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Snoring and Sleep Apnea: A Scientific Guide to Diagnosis and Treatment

Dr. Birsen Erzincan

Otolaryngologist

Dr. Birsen Erzincan is an Ear, Nose, and Throat (ENT) Specialist and rhinoplasty surgeon with 5-10 years of clinical experience. She is a member of the Turkish Society of Otorhinolaryngology and Head and Neck Surgery and the Society for Facial Plastic Surgery, and she serves her patients at her clinic in Istanbul with expertise in rhinoplasty, functional nasal surgery, and aesthetic procedures in the facial region.

Although snoring is often perceived as a social nuisance, modern medicine considers it an important signal for our health. Especially when combined with Obstructive Sleep Apnea (OSA), the oxygen deprivation the body experiences during the night carries serious risks.

Scientific Fact: What Does Untreated Sleep Apnea Lead To?

Extensive research and expert opinions (AASM, ERS) converge on a common point: Untreated sleep apnea, in the long term, cardiovascular diseases, metabolic disorders, cognitive decline, and even the risk of premature death significantly increases. However, it is possible to minimize these risks with regular treatment.

What is the first-choice treatment for snoring?

Should every patient undergo surgery? Scientific guidelines recommend non-surgical methods as the primary treatment for snoring and mild/moderate apnea.

  • CPAP (Continuous Positive Airway Pressure) Therapy: It is the first option accepted as the gold standard in adults.
  • Intraoral Devices Appliances that bring the lower jaw forward are quite effective for patients who cannot adapt to CPAP devices.
  • Myofunctional Therapy: Specific exercises that strengthen the upper respiratory muscles offer a side-effect-free and safe alternative.

When is Surgery Necessary?

Surgery is considered the first option, especially in children (for adenoid and tonsil hypertrophy-induced apnea). In adults, surgical intervention can significantly reduce snoring; however, patient selection is critical for lasting success. The benefits achieved in the first few years after surgery may diminish over time, and the risk of complications should be taken into account.