Spire Manchester Hospital’s Snoring Cessation Service

Is snoring causing you or your partner sleepless nights?

Do you or your partner suffer from disrupted sleep due to snoring?

Do you suffer from excessive tiredness in the day after a bad night’s sleep?

Rest assured we can help silence the nightmare of snoring - don’t lose another night’s sleep.

Snoring is a common problem which can have a significantly disruptive effect on peoples’ lives. It is estimated that up to 50% of the UK population snore from time to time and it’s unfortunate that, for many of us who have encountered the real problems snoring can cause, it can be hard to find a solution that works for everyone. There are dozens of types of treatments available on the internet with little or no evidence based research to support the claims the manufacturers make. As a result it is common place that patients try numerous solutions in a scatter gun approach to no avail.

Spire Manchester Hospital is now offering dedicated evidence-based treatments and solutions for all patients who suffer from snoring or apnoea.

What it snoring?
Snoring is defined by the British Snoring and Sleep Apnoea Association as a coarse sound made by vibrations of the soft palate and other tissue in the mouth, nose and throat (upper airway). It is caused by turbulence inside the airway during breathing. The turbulence is caused by a partial blockage that may be located anywhere from the tip of the nose to the vocal chords. If the airway blockage is severe, this may result in sleep apnoea.

What is sleep apnoea?
Obstructive Sleep Apnoea (OSA) is defined as the cessation of airflow during sleep preventing air from entering the lungs caused by an obstruction. When you experience an episode of apnoea during sleep your brain automatically wakes you up, usually with a very loud snore or snort, in order to breathe again. People with OSA can experience these wakening episodes many times during the night and consequently may feel very sleepy during the day. Therein lies the problem. Historically, chest, respiratory physicians and ENT surgeons have struggled to indentify the exact levels and the severity of the airway blockages that snorers have. To address this problem Spire Manchester Hospital’s snoring cessation service uses the latest diagnostic technologies available to help determine what treatments will be effective for each individual.

What can the snoring cessation service do for me?
An initial consultant and assessment with Mr Yousuf Saleem, Consultant Ear, Nose and Throat Surgeon, starts from approximately £530*. During this assessment you will undergo some general investigations including Body Mass Index, Epworth Sleepiness Score, a lifestyle questionnaire and an examination of the nasal airway and throat. Mr Saleem will also take a comprehensive medical history and discuss with you (and where possible your bed partner) the types of treatment available. You will then be fitted with an Apneagraph device which helps us identify the specific reasons for your snoring. Mr Saleem will then go through the results with you at a week later.

For those patients who are suitable for surgery we will complete the surgical elements of your treatment for a further £3,250*. So we don’t charge you for surgery unless you are suitable and we know exactly what procedures will work best for you.

If you have been quoted lower prices to ‘cure’ your snoring ask how other providers intend to diagnose the level of your obstruction. This is why we charge £530* to identify whether you are right for surgical solutions not, this in itself could end up saving you thousands of pounds.

The treatments
Because snoring and sleep apnoea are often multi-factorial conditions with a variety of contributory factors, is it unlikely there will never be one single universal cure for snoring. Therefore, accurate assessment is essential to guide appropriate treatment.

  • Continuous positive airways pressure (CPAP)
    The gold standard treatment for sleep apnoea. Air under pressure is delivered via a nasal mask. CPAP helps to hold the airways open to prevent obstruction and snoring.
  • Palatal surgery – CAUP (Coblation Assisted Upper Airway Procedure) with or without tonsillectomy
    This involves partial excision of the uvula (the structure that dangles at the back of the throat and which normally vibrates to create the noise of snoring), as well as scarring of the soft palate by creating small channels on either side of the uvula. This is done using low-temperature plasma energy delivered via a surgical instrument into the soft palate. This results in an area of scarring and hence stiffening of the soft palate. In individuals with large obstructive tonsils, these can also be removed as part of the procedure if necessary.
  • Nasal surgery
    To deal with turbinate enlargement, nasal polyps or enlarged adenoids, this may help snoring by overcoming nasal obstruction.

What is Coblation and why do we use it?
Previously, laser was often used in surgery for snoring problems, but we now use the latest Coblation technology.

Coblation is a proven medical technology which has been used on over five million patients worldwide. It helps surgeons to precisely dissect and coagulate soft tissue while preserving the health of the surrounding structures. It uses plasma at low temperatures typically (40º-70ºC) which offers substantial benefits to a wide range of specialities including ENT, orthopaedic, spinal, urological, gynaecological and laparoscopic surgery.

It is sometimes the case that a combination of both the palatal and nasal surgical options will be utilised to treat a patient.

For further information or to book an appointment call 0161 232 2303 or complete the form on the right-hand side of this page.

*Prices subject to change. Subject to satisfactory clinical assessment.

About the Apneagraph

How is Apneagraph different from other tests?
Our service uses the Apneagraph device which, unlike the traditional Sleep Study, not only helps to tell us if customers have sleep apnoea or not but also the location of the obstruction that is causing it. This helps Mr Saleem to plan the type of treatment or surgery required. Apneagraph uses a patented pressure monitoring system to record breathing patterns and oxygen saturation levels as you sleep. In turn this helps us to identify the treatments that will give the greatest chance of successfully treating the causes of snoring.

How is the recording made?
A small tube containing sensors is placed through the nose and into the throat (the oesophagus). The other end of the tube is connected to the Apneagraph recorder that collects the information as you sleep. Additionally a small device is taped to an index finger to measure pulse rate and oxygen saturation levels.

It takes about 30 minutes to set up the Apneagraph. You will need to wear a loose fitting t-shirt for your appointment or something that you can sleep in.

You will leave the hospital with the Apneagraph sensors in place and a small chest belt which houses the data recorder. All equipment will be positioned so that you can continue your life as normal (including eating and drinking that evening).

An appointment will be made for you to come back the following morning to have the Apneagraph recorder and sensors removed. The data will then be downloaded from the recorder to a computer for analysis.

Results of Apneagraph
First of all we will know if your snoring is associated with sleep apnoea or not. If your snoring is associated with severe sleep apnoea, you will require non-surgical treatment like Continuous Positive Airways Pressure (CPAP). If CPAP is required you will be referred back into a local NHS service.

However, if your snoring is not associated with sleep apnoea or only mild to moderate sleep apnoea, you may benefit from surgery. Apneagraph should show exactly where your obstruction is and what the causes of your snoring are and if surgery is recommended, this will help Mr Saleem to plan the most appropriate treatment for you.

Our consultant specialising in snoring and sleep apnoea treatment

Mr Yousuf Saleem,
Consultant ENT Surgeon

Find a treatment, test or scan available at:


Find a consultant

Use one or more of the options below to search for a consultant and link through to view their Spire profile.


Let us help you

fill out this form and we will get back to you:

Please select a hospital

We can call you

Please enter your details below and we will call you back.

What is the aim of your enquiry?

Please select a hospital

If we are unable to reach you by phone, please include your email address so that we can get in touch...

Call our self-pay team0161 232 2303

Spire Manchester Hospital News & Events

30.11.2016 - We are holding a free, no obligation 3D virtual reality breast technology information evening for patients on Wednesday 30 November at 6.30pm with Mr Lambe.

07.07.2016 - Mr Chris Peach talks us through preventing upper limb tennis injuries. As we look forward to the Wimbledon final, the lucky few who will travel down to SW19 can dream of sunshine, strawberries and cream and enjoyable tennis, whilst the rest of the club tennis players are staying at home. For those who are continuing to play this summer, it may not be at the forefront of your minds to consider the frequency and burden of injury to the upper limb in what is a non-contact and leisurely pastime.

Read all news>
View all events>

© Spire Healthcare Group plc (2016)