Snoring and obstructive sleep apnoea

Who this is for

Adults and children who snore loudly, stop breathing or gasp during sleep, or feel unrefreshed and sleepy during the day. Obstructive sleep apnoea (OSA) is linked with daytime sleepiness, poor concentration and a higher risk of accidents (for example, when driving), so it is worth having assessed.

How we assess

An ENT assessment looks for parts of the nose and throat that narrow the airway: a blocked nose, large tonsils or adenoids, or the soft palate. A sleep study, arranged through your GP or a sleep physician, is usually needed to confirm OSA and its severity.

Treatment options

• Non-surgical: weight management, sleep position, reducing alcohol before bed, nasal sprays, CPAP (a mask that keeps the airway open) and mandibular advancement splints made by a dentist. CPAP is the standard treatment for moderate and severe OSA in adults.

• Surgery: in selected people, surgery to the nose (septoplasty, turbinate reduction), tonsils or palate may improve airflow or make CPAP easier to use. In children, adenotonsillectomy is a common treatment for OSA.

Surgery does not suit everyone with snoring or sleep apnoea, and results vary between people.

Risks of surgery

Risks depend on the operation and include bleeding, infection, pain, change in voice or swallowing, persisting snoring or apnoea, and the risks of general anaesthetic. Throat surgery in adults with severe OSA needs careful anaesthetic planning. Your surgeon will discuss the risks that apply to you.

Where

Consultations at Bella Vista (near Norwest) and Parramatta.

Related pages: Tonsillectomy · Septoplasty

Referral: To see a specialist and claim a Medicare rebate you need a current referral from your GP or another specialist. Please talk to your GP first; they can email the referral to admin@entsurgeons-sydney.com.au. New referrals are usually seen within 1–2 weeks.

Fees: Private fees apply. A Medicare rebate is available with a valid referral, and bulk billing may be offered in some circumstances. Our rooms will explain consultation and any procedure fees before your appointment.

Contact: Sydney ENT Surgeons, Suite A11, Level 1, 24–32 Lexington Drive, Bella Vista NSW 2153 · (02) 8883 5368 · admin@entsurgeons-sydney.com.au. Parramatta consultations at Agios Health, 3/23 Hassall Street, Parramatta NSW 2150 · (02) 8608 2262.

This page is general information only and is not a substitute for advice from your own doctor. Any surgical or invasive procedure carries risks. You are welcome to seek a second opinion from another appropriately qualified practitioner before deciding on treatment.

In an emergency, call 000 or go to your nearest emergency department.