Ask the Expert 2025
Deanne Nyland, M.D.
Sacramento Ear, Nose & Throat
Dr. Nyland graduated from Vanderbilt University School of Medicine and went on to a residency in otolaryngology/head and neck surgery at the University of Kentucky. She performs a wide range of otolaryngologic surgery but has a special interest in surgical management of sleep apnea.
My family says I snore loudly. What should I do?
Snoring is quite common and by itself is not dangerous but it can be a sign of sleep apnea. I would recommend talking to your primary care provider about obtaining a sleep study, particularly if you experience daytime sleepiness or a bed partner notices that you hold your breath in your sleep. If you have difficulty breathing through your nose, making an appointment with an otolaryngologist is a good idea as well.
If I’m diagnosed with sleep apnea, what are my treatment options?
The gold standard for treatment of sleep apnea is positive airway pressure. This can be in the form of CPAP, which is continuous positive airway pressure, or BiPAP, which is bilevel positive airway pressure. With BiPAP, pressures are higher when you breathe in and lower when you breathe out, which can be more comfortable. Additionally, maintaining a normal weight, avoiding sleeping on the back, and avoiding alcohol and sedating medications are helpful.
Are there other options if I can’t tolerate CPAP or BiPAP?
Yes, depending on the severity of your sleep apnea. For mild sleep apnea, an oral appliance that adjusts the tongue and jaw forward at night can alleviate symptoms. For more severe cases of sleep apnea, an Inspire implant is an option. This device is surgically implanted and stimulates the muscles of the tongue while sleeping to open the airway. Over 90% of patients are satisfied with the device, and it adequately treats their sleep apnea.
Roseville: 2 Medical Plaza Dr., Ste. 225
Sacramento: 1111 Exposition Blvd., Ste. 700
Fair Oaks: 6600 Mercy Ct., Ste. 180
Folsom: 1561 Creekside Dr., Ste. 180
916-736-3399. sacent.com
