Snoring

“Bespoke Assessments and treatments for your snoring”

We offer a range of assessments to accurately assess your snoring and only then recommend the best treatment/s for your specific problem from a wide range of treatments options offered by us.

Using this method 85% of our patients get significant, sustained improvement

Professor Anshul Sama has been a pioneer in surgical treatments for sleep disordered breathing. He was the first to introduce the” apneagraph”- a pressure assessment tool to localise the level of the obstruction to UK. He has devised his own surgical techniques combining the traditional concepts with new technology to create the Radiofrequency Rotational Uvulo-Palatoplasty. Using the appropriate assessment techniques, this technique has proven to be effective in over 85% of individuals with long term follow up. He is the inventor of SnooZeal, a novel day time non-surgical treatment device for tongue related snoring and Sleep Apnoea.

Professor Sama has run his own courses on training doctors in techniques of snoring surgery, written articles and book chapters on this subject and continues to contribute as faculty on leading national courses. He has lectured around the world on snoring treatments including China, India, Denmark and UK.

  • sites of snoring
  • Large Tonsils
  • Post Surgery

FREQUENTLY ASKED QUESTIONS:

Snoring is very common – 40-60% of men snore (increases with age)
– 30-40% of women snore (especially after menopause)

Snoring is caused by turbulence of airflow or vibration of structures in the throat. Interestingly, this noise only occurs during sleep. The reason- Excessive loss of throat muscle tone during sleep. This causes narrowing and collapse and hence vibration and turbulence.

Sometimes, certain structures in the nose and throat can increase the likelihood of the narrowing and snoring. These are

  • Nasal allergies with large Turbinates
  • Nasal polyps or sinus disease
  • Bent partition of the nose called “Septum”
  • Large Adenoids (usually in children)
  • Large Tonsils
  • Floppy palate and uvula (dangly bit in back of throat)
  • Large Tongue
  • Narrow side walls of the throat
  • Floppy Epiglottis (cartilage protecting your voice box)

Most people present due to the social embarrassment, concern over the impact on their partners sleep and concern over the impact on their relationship due to need to sleep separately. Some are unable to travel on public transport or go on holidays due to the embarrassment. There is no doubt- snoring can have a very significant social impact.

However, it can also have a significant Medical consequence. When the collapse of the throat gets worse, it can lead to episodes of “breath holding” or “apnoeas”. This is when the snorer stops breathing for periods of 10 seconds or greater. If that is the case, you may have a more serious problem of “Obstructive sleep Apnoea”. This causes un-rested sleep, morning headaches, being tired and sleepy through the day, irritability, poor concentration and low level of energy. More importantly, it can be associated with a higher risk of road traffic accidents, high blood pressure, heart attacks, diabetes and strokes. So Snoring can be serious!

Snoring occurs from vibration due to partial obstruction in your throat. Unfortunately, in some snorers, the obstruction can progress to complete blockage and episodes of breath holding, a condition called Obstructive Sleep Apnoea syndrome (OSAS).

Symptoms that suggest that you may have obstructive sleep apnoea are

  • Partner stating that you stop breathing between the snoring events
  • Waking up multiple times through the night due to the snoring or choking feeling. Often, the individual will wake up just thinking they need to pass water!
  • Waking up unrefreshed after a normal nights sleep
  • Finding yourself sleeping longer on the weekends when you don’t have to wake up for work
  • Morning headaches
  • Daytime tiredness and sleepiness
  • Feeling the need to catch a nap after lunch
  • Cat napping in the afternoons when life style commitments permit
  • Falling asleep in front of the TV in the evenings
  • Falling asleep in the office or public areas if you are not busy
  • Finding yourself drifting to sleep when driving- when stationary at lights, on long journeys or as passenger in the car
  • Poor concentration
  • Lack of sexual drive
  • Finding yourself unexplainably short tempered or irritable

If you have a few of these symptoms, you may be suffering with OSAS and need a sleep study and appropriate treatment.

Snoring is a complex problem and often multifactorial.
Many clinics will offer one type of treatment. Unfortunately, no one treatment is going to work in all individuals. If it did, we wouldn’t have so many different types of treatments being offered and all claiming success!

The best treatment options for YOU are based on

  • Sleep study- severity of obstruction
  • Localisation investigation- where are you snoring from
  • Clinical examination findings- what structural problems are evident
  • Your threshold for intervention and preferences- how far do you wish to go

We offer the widest range of treatments that covers all the possible computations of the above questions. We offer all the treatment options listed below.

  • Palatal Implants
  • Palatal radiofrequencychannelling
  • Coblation assisted radiofrequency palatoplasty
  • Rotational palatoplatsy
  • Tonsillectomy
  • Nasal surgery- septoplasty, turbinate, polyp or sinus surgery
  • Stamford Palatal Flap
  • Radiofrequency reduction of tongue base
  • Bespoke Mandibular Advancement devices
  • SnooZeal- Daytime stimulation of mouth/tongue
  • CPAP- Continuous positive airway pressure (for OSA or UARS)

Professional Associations