Sleep & Snoring

If you snore loudly, wake up tired, or feel worn out during the day, it could be more than just poor sleep. Conditions like obstructive sleep apnea (OSA) often go undiagnosed — but they can affect your energy, focus, and long-term health.

At ENT & Allergy of Delaware, we evaluate and treat a full range of sleep-related breathing problems. Whether you’re struggling with chronic snoring or have already been diagnosed with OSA, we’ll help you find a treatment that fits your lifestyle and helps you rest easier.

Sleep-related breathing problems can have a big impact on how you feel during the day — even if you don’t fully realize it’s happening at night. We treat:

• Loud or disruptive snoring — often caused by airway obstruction or soft tissue vibration
• Obstructive sleep apnea (OSA) — when the airway collapses during sleep, causing pauses in breathing
• Upper airway resistance syndrome (UARS) — partial airway blockage that disrupts sleep without full apneas
• CPAP intolerance — for patients who can’t tolerate traditional CPAP therapy
• Sleep-disordered breathing — a broad term for interrupted breathing patterns during sleep

We also evaluate other concerns that may impact your sleep quality. If you’re unsure what’s causing your symptoms, we’re here to help.

Getting to the root of the problem starts with understanding your symptoms. Depending on what you’re experiencing, we may recommend:

• Sleep study (polysomnography) to track breathing, oxygen, and sleep patterns
• Nasal endoscopy to examine the airway for blockages or narrowing
• Imaging (CT or MRI) to evaluate airway structure
• Symptom review for snoring, gasping, daytime fatigue, and restless sleep

Sleep is personal — and so is your treatment plan. We’ll help you choose the option that fits your needs, goals, and comfort:

• CPAP therapy to keep your airway open while you sleep — often the first line of treatment for obstructive sleep apnea
• Inspire® or Genio® therapy –  For patients who cannot tolerate CPAP, our specialists offer multiple FDA-approved implantable therapies.
• Oral appliance therapy using a custom-fitted device that repositions the jaw to improve airflow
• Lifestyle guidance such as weight loss, sleep positioning, and improving sleep hygiene
• Surgical treatment to remove or tighten tissue that blocks airflow, such as enlarged tonsils or soft palate structures
• Nasal and sinus care to relieve obstruction and support better nighttime breathing

When CPAP isn’t effective or well tolerated, Inspire® and Genio®  offer implantable alternatives for eligible patients with moderate to severe obstructive sleep apnea.

Inspire uses an implanted chest pulse generator and nerve stimulation system, while Genio uses a battery-free implant under the chin with an external activation patch. Both therapies stimulate nerves that help keep the airway open during sleep.

Our providers will determine whether Inspire, Genio, or another therapy is the best fit based on your anatomy, sleep study results, lifestyle needs, and insurance considerations.