Treatment of Snoring with a Nasopharyngeal Airway Tube

Objective. To study the feasibility of a standard nasopharyngeal airway tube (NPAT) as treatment for snoring. Methods. An obese 35-year-old man, who is a chronic, heroic snorer, used NPATs while (1) the patient’s bedpartner scored the snoring and (2) the patient recorded himself with the smartphone...

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Main Authors: Macario Camacho, Edward T. Chang, Camilo Fernandez-Salvador, Robson Capasso
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2016/3628716
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author Macario Camacho
Edward T. Chang
Camilo Fernandez-Salvador
Robson Capasso
author_facet Macario Camacho
Edward T. Chang
Camilo Fernandez-Salvador
Robson Capasso
author_sort Macario Camacho
collection DOAJ
description Objective. To study the feasibility of a standard nasopharyngeal airway tube (NPAT) as treatment for snoring. Methods. An obese 35-year-old man, who is a chronic, heroic snorer, used NPATs while (1) the patient’s bedpartner scored the snoring and (2) the patient recorded himself with the smartphone snoring app “Quit Snoring.” Baseline snoring was 8–10/10 (10 = snoring that could be heard through a closed door and interrupted the bedpartner’s sleep to the point where they would sometimes have to sleep separately) and 60–200 snores/hr. Several standard NPATs were tested, consisting of soft polyvinyl chloride material raging between 24- and 36-French (Fr) tubes. Results. The 24 Fr tube did not abate snoring. The 26 Fr tube was able to abate the snoring sound most of the night (smartphone app: 11.4 snores/hr, bedpartner VAS = 2/10). The 28 and 30 Fr tubes abated the snoring sound the entire time worn (smartphone app: 0 snores, bedpartner VAS 0/10) but could not be tolerated more than 2.5 hours. The tube of 36 Fr size could not be inserted, despite several attempts bilaterally. Conclusion. Appropriately sized nasopharyngeal airway tubes may abate the snoring sound; however, as in this patient, they may be too painful and intolerable for daily use.
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spelling doaj-art-3a64710583694c06a11d605b82344fa32025-02-03T01:10:15ZengWileyCase Reports in Medicine1687-96271687-96352016-01-01201610.1155/2016/36287163628716Treatment of Snoring with a Nasopharyngeal Airway TubeMacario Camacho0Edward T. Chang1Camilo Fernandez-Salvador2Robson Capasso3Otolaryngology-Head and Neck Surgery, Division of Sleep Surgery and Medicine, Tripler Army Medical Center, 1 Jarrett White Road, Honolulu, HI 96859, USAOtolaryngology-Head and Neck Surgery, Division of Sleep Surgery and Medicine, Tripler Army Medical Center, 1 Jarrett White Road, Honolulu, HI 96859, USAOtolaryngology-Head and Neck Surgery, Division of Sleep Surgery and Medicine, Tripler Army Medical Center, 1 Jarrett White Road, Honolulu, HI 96859, USADepartment of Otolaryngology-Head and Neck Surgery, Division of Sleep Surgery, Stanford Hospital and Clinics, Stanford, CA 95304, USAObjective. To study the feasibility of a standard nasopharyngeal airway tube (NPAT) as treatment for snoring. Methods. An obese 35-year-old man, who is a chronic, heroic snorer, used NPATs while (1) the patient’s bedpartner scored the snoring and (2) the patient recorded himself with the smartphone snoring app “Quit Snoring.” Baseline snoring was 8–10/10 (10 = snoring that could be heard through a closed door and interrupted the bedpartner’s sleep to the point where they would sometimes have to sleep separately) and 60–200 snores/hr. Several standard NPATs were tested, consisting of soft polyvinyl chloride material raging between 24- and 36-French (Fr) tubes. Results. The 24 Fr tube did not abate snoring. The 26 Fr tube was able to abate the snoring sound most of the night (smartphone app: 11.4 snores/hr, bedpartner VAS = 2/10). The 28 and 30 Fr tubes abated the snoring sound the entire time worn (smartphone app: 0 snores, bedpartner VAS 0/10) but could not be tolerated more than 2.5 hours. The tube of 36 Fr size could not be inserted, despite several attempts bilaterally. Conclusion. Appropriately sized nasopharyngeal airway tubes may abate the snoring sound; however, as in this patient, they may be too painful and intolerable for daily use.http://dx.doi.org/10.1155/2016/3628716
spellingShingle Macario Camacho
Edward T. Chang
Camilo Fernandez-Salvador
Robson Capasso
Treatment of Snoring with a Nasopharyngeal Airway Tube
Case Reports in Medicine
title Treatment of Snoring with a Nasopharyngeal Airway Tube
title_full Treatment of Snoring with a Nasopharyngeal Airway Tube
title_fullStr Treatment of Snoring with a Nasopharyngeal Airway Tube
title_full_unstemmed Treatment of Snoring with a Nasopharyngeal Airway Tube
title_short Treatment of Snoring with a Nasopharyngeal Airway Tube
title_sort treatment of snoring with a nasopharyngeal airway tube
url http://dx.doi.org/10.1155/2016/3628716
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