Sleep Medicine (Snoring & Sleep Apnea)

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leep apnea is a very common medical condition with potential serious consequences. In the medical community, screening for sleep apnea hasn’t been stressed enough. Dr. Hoffman has extensive experience in both testing and treating patients with all types of sleep disorders. Dr. Hoffman has been a medical director of a sleep lab since 1995 and passed his board certification in sleep medicine in 2009.

Very few physicians nationally have dual board certification in both Otolaryngology and Sleep Medicine.

NAENTA offers the latest technology in treating snoring and sleep apnea. While CPAP is the gold standard for treatment of sleep apnea, many patients can’t tolerate the CPAP mask. NAENTA provides patients with various alternatives including oral appliance, palate/tonsil surgery, pillar implants, hyoid suspension and direct tongue base resection.

Snoring and Sleep Apnea Services

  • Sleep consultation and testing including polysomnogram (sleep study) and CPAP titration
  • Uvulopalatoplasty and coblation assisted uvulectomy
  • Coblation assisted tongue base resection
  • Hyoid suspension

Pillar Procedure Animation

Injection Snoreplasty Patient Information

  • Majority of snorers have fluttering of the soft palate. Stiffening of the palate through injection snoreplasty helps reduce or eliminate snoring in 80 % of patients. Injection snoreplasty is a simple procedure, mildly painful and inexpensive procedure.
  • Snoreplasty is performed by injection a small amount of a sclerosing agent into the soft palate in order to create a controlled scar. Results take up to 6-8 weeks.
  • The procedure itself takes less than 15 minutes. After the injection you will be observed in the office for 10 minutes. (total time is less than 30 minutes)
  • Post procedure pain is minimal and is well controlled with ibuprofen or acetaminophen. You may also utilize throat lozenges. No dietary restrictions are needed.
  • You may notice a mild swelling sensation of the roof of the mouth immediately after the procedure. This sensation will subside over the next few hours.
  • Snoring often worsens over the first 1-2 weeks after the procedure secondary to swelling until scarring/stiffening begins to occur.
  • Maximum treatment effect is expected to occur at 6-8 weeks after injection.
  • Make a follow up appointment in 6 weeks.
  • Occasionally, a second injection is required or direct treatment of the uvula.
  • Palatal ulceration and sloughing will likely during the healing process. This is not a complication. This tissue injury is replaced by scar tissue which is desirable to lessen the snoring.
  • A small hole in the palate can rarely occur during the healing process. These “fistulae” almost always heal on their own with conservative treatment.
  • Overall success rate is 80%. Relapse of snoring can occur over time with all snoring procedures. A second injection years later may be necessary.