Diagnostics in our ENT office
Snoring and sleep apnoea
Snoring and sleep apnoea (longer breathing lapses while sleeping) are not only annoying concomitant effects of the nightly dormant phase, but also dangerous for your health.
The inspection of the upper airways and oesophagus takes on an important role in ENT medicine. Unhealthy mutations of the mucosa such as inflammations, tumour formation, constrictions etc. can be determined and examined by stark or flexible endoscopic processes. As a specific examination method video endoscopy is available. This kind of endoscopy is performed before each sleep screening.
Snoring is a generally known disturbing factor. For a longer time it is known that heavy snoring may be accompanied by breathing lapses, which may lead to a considerably poorer nourishment of the organism with oxygen (so-called sleep apnoea syndrome, SAS). This involves a risk of the development of high blood pressure. The incidence of coronary and stroke is scientifically proven. The detection of SAS followed by a therapy adjusted to the degree is therefore a crucial factor in public preventative medicine.
Our department is equipped with modern sleep laboratory accommodation of diagnostics (24 hour diagnostics) to assess sleep-related disturbances of the breathing (so-called polysomnography). After an ambulant screening examination (at home overnight), the following therapy is scheduled depending on the examination result:
In case of snoring without an unhealthy number of breathing lapses, meaning no threat of secondary diseases mentioned above, an adequate intervention reducing the snoring is suggested.
Is there reason to assume SAS, a polysomnography for the duration of two nights follows in our sleep laboratory. In the analysis of the results the main focus is on the identification of a so-called obstructive SAS (OSAS), whose causes are located in the upper ENT-part of the airways.
For minor casas of OSAS we offer all established ENT therapy options (e. g. UPPP, LAUP, RAUP, nasal septum-plasty, turbinated bone reduction).
In case of severe OSAS the individual adjustment of a respiratory mask on the nose is indicated (nasal CPAP-mask), to be worn while sleeping. This mask puts the upper airways in a splint by noninvasive positive pressure ventilation, individually adjusted by us for each patient, thus preventing their collapse.