The document discusses obstructive sleep apnea and its association with snoring, which is a noise caused by vibrating throat tissues during sleep due to airway obstruction. Contributing factors include anatomy, alcohol, obesity, and other health issues, with effects such as daytime sleepiness and poor concentration. Diagnosis involves medical history and physical examination, and treatment options range from lifestyle changes to CPAP machines and surgical interventions.

1. In
Obstructive sleep Apnea
Dr Shubha Agrawal
• MD CHEST & TB(K.E.M .Mum)
•
•AGRAWAL DIAGNOSTIC CENTRE

5. WHAT IS SNORING
 A rough, rattling, inspiratory noise produced
by vibration of the pendulous palate, or
sometimes of the vocal cords during sleep .
 As patient doze off and progress from a lighter
sleep to a deep sleep, the muscles in the roof
of the mouth (soft palate), tongue and throat
relax.
 If the tissues in the throat relax enough, they
vibrate and may partially obstruct the airway.
 The more narrowed airway, the more forceful
the airflow becomes and louder snoring.

6.  Snoring may be an occasional problem, or it
may be habitual. Loud and frequent snoring
can be more than just a nuisance to patient’s
partner.
 This nighttime annoyance may indicate a
serious health condition, and it can disrupt
household and strain relationships.
 Snoring is common. More than one-third of
adults snore at least a few nights each week.

7. What contributes to snoring in Sleep Apnea :-
 Sedative pills, drugs abusers
 Mouth anatomy.
 Alcohol consumption.
 Nasal problems.
 Hypothyroid.
 Smoking
 Obesity
 Deviated Nasal Septum

8. Effects of snoring in sleep apnea
• Daytime sleepiness
• Morning headache
• Poor concentration
• Memory loss
• Excessive night sweat
• Decrease sexual desire
• Nocturnal awakening
• Resistant obesity
• Hypertension
• Diabetes
• Heart attacks ,brain stroke

9. OSA IN CHILDREN
• Bedwetting
• Choking or drooling
• Excessive sweating at night
• Restless in bed
• Learning and behavioral disorders
• Poor school performance
• Sluggishness or sleepiness
• Snoring
• Teeth grinding

11. SCREENING & DIAGNOSIS
 Physical examination and Medical history.
 His partner may need to answer some questions
about when and how he snore to help doctor assess
the severity of the problem.
 Parents are asked about the severity of a child's
snoring.
 Pulmonologist sleep disorder specialist & ENT
consultation for additional studies and evaluation
will be helpful.
 Home Respiratory sleep study with titration can be
done or can be done at hospital for in depth
analysis of sleep disorder.

13. •Traffic Accidents due to sleep

18. EVALUATION
 Sleep Study
 PFT
 Pathology
 X-Ray
 ECG
 Sleep Endoscopy
 CT Scan / MRI

25. INTEGRATED YOGA MODULE FOR
SNORING
Breathing practices
 Hands stretch breathing
 Dog breathing
 Tiger breathing
 Tongue massaging
 Tongue in and out
 Tongue rotation
 Bhramari
 Lip stretch

26. TREATMENT
 First recommends lifestyle changes, such as losing
weight, avoiding alcohol close to bedtime and
changing sleeping positions ,reduction in weight and
stop nicotine consumption .
 If lifestyle changes don't eliminate snoring:
 Continuous positive airway pressure (CPAP).
Oral appliances.
Traditional surgery / uvulopalatopharyngoplasty
(UPPP).
Laser surgery.
Radio frequency tissue ablation (somnoplasty).

27. Continuous positive airway pressure (CPAP) machine to
eliminate snoring and prevent sleep apnea. A CPAP machine
delivers just enough air pressure to keep the upper airway
passages open.

32. Heavy snorers
have their air
flow impeded by
the structures at
the back of the
mouth and nose
(A and B), which
can be alleviated
by surgery.
In UPPP, the
patient's uvula,
soft palate, and
tonsils are
removed (C and
D).