In children this is usually related to large tonsils and adenoids. While surgery is a very effective treatment for this, Mr Joseph will only recommend it in those children who show no signs of improvement and exhibit the effects of disturbed sleep in the daytime, such as irritability and lack of energy.
In adults the problem is often multi-level between the nose and throat. Assessment is key to being able to direct appropriate management. Sleep nasendoscopy is a very effective tool for this. It requires a light anaesthetic to induce sleep with snoring and then the use of an endoscope to visualise the areas where the snoring is coming from.