Each patient that visits Spire Hartswood Hospital to see Mr Bhik Kotecha for snoring assesment is offered an individually tailored diagnosis and treatment plan.
Surgical treatment options may not be appropriate for all patients. Patient selection is of utmost importance.
At your first consultation, Mr Kotecha will obtain a full history and will examine your nose and throat.
Snoring and obstructive sleep apnoea* are part of the same sleep related breathing disorder. An overnight sleep study may be recommended in order to identify whether you have sleep apnoea and to demonstrate its severity. In preparation for the sleep study, our specialist ENT nurse will attach chest leads, finger probes and a nasal cannula linked to a recording device, which is switched on before you go to sleep. The sleep study can be done at home or, if you prefer, in the hospital.
* Sleep apnoea: disruption of breathing for ten seconds or longer occurring periodically throughout sleep
The next stage is a specialist examination called "sleep nasendoscopy" to evaluate the upper airway whilst you are asleep. This procedure takes place in the hospital operating theatre. You will be given a sedative in order to simulate sleep and induce snoring. Mr Kotecha then uses a flexible endoscope (tube with integrated camera) to assess where the snoring and obstruction is arising from. This may be from the soft palate or the tongue or both. In addition some patients also have a blockage in the nose which causes turbulent air flow.
Depending on where the problem is, you may be offered minimally invasive radiofrequency surgery to the soft palate, uvula, tongue and/or the nose. This is usually done under general anaesthesia as quite commonly more than one region will require treatment. The radiofrequency energy applied via special probes can induce shortening and stiffening of the soft palate, reduce the bulkiness of the tongue and create a clearer nasal passage. Reducing the upper airway obstruction in this way normally leads to a reduction in snoring and a great improvement in sleep quality for the patient and their partner.
Surgical treatment options may not be appropriate for all patients. Patient selection is of utmost importance. Various factors may be corrected before surgery is contemplated eg weight loss in obese patients, as surgical outcome is poorer in patients with higher Body Mass Index. Reducing alcohol intake and cutting down on smoking may also help.
A wide range of treatments is now available at Spire Hartswood Hospital to help patients suffering from snoring and sleep apnoea. For more information, please call our Treatment Enquiry Adviser on 01277 266 761 or email email@example.com.