-controlled factors, plus conservative treatment or surgical means.
Conservative treatment involves using a special apparatus, such as a customised dental mouthpiece for keeping the tongue and palate in position; or a CPAP mask. This is a mask worn over the nose during sleep. A small pump feeds pressurised air into the mask, forcing the airways open. It is successful, but very few patients can tolerate the discomfort.
Surgery is reserved for resistant cases, and called uvulopalatopharyngoplasty. This operation removes all excess tissues from the soft palate and tonsillar areas, and may be done by traditional means (under general anaesthesia, using a scalpel) or under local anaesthesia using a laser scalpel. The procedure is painful and has many complications, including narrowing of the pharynx, and nasal reflux.
Medical Advancements, News & Interviews