Obstructive sleep apnea occurs when breathing stops briefly and regularly during periods of sleep resulting in a poor, interrupted sleep pattern. The cessation of breathing usually occurs because of a blockage (obstruction) in the airway.
Sometimes, the inability to circulate air and oxygen in and out of the lungs results in lowered blood oxygen levels. If this pattern continues, the lungs and heart may suffer permanent damage.
Causes of Obstructive Sleep Apnea
Enlarged tonsils and adenoids in the upper airway, especially in children
Poor muscle tone in head and neck that keep the airway open
Tumor or growth in airway (rare)
Skeletal abnormalities (e.g., small jawbone)
Symptoms of Obstructive Sleep Apnea
The most common symptoms of sleep apnea are:
Periods of not breathing during sleep, measured in seconds
Loud snoring or noisy breathing during sleep
Restlessness during sleep
Excessive daytime sleepiness or irritability
Diagnosis of Obstructive Sleep Apnea
Consult a Brigham and Women’s Hospital (BWH) otolaryngologist for an evaluation of noisy breathing during sleep or snoring, or if periods of not breathing become noticeable or problematic. In addition to a complete medical history and physical examination, diagnostic procedures for obstructive sleep apnea may include:
Evaluation of the upper airway
Sleep study (polysomnography) to evaluate:
Electrical activity of the heart
Oxygen content in the blood
Chest and abdominal wall movement
Amount of air flowing through the nose and mouth
Symptoms of obstructive sleep apnea may resemble other conditions or medical problems. Consult a BWH otolaryngologist for more information.
Treatment for obstructive sleep apnea is based on the age and condition of the patient as well as the cause. Non-surgical treatments are always tried first.
Wearing a continuous positive airway pressure mask (CPAP) while sleeping can help to keep the airway open. Weight loss is also helpful to counter obstructive sleep apnea.
An uvulopalatopharyngoplasty to correct sleep apnea removes or shrinks excess tissue where the mouth meets the throat. The decision to perform this surgery is based on the anatomy of the back of the throat and is not recommended for every patient.
In children, enlarged tonsils and adenoids are the most common cause. In this case treatment is surgery and removal of the tonsils (tonsillectomy) and/or adenoids (adenoidectomy).
What You Should Expect
You will receive a thorough diagnostic examination to evaluate if you have obstructive sleep apnea and determine what course of treatment is needed. Careful monitoring and the involvement of an experienced otolaryngologist are important to the successful outcome for patients with ear, nose and throat disorders and conditions.
The day of surgery, you will be taken care of in the operating room by otolaryngologist, anesthesiologists and nurses who specialize in surgery for patients with obstructive sleep apnea. After surgery, you will go to the post-surgical care unit where you will receive comprehensive care by experienced surgical and nursing staff.
Brigham and Women’s Hospital provides a multidisciplinary approach to patient care by collaborating with colleagues who have extensive experience in diagnosing and treating ear, nose and throat disorders and conditions. In addition, patients have full access to BWH’s world-renowned academic medical community, with its diverse specialists, and state-of-the-art facilities.
Otolaryngology-Head and Neck Surgery Appointments and Locations