Snorers.co.uk
CONTENTS

Introduction to Snoring and Obstructive sleep apnoea (OSA)

Patient assessment

General management

Surgical treatment

Radiofrequency techniques

Sources of more information

Information about the author

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Non Surgical treatments

Mandibular splints
A device worn in the mouth overnight resembling a sports gum-shield can be fitted so that it pulls the lower jaw (mandible) forward a few millimetres. This may be sufficient to bring the tongue forward a little and increase the airway space at the back of the throat thus reducing snoring noise. There are several such devices available. They may cause aching discomfort in the jaw joint in some patients but most are able to tolerate the mandibular splints. The success rate in reducing snoring noise in the long term can be disappointing but they may be useful in the short to medium term in patients who prefer to avoid more invasive treatments. (see sources of more information)

Nasal CPAP
Continuous Positive Airway Pressure (CPAP) is a method of administering air to the back of the throat via a plastic mask fitting tightly around the nose. The mask is connected to a small electrically powered air compressor via a flexible plastic hose. The air pressure is adjusted to a high level so that the soft tissue at the back of the throat is pushed apart and the patient is able to breathe without obstruction. The beneficial effects can be dramatic and immediate especially in cases of severe OSA. Snoring noise is also eliminated although many patients feel that the inconvenience of wearing the apparatus is almost as bad as the original snoring noise.

Nasal Airways
Various non-surgical methods may usefully be tried in order to improve the nasal airway. These include topical nasal steroid sprays such as Beconase or Rhinolast (available without prescription in UK) or nasal decongestant sprays eg. Otrivine or Ephedrine. Note the decongestant sprays must be used sparingly for periods of maximum one week in order to reduce risk of damage to the nasal lining. Plastic nasal splints are also worth trying as an experiment to temporarily open the nostrils a little wider during sleep. Success in reducing snoring by sprays or splints would suggest surgery may offer a more lasting solution.

Palate sprays
Sprays are available which are applied to the soft palate before bedtime. They act as a mild irritant to the palate and can help reduce snoring noise. Generally the effect is not long-lasting.

Drugs eg Protryptiline
Snoring is usually most marked during REM sleep. This is when the pharyngeal muscles are maximally relaxed. Drugs such as protryptiline are used to reduce the REM phase of sleep and consequently shorten the period of snoring. Although they can be effective in some patients, most people would prefer not to take medication long term which alters the natural sleep pattern in this way.

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