neurologic disorders
Snoring
Key Points
Only some snorers have obstructive sleep apnea (OSA), but most patients who have OSA snore. Clinical risk factors such as nocturnal apneic or choking episodes, daytime sleepiness, and a high BMI help identify patients at risk of OSA and thus in need of testing with polysomnography or home sleep studies. Recommend general measures to reduce snoring (eg, avoiding alcohol and sedating drugs, sleeping with the head elevated or in the lateral decubitus position, losing weight). Consider specific measures such as mandibular advancement devices, uvulopalatopharyngoplasty, palate-altering procedures, and CPAP to treat snoring due to OSA. 