Sleep Disorders

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What is snoring?

Vibration of respiratory structures and the resulting sound due to obstructed air movement during breathing while sleeping.

What are the causes of Snoring?

• Throat weakness, causing the throat to close during sleep.

• Mal positioned jaw, often caused by tension in the muscles.

• Obesity that has caused fat to gather in and around the throat.

• Obstruction in the nasal passageway.

• Obstructive sleep apnea.

• Sleep deprivation.

• Sleeping on one's back, which may result in the tongue dropping to the back of the mouth.

Will it affect our normal Life Style?

Yes In some cases, the sound may be soft, but in most cases, it can be loud and unpleasant. Snoring during sleep may be a sign, or first alarm, of obstructive sleep apnea.

Though snoring is often considered a minor affliction, snorers can sometimes suffer severe impairment of lifestyle. Significant improvement in marital relations after snoring was surgically corrected.

New studies associate loud "snoring" with the development of carotid artery atherosclerosis. Snoring vibrations are transmitted to the carotid artery, identifying a possible mechanism for snoring-associated carotid artery damage and atherosclerotic plaque development and consequently ischemic stroke.

What are signs of snoring?

• Snoring is known to cause sleep deprivation to snorers and those around them,

• drowsiness.

• Irritability.

• Lack of focus and decreased sexual desire.

• It has also been suggested that it can cause significant psychological and social damage to sufferers.

What happens during Snoring?

Snoring is caused by a partially closed upper airway (the nose and throat). When this happens, it means that a person isn’t taking in enough oxygen for the body to perform its important functions. The brain then sends a signal to the body to wake up to get the oxygen it needs, likely resulting in the person waking up throughout the night without realizing it.

Closure of upper airway may be due to blockage of air flow when air enters lungs. Obstruction may be present in the nose, upper jaw, Lower jaw or involving all the structures.

Will it affect our normal Life Style?

Yes In some cases, the sound may be soft, but in most cases, it can be loud and unpleasant. Snoring during sleep may be a sign, or first alarm, of obstructive sleep apnea.

Though snoring is often considered a minor affliction, snorers can sometimes suffer severe impairment of lifestyle. Significant improvement in marital relations after snoring was surgically corrected.

New studies associate loud "snoring" with the development of carotid artery atherosclerosis. Snoring vibrations are transmitted to the carotid artery, identifying a possible mechanism for snoring-associated carotid artery damage and atherosclerotic plaque development and consequently ischemic stroke.

Can it be corrected?

Yes snoring can be treated by clearing the blockage of airflow into the lungs. Clinically expert examines and identifies where the obstruction is and treat accordingly. Craniomaxillofacial surgeon, ENT surgeon, Pulmonologist are involved in treating snoring.

Modes of treatment


Dental appliances - Specially made dental appliances called mandibular advancement splints, which advance the lower jaw slightly and thereby pull the tongue forward, are a common mode of treatment for snoring. Such appliances have been proven to be effective in reducing snoring and sleep apnea in cases where the apnea is mild to moderate.

Positive airway pressure - A continuous positive airway pressure (CPAP) machine is often used to control sleep apnea and the snoring associated with it. To keep the airway open, a device pumps a controlled stream of air through a flexible hose to a mask worn over the nose, mouth, or both. This is one of the oldest technique of treating Snoring.

Surgery - Surgical treatments to modify airway anatomy, known as sleep surgery, are varied and must be tailored to the specific airway obstruction needs of a patient.

a. Nasal surgery, including turbinectomy (removal or reduction of a nasal turbinate), or straightening of the nasal septum, in patients with nasal obstruction or congestion which reduces airway pressure and complicates OSA.

b. Tonsillectomy and/or adenoidectomy in an attempt to increase the size of the airway.

c. Removal or reduction of parts of the soft palate and some or all of the uvula, such as uvulopalatopharyngoplasty (UPPP) or laser-assisted uvulopalatoplasty (LAUP).

d. Reduction of the tongue base for those who has large tongue obstructing airway.


Genioglossus advancement / Genioplasty - In which a small portion of the lower jaw that attaches to the tongue is moved forward, to pull the tongue away from the back of the airway. This surgery improves appearance of the face soon after the surgery.

Maxillomandibular advancement - This is the one of the latest treatment for treatment of snoring & obstructive sleep apnoea where either mandible or maxilla or both brought forward to open the airway obstructed by either upper jaw or lower jaw or both.