Snoring Treatment In Singapore
How Common is Snoring Among Adults in Singapore?
Ever wondered how common snoring really is in Singapore? You’re not alone.
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According to a local population study, about 6.8% of Singaporean adults snore regularly. That might sound like a small number, but it’s important to know that men are almost four times more likely to be habitual snorers than women, and it usually worsens with age. While an occasional snore might not be a big deal, frequent or loud snoring could be a sign of something more serious, like obstructive sleep apnea (OSA).
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If your snoring is affecting your sleep or leaving you feeling tired during the day, it may be worth getting it checked out. A medical evaluation can help identify what’s causing it, whether it’s nasal blockage, airway narrowing, or something else entirely, and guide you on what to do next.

What is Snoring and Why Does it Happen?
Snoring occurs when airflow through the mouth and nose is partially blocked during sleep. When awake, the muscles in your throat help keep the airway open. However, during sleep, these muscles relax, which may cause the surrounding tissues to narrow or partially collapse the airway.
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As air passes through this narrower space, it creates turbulence. This airflow causes the soft tissues in the throat to vibrate, producing the familiar snoring sound. The narrower the airway becomes, the more likely it is that the snoring will become louder or more frequent.
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In some cases, this airway narrowing may become significant enough to obstruct breathing altogether. This can happen repeatedly through the night and may indicate a more serious condition such as obstructive sleep apnea (OSA).
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While not all snorers have sleep apnea, persistent or loud snoring, especially when accompanied by other symptoms, warrants a closer look. Consulting a snoring doctor or ENT snoring specialist can help determine whether the issue is related to benign airway resistance or a condition that requires medical attention.
When Do You Need to See a Doctor for Snoring or Sleep Apnea
Recognising the signs of sleep apnea is an important step towards seeking care. While occasional snoring can be harmless, certain patterns or symptoms may signal a need for medical evaluation.
Loud Snoring with Pauses
Persistent snoring, especially when accompanied by noticeable pauses in breathing, may indicate an underlying issue. These pauses are often observed by partners or family members.
Gasping or Choking During Sleep
Waking up abruptly with a sensation of gasping or choking may suggest that breathing is being interrupted during sleep.
Excessive Daytime Sleepiness
Feeling unusually tired despite having what seems like a full night’s rest can be a sign that sleep is being disrupted by breathing disturbances.
Difficulty Concentrating
Fragmented sleep may affect your ability to stay focused during the day. This can interfere with tasks at work, school, or at home.
Morning Headaches
Some individuals with OSA report waking up with headaches, possibly due to reduced oxygen levels during the night.

If you or your partner notices these symptoms, it may be helpful to consult a snoring doctor in Singapore for further evaluation.
What Is Obstructive Sleep Apnea (OSA)?
Snoring may be a indication of a more serious condition known as obstructive sleep apnea (OSA). OSA is characterized by multiple episodes of breathing pauses greater than 10 seconds at a time, due to collapse or severe narrowing of the upper airway. This results in lower amounts of oxygen in the blood, which causes the heart to work harder. It also causes disruption of the natural sleep cycle, which makes people feel poorly rested despite adequate time in bed. Patients with OSA may experience 30 to 300 such events per night.
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The immediate effect of OSA is that the snorer must sleep lightly and keep the throat muscles tense to prevent narrowing of the upper airway. As the snorer does not get good quality sleep, he or she may be sleepy during the day, which may impair job performance and makes him or her a hazardous driver or equipment operator.
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Untreated obstructive sleep apnea increases the risk of developing heart attacks, strokes, diabetes, respiratory issues and many other medical conditions.
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OSA can be classified by severity into mild, moderate and severe, depending on the results of the sleep study. Taking into account the patient’s physical findings, appropriate treatment can be recommended.
How is Sleep Apnea Diagnosed in Singapore?
Diagnosing sleep apnea involves a multi-step approach that includes both clinical assessments and sleep studies. The method used often depends on your specific symptoms, physical findings, and overall health profile.
1. Clinical Evaluation and Physical Examination
The diagnostic process typically begins with a consultation. The doctor may ask about symptoms such as snoring, observed pauses in breathing, or daytime tiredness.
A physical examination is also performed, which includes an assessment of the nose, mouth, throat, and neck. Nasoendoscopy may be used to examine the airway and check for any obstructions or anatomical features that could be contributing to breathing difficulties.
2. Sleep Studies
Polysomnography (PSG)
This overnight test is typically conducted in a hospital or dedicated sleep centre. It monitors brain activity, heart rate, oxygen levels, breathing, and body movements.
It helps determine the presence and severity of OSA.
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Home Sleep Test (HST)
In some cases, a sleep apnea test may be performed at home using portable monitoring devices such as ApneaLink or WatchPAT.
These devices measure oxygen levels, breathing patterns, and other relevant metrics while you sleep in your own environment. This option is typically suitable for individuals with straightforward symptoms.
3. Positive Airway Pressure (PAP) Titration (Optional)
If sleep apnea is diagnosed, another sleep study may be conducted to fine-tune the settings for PAP therapy such as CPAP or BiPAP. This helps customise treatment based on your specific needs.
The choice between these diagnostic approaches depends on individual factors. Your doctor will guide you in selecting the appropriate sleep apnea test option in Singapore based on your health profile and symptoms.
Treatment Options for Obstructive Sleep Apnea (OSA) in Singapore
The treatment prescribed depends on the diagnosis and level(s) of upper airway narrowing causing obstruction. Frequently, more than one level of obstruction is identified. In general, treatment can be divided into non-surgical vs. surgical methods.
Non-Surgical Methods for Treatment of Obstructive Sleep Apnea (OSA)
Lifestyle Modification Strategies
Lifestyle modification, especially weight loss, sleep hygiene and exercise, are often recommended. These can help by relieving pressure and increasing muscle tone in the airway.
Oral Appliances
A custom-fit oral appliance, which repositions the lower jaw forward, may also be considered for certain patients with snoring/OSA. This should be fitted by an otolaryngologist, dentist, or oral surgeon with expertise in sleep dentistry.
Devices
Obstructive sleep apnea is most often treated with a device that opens the airway with a small amount of positive pressure. This pressure is delivered via a nasal or face mask worn during sleep. This treatment is called continuous positive airway pressure (CPAP). It is currently the initial treatment of choice for patients with OSA.
Patients who fail CPAP or are unable to tolerate the treatment may be candidates for surgery.

Surgical Methods For Treatment Of Obstructive Sleep Apnea (OSA)
Tonsillectomy & Adenoidectomy
Tonsils are small, round pieces of tissue located in the back of the mouth on both sides of the throat. Adenoids are similar to tonsils but located in back of the nasal cavity.
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Enlarged tonsils and adenoids will contribute to airway narrowing, which precipitate and worsen OSA. The procedure to remove tonsils is known as a tonsillectomy, and removal of the adenoids is called an adenoidectomy. Because they are often removed at the same time, the procedure is referred to as a tonsillectomy and adenoidectomy.
Uvulopalatopharyngoplasty (UPPP/UP3)
Uvulopalatopharyngoplasty (UPPP) is a surgery for treating snoring and obstructive sleep apnea. It removes excess soft palate tissue, tightens the pharynx and opens the airway. In addition, the remaining tissue stiffens as it heals, thereby minimizing tissue vibration.Â
Inferior Turbinate Reduction
Inferior turbinate reduction is a procedure that reduces the size of the inferior turbinates in the nose. There are a variety of procedures in-clinic (under local anaesthesia) or surgeries (under general anesthesia) that can reduce, remove or displace the obstructive turbinate tissue, through different cutting-edge technologies involving radiofrequency energy or conventional tissue removal.
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Inferior turbinate reduction works by shrinking the inferior turbinates, thus removing the obstruction preventing a clear flow of air through the nasal passages. Thus, the surgery reduces the size of this obstruction, while preserving the very important functions of the inferior turbinates. Improving nasal patency can reduce mouth breathing and the severity of snoring and OSA.Â
Septoplasty
Septoplasty is a surgery performed to correct a deviated nasal septum. The nasal septum is a partition in your nose made from cartilage and bone. It separates the internal nasal cavity into the right and left sides. A deviated nasal septum is used to describe a condition where this partition is crooked, subsequently narrowing one side of the nasal cavity. Improving nasal patency can reduce mouth breathing and the severity of snoring and OSA.Â
Tongue Base Reduction
While there are many tissues in the throat that can contribute to OSA, the tongue is a major factor. The base of the tongue sits directly next to the windpipe, making it very easy for the tongue to relax and fall into the airway, preventing air from entering. In certain patients, the base of the tongue is overly large, causing them to be more prone to OSA. For such patients, tongue base reduction is a minimally invasive surgical procedure to effectively reduce the size of the tongue, relieving the symptoms of sleep apnea. Several treatments may be required.
Soft Palate Stiffening
The soft palate is comprised of five muscles that play different roles in swallowing and breathing. When patients suffer from sleep apnea, it is often due to a relaxation of one of these muscles. There are several procedures that address the soft palate specifically, preventing it from blocking the airway as you sleep.
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Palate radiofrequency is a minimally invasive method to reduce excessive tissue that may be responsible for snoring and OSA. During the procedure, local anesthetic is first delivered to the soft palate. A radiofrequency electrode is then placed into the mouth and inserted under the soft palate. Carefully controlled radiofrequency energy is then delivered through the electrode. The energy creates a controlled lesion underneath the soft palate. Over the several weeks following the procedure, the body will resorb the lesion, which reduces and tightens the soft palate. With its newly reduced size and tighter structure, the soft palate will no longer be the cause of unwanted snoring.
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Genioglossus and hyoid advancement is a surgical procedure for the treatment of sleep apnea. It prevents collapse of the lower throat and pulls the tongue muscles forward, thereby opening the obstructed airway.
Sleep Apnea Treatment Options
Treatment with CPAP
Continuous Positive Airway Pressure (CPAP)Â is a common treatment for sleep apnea. It works by delivering a constant stream of pressurised air through a mask worn during sleep. This airflow keeps the airway open, preventing interruptions in breathing and ensuring a steady oxygen supply throughout the night.
CPAP machines are widely available in Singapore and are prescribed by snoring specialists after a confirmed diagnosis. These devices come in various models with customisable features to suit individual needs.
Treatment without CPAP
Oral Appliances:
These devices are designed to reposition the lower jaw or tongue to prevent airway collapse during sleep. They are compact, easy to travel with, and often more comfortable than a CPAP machine for those who find the airflow or mask difficult to tolerate.
Other Airway Pressure Devices: If you would like to consider the use of other machines, there are other airway pressure devices available in Singapore for sleep apnea treatment. These include:
- BiPAP (Bilevel Positive Airway Pressure):Â Provides two pressure settings, higher for inhalation and lower for exhalation, which some patients find more comfortable than the constant pressure of CPAP.
- APAP (Automatic Positive Airway Pressure):Â Automatically adjusts the pressure throughout the night based on your breathing patterns, offering a more personalised approach to treatment.
These devices can be explored by speaking to your doctor to determine a suitable option based on your needs and preferences.
Surgical Procedures:Â Surgical procedures are recommended for those who do not respond to other treatments. The options available include:
- Uvulopalatopharyngoplasty (UPPP):Â Removes or reshapes tissues in the throat to increase the airway space.
- Maxillomandibular Advancement (MMA):Â Adjusts the position of the jawbones to enlarge the airway.
- Nasal or Septal Surgery:Â Corrects structural nasal issues that contribute to airway obstruction.
Alternative Treatments
Lifestyle changes and alternative treatments may be suggested by your doctor, often in combination with other therapies, to help with the management of sleep apnea.Â
- Weight Management: Carrying extra weight, particularly around your neck, can make sleep apnea worse by putting pressure on your airway. Losing weight, even a small amount, can help reduce symptoms and improve your breathing at night.
- Nasal Decongestants: If a stuffy nose is making it harder to breathe at night, nasal decongestants or saline sprays can help. These treatments help to temporarily ease airflow to allow for a more restful sleep.
- Adjustment of Sleeping Position: For some, sleep apnea symptoms worsen when sleeping on their back. Switching to side-sleeping can help keep the airway open and reduce symptoms. Tools like specialised pillows or wearable positional trainers can make this adjustment easier.
Estimated Cost of Sleep Apnea Treatment in Singapore
The cost of sleep apnea treatment in Singapore can vary widely depending on the type of treatment you need, the severity of your condition, and the provider you choose.Â
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Options such as CPAP machines, and oral appliances each come with different price ranges, and additional costs may include diagnostic tests, consultations, and follow-up care.
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If you would like a detailed breakdown of costs or advice on the most suitable treatment for your needs, contact us today to learn more.
What to Know About Surgery Costs
If you are considering surgery for your sleep apnea, the cost of snoring surgery in Singapore can vary depending on several factors. These include the hospital or clinic you choose, the type of procedure performed, and whether pre-surgical check-ups or additional diagnostic tests are needed.
At our clinic, we partner with a wide range of insurance panels and are a Medisave-accredited facility, helping to make treatment more accessible and affordable for our patients. Contact Dr Leslie Koh to learn more about your options and how we can assist you.
Contact a Snoring and Sleep Apnea Specialist Today
Persistent snoring or disrupted sleep may signal a more serious condition, such as sleep apnea. Early evaluation by a qualified snoring specialist in Singapore or a sleep apnea doctor in Singapore can help you understand your symptoms and explore suitable treatment options.
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Timely diagnosis is important in managing health risks associated with sleep-related breathing issues.
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Contact us today to schedule a consultation with Dr Leslie Koh.
Table of Content
Sleep conditions We treat
- Snoring
- Obstructive Sleep Apnea
- Mouth Breathing
Our Treatments for snoring and sleep apnea
- Continuous Positive Airway Pressure (CPAP) Devices
- Custom-fit Oral Appliances
- Adenoidectomy & Tonsillectomy
- Uvulopalatoplasty (UPPP)
- Inferior turbinate Reduction
- Septoplasty
- Tongue Base Reduction
- Soft Palate Stiffening