Sleep
Diagnosis and treatment of obstructive sleep apnea, snoring, and other sleep disorders.
Overview
Quality sleep supports overall health. Our sleep team evaluates symptoms such as loud snoring, daytime sleepiness, and pauses in breathing, then builds a treatment plan that fits each patient's needs.
The Sleep division at Norelle Health in New York City evaluates snoring, obstructive sleep apnea, CPAP intolerance, mouth breathing, and nighttime nasal obstruction, with particular attention to the airway and nasal factors that can make sleep worse or treatment harder. Many patients have been advised to use CPAP but cannot tolerate it because the nose feels blocked or the pressure is uncomfortable, while others snore loudly but have never had a formal sleep evaluation. Our role is to identify structural and nasal contributors and to coordinate with sleep physicians, not to replace a sleep study. Obstructive sleep apnea is a medical condition with cardiovascular, metabolic, and quality-of-life consequences, and diagnosis usually requires appropriate sleep testing. Treatment may include weight management, sleep position strategies, CPAP, oral appliance therapy, nasal airway treatment, and surgical options for selected patients. Nasal surgery may improve airflow and CPAP tolerance for some patients, but it is not a guaranteed cure for sleep apnea.
Areas of Focus
- In-lab and home sleep studies
- CPAP therapy and oral appliance therapy
- Surgical options for obstructive sleep apnea
- Coordinated care with ENT services
Specialists
Need guidance?
Our patient coordination team is available to answer questions and schedule your evaluation with the right specialist.
Contact UsSleep Apnea and Snoring
Obstructive sleep apnea, snoring, and sleep-disordered breathing in adults and children.
Obstructive Sleep Apnea
Obstructive sleep apnea is a sleep-related breathing disorder in which the upper airway repeatedly narrows or collapses during sleep. An ENT-focused evaluation looks at nasal breathing, throat anatomy, and CPAP tolerance to help guide treatment.
ConditionSnoring
Snoring is the sound of vibrating tissues in the upper airway during sleep and can range from a harmless nuisance to a sign of obstructive sleep apnea.
ConditionSleep Disordered Breathing
Sleep-disordered breathing is a spectrum of abnormal breathing during sleep, ranging from snoring to obstructive sleep apnea, that can disrupt rest and affect daytime function and long-term health.
ConditionPediatric Sleep Apnea
Pediatric sleep apnea is repeated narrowing or blockage of a child's upper airway during sleep, most often related to enlarged tonsils and adenoids, that can disrupt sleep, behavior, and growth.
CPAP and Oral Appliance Therapy
Established treatments for sleep apnea and the nasal factors that affect tolerance.
CPAP Intolerance
CPAP intolerance often has a treatable cause, especially nasal obstruction from a deviated septum, turbinate swelling, or nasal valve collapse. An ENT evaluation looks for correctable reasons CPAP feels uncomfortable.
ProcedureCPAP Therapy
CPAP therapy uses a mask and a quiet airflow generator to keep the upper airway open during sleep, and is a first-line treatment for obstructive sleep apnea.
ProcedureMandibular Advancement Device
A mandibular advancement device is a custom oral appliance worn during sleep that holds the lower jaw slightly forward to keep the airway open, used for snoring and mild to moderate obstructive sleep apnea.
Airway and Surgical Treatment
Procedures that address airway obstruction for selected patients with sleep apnea.
Inspire Therapy
Inspire therapy is an implanted upper-airway stimulation device that gently moves the tongue forward during sleep to keep the airway open, used for selected patients with obstructive sleep apnea who cannot tolerate CPAP.
ProcedureUPPP
Uvulopalatopharyngoplasty (UPPP) removes or repositions excess tissue in the soft palate and throat to widen the airway, used for selected patients with obstructive sleep apnea and snoring.
ProcedureMaxillomandibular Advancement
Maxillomandibular advancement is a jaw surgery that moves the upper and lower jaws forward to enlarge the entire upper airway, used for selected patients with moderate to severe obstructive sleep apnea.
ProcedureSliding Genioplasty
Sliding genioplasty repositions the chin segment of the lower jaw forward, advancing the tongue's muscle attachments to help open the airway in selected patients with obstructive sleep apnea.
ProcedureTonsillectomy and Adenoidectomy for Sleep-Disordered Breathing
Removing enlarged tonsils and adenoids is a common treatment for sleep-disordered breathing, particularly in children, when these tissues block the airway during sleep.
ProcedureNasal Valve Treatment for Sleep Apnea
Nasal valve treatment addresses narrowing or collapse of the nasal valve to improve nasal breathing, which can reduce snoring and help patients tolerate CPAP for sleep apnea.
ProcedureSeptoplasty for Sleep Apnea
Septoplasty straightens a deviated nasal septum to improve nasal breathing, which can reduce snoring and help patients tolerate CPAP for obstructive sleep apnea.
ProcedureTurbinate Reduction for Sleep Apnea
Turbinate reduction shrinks enlarged nasal turbinates to improve nasal airflow, which can reduce snoring and help patients tolerate CPAP for obstructive sleep apnea.
Diagnosis and Sleep Testing
How sleep apnea is evaluated, from sleep studies to drug-induced sleep endoscopy.
Sleep Study
A sleep study (polysomnography) is an overnight test that records breathing, oxygen, brain waves, and movement to diagnose obstructive sleep apnea and other sleep disorders.
ProcedureHome Sleep Apnea Test
A home sleep apnea test is a simplified, take-home study that records breathing, oxygen levels, and effort overnight to help diagnose obstructive sleep apnea.
ProcedureSleep Endoscopy
Drug-induced sleep endoscopy is a short procedure that examines the airway during medication-induced sleep to identify where and how it collapses, guiding treatment choices for obstructive sleep apnea.
Related Sleep Disorders
Sleep conditions that are evaluated and referred to sleep medicine when appropriate.
Insomnia
Insomnia is persistent difficulty falling asleep, staying asleep, or getting restful sleep despite adequate opportunity, often leading to daytime fatigue, low mood, and trouble concentrating.
ConditionNarcolepsy
Narcolepsy is a chronic neurologic sleep disorder that causes excessive daytime sleepiness and, in some people, sudden muscle weakness triggered by strong emotion.
ConditionRestless Leg Syndrome
Restless legs syndrome is a neurologic condition that causes an uncomfortable urge to move the legs, usually in the evening or at rest, which can interfere with falling asleep.
ConditionCircadian Rhythm Disorder
Circadian rhythm sleep-wake disorders occur when the body's internal clock is out of sync with the desired sleep schedule, causing trouble falling asleep or staying awake at the right times.
ConditionSleep Paralysis
Sleep paralysis is a brief, temporary inability to move or speak while falling asleep or waking up, sometimes with vivid dream-like sensations, that is usually harmless but can be frightening.