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The aim of the examination is to identify an obstructive area causing the snoring. Indeed, there is no one-size-fits-all solution for every snorer. The treatment plan will therefore vary considerably from patient to patient and will depend on the results of both the clinical examination and the sleep study.
The clinical examination will look for
- Nasal obstruction, which can be due either to a deviated septum or to an increase in the size of the inferior turbinates
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| Endoscopic appearance | Radiological appearance of a septal deviation with enlarged inferior turbinates |
- An obstruction at the level of the soft palate, possibly accompanied by an enlarged uvula or hypertrophy of the palatine tonsils,
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| Large uvula resting on the tongue | Large obstructive tonsils |
- an obstruction at the base of the tongue which can be due either to a large tongue (macroglossia) or a small jaw (retrognathia), or there may be a large tongue in a normal-sized mouth or a small mouth with a tongue of normal size; in all cases, during sleep the tongue tends to fall backwards
- More rarely, an anomaly can be observed in the larynx which obstructs the airway when it is too flaccid.
