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ENT

Snoring and Sleep Apnoea Assessment

Examining the upper airway and planning a sleep study for snoring and breathing pauses during sleep.

What is it?

Snoring is caused by vibration of tissues in the upper airway during sleep. If snoring comes with breathing pauses, daytime sleepiness or morning headaches, assessment for obstructive sleep apnoea is recommended.

During the examination the nose, palate, tongue base and larynx are inspected with an endoscope. The presence and degree of sleep apnoea are determined by a sleep study (polysomnography), which forms the basis for discussing treatment options.

Treatment may include weight management, sleep position changes, a positive airway pressure device, an oral appliance or, in selected cases, surgery. The suitable method is decided with you based on test results and examination findings; responses differ between individuals.

Who is it assessed for?

  • People who snore loudly and regularly
  • Those whose partner or family notice breathing pauses during sleep
  • Those who feel sleepy during the day despite enough sleep
  • Those who wake with morning headaches or a dry mouth
  • People with high blood pressure who snore

Step by step

  1. 1

    Sleep history

    Sleep patterns, daytime sleepiness and your partner's observations are discussed.

  2. 2

    Upper airway examination

    The nose, palate and tongue base are examined with an endoscope.

  3. 3

    Sleep study

    Polysomnography is planned if sleep apnoea is suspected.

  4. 4

    Discussing options

    Devices, appliances, lifestyle changes or surgery are considered based on the results.

  5. 5

    Follow-up

    Adherence to and effect of the chosen treatment are reviewed at check-ups.

Questions

Does all snoring mean sleep apnoea?

No. Not everyone who snores has sleep apnoea. A sleep study may be needed to tell them apart.

Where is the sleep study done?

It can be done overnight in a sleep laboratory or, where appropriate, at home with a portable device. The suitable option is decided after the examination.

Should my partner come to the appointment?

It is not required, but observations from your partner or someone you live with add valuable information.

This page is for general information and does not replace a medical examination. Results and the suitable approach vary from person to person.