The management of simple snoring

Counter, Paul; Wilson, Janet A.

doi:10.1016/j.smrv.2004.03.007

Cited by 50 publications

(50 citation statements)

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“…The lack of clarity around snoring prevalence is in part a reflection of unresolved issues concerning its definition(s). Most authors agree on what snoring is: "…a fluttering sound created by the vibrations of pharyngeal tissues…" (1); or more generally "…a sound produced by the upper aerodigestive tract during sleep…" (2). There is less agreement as to what counts as clinically significant snoring, as well as the nature of the distinctions, qualitative or quantitative, between simple snoring (SS), upper airway resistance syndrome (UARS) and obstructive sleep apnoea (OSA).…”

mentioning

confidence: 99%

Simple snoring: Not quite so simple after all?

Deary

Ellis

Wilson

et al. 2014

Sleep Medicine Reviews

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confidence: 99%

Simple snoring: Not quite so simple after all?

Deary

Ellis

Wilson

et al. 2014

Sleep Medicine Reviews

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“…The prevalence of snoring is high; 25-50% of middle-aged males are estimated to snore regularly [3,6]. Male sex, obesity, alcohol, sedatives, smoking and nasal obstruction are generally believed to be causative factors in the pathogenesis of snoring [3,[7][8][9][10].…”

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confidence: 99%

The role of the nose in the pathogenesis of obstructive sleep apnoea and snoring

Kohler¹,

Bloch²,

Stradling³

2007

European Respiratory Journal

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Data from observational studies suggest that nasal obstruction contributes to the pathogenesis of snoring and obstructive sleep apnoea (OSA). To define more accurately the relationship between snoring, OSA and nasal obstruction, the current authors have summarised the literature on epidemiological and physiological studies, and performed a systematic review of randomised controlled trials in which the effects of treating nasal obstruction on snoring and OSA were investigated.Searches of bibliographical databases revealed nine trials with randomised controlled design. External nasal dilators were used in five studies, topically applied steroids in one, nasal decongestants in two, and surgical treatment in one study.Data from studies using nasal dilators, intranasal steroids and decongestants to relieve nasal congestion showed beneficial effects on sleep architecture, but only minor improvement of OSA symptoms or severity. Snoring seemed to be reduced by nasal dilators. Nasal surgery also had minimal impact on OSA symptoms.In conclusion, chronic nasal obstruction seems to play a minor role in the pathogenesis of obstructive sleep apnoea, and seems to be of some relevance in the origin of snoring. The impact of treating nasal obstruction in patients with snoring and obstructive sleep apnoea on long-term outcome remains to be defined through randomised controlled trials of medical and surgical therapies.

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“…However, the basic problem is the lack of knowledge on diagnosing the exact level of obstruction which could be different in different groups of snorers and there could be multiple level involvements in some individuals [1]. Thus, one operation cannot be the answer to every snorer.…”

Section: Discussionmentioning

confidence: 99%

“…This area needs further evaluation and is still in the preliminary phase. There are no such trials in literature which prove the usefulness of this device in diagnosing level of obstruction, although, use of pressure transducers for diagnosis of level of obstruction is known [1]. Weight loss is one of the management options which remain the same in both groups of patients where BMI suggests overweight or obesity.…”

Section: Discussionmentioning

confidence: 99%

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Can Apneagraphy Change Our Approach in Management of Snoring and Sleep Apnoea?

Achar

Kumar

2011

Indian J Otolaryngol Head Neck Surg

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To evaluate role of overnight domiciliary apneagraph in diagnosing severity of sleep apnoea. Prospective audit of 37 patients with Epworth sleepiness score over ten and all patients with history of sleep apnoea presenting to ENT outpatient clinic investigated with apneagraph. Data analysed initially with pulse oximetry findings alone followed by analysis with full apneagraph findings. Results: Data analysed with pulse oximetry alone showed 31 patients to be simple snorers, but on analysis with apneagraph, 11 of these were shown to be suffering from moderate and one with severe sleep apnoea. There was no correlation between Epworth sleepiness score and severity of sleep apnoea. Conclusion: Management plan can be more evidence based by using apneagraph as a mini sleep study in investigating patients with history of obstructive sleep apnoea. Apneagraph could also be used in diagnosing the level of obstruction in snorers; however, this aspect needs further studying.

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The management of simple snoring

Cited by 50 publications

References 56 publications

Simple snoring: Not quite so simple after all?

Simple snoring: Not quite so simple after all?

The role of the nose in the pathogenesis of obstructive sleep apnoea and snoring

Can Apneagraphy Change Our Approach in Management of Snoring and Sleep Apnoea?

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