- Sleep apnea syndrome is a category of sleep-related breathing disorders in which breathing stops or becomes very shallow during sleep, and it may include obstructive, central, and mixed patterns.
- Anatomical and physiological factors such as narrow or blocked airways, weight gain, family history, and small airways may be involved, and in children, tonsillar and adenoidal hypertrophy can be a factor.
- If the upper airway repeatedly narrows or becomes blocked during sleep, airflow decreases; in central patterns, a temporary decrease in the neural drive controlling breathing can lead to oxygen desaturation and arousal.
- Representative symptoms may include loud snoring, observed pauses in breathing, gasping or choking sounds, repeated nocturnal awakenings, and daytime sleepiness.
- Risk varies depending on weight, gender, family history, airway structure, age, and comorbidities, and even with the same risk factors, symptoms and severity can differ per individual.
- Breathing interruptions can last from seconds to minutes and repeat throughout the night; continuous sleep fragmentation can lead to daytime sleepiness, decreased concentration, and increased risk of accidents.
- Diagnosis is made by assessing symptoms, sleep and family history, conducting a physical examination, and comprehensively evaluating results from sleep studies such as polysomnography.
- Not everyone who snores has sleep apnea, so it cannot be diagnosed based on snoring alone; testing methods, measurement conditions, and comorbidities must be interpreted together.
- Management proceeds within a broad framework of reviewing risk factors and sleep habits, and considering options such as devices, apparatuses, and surgery to maintain the airway and improve respiration, tailored to the individual's type and condition.
- Lifestyle adjustments, oral appliances, surgery, and respiratory assistance devices are treatment options used in the management of sleep apnea, and the appropriate method varies depending on the type and individual condition.