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YOUR SLEEP CENTER IN SOUTH JERSEY

Advanced ENT & Allergy is the best sleep center in South Jersey. With nine (9) locations to choose from, we can help treat problem snoring and sleep apnea. Over 45% of normal adults snore at least occasionally and 25% are habitual snorers. Problem snoring is more frequent in males and those who are overweight. Snoring may be an indication of obstructed breathing and should not be taken lightly. An Advanced ENT & Allergy otolaryngologist can help you to determine where the anatomic source of your snoring may be, and offer solutions for this noisy and often embarrassing behavior.

People who snore may suffer from:

  • Poor muscle tone in the tongue and throat. When muscles are too relaxed, the tongue falls backwards into the airway or the throat muscles draw in from the sides into the airway.
  • Excessive bulkiness of throat tissue. Children with large tonsils and adenoids often snore. Overweight people may have excess soft tissue in the neck that can lead to airway narrowing.
  • Long soft palate and/or uvula. A long palate narrows the opening from the nose into the throat. The excessive length of the soft palate and/or uvula acts as a noisy flutter valve during relaxed breathing.
  • Obstructed nasal airways. A stuffy or blocked nose requires extra effort to pull air through it. This creates an exaggerated vacuum in the throat that pulls together the floppy tissues of the throat, and snoring results.

Excessive snoring disturbs sleeping patterns and deprives the snorer of adequate rest. It may be a sign of obstructive sleep apnea (OSA), which can lead to serious, long-term health problems.

PHILLIPS RESPIRONICS CPAP AND BiPAP MACHINE RECALL

The Philips recommendation has been to stop use of CPAP and consult with their physician. The issue has to do with the sound insulation foam within the machines that has been noted to dissolve to some degree. There has been no clear consensus on how to handle the situation since the the extent of the foam problem and the risk of inhaling the substances is unknown. The recommendation was made based on a small number of patients.

There is general agreement that use of a CPAP machine in the setting of high risk jobs where maintaining alertness is critical is to continue using the machine until further information is available. Patients who elect to stop therapy must know that they cannot drive when sleepy. Patients who have severe sleep apnea are at more risk of medical complications long-term without treatment. These are well known established risks and must be weighed against unknown risks involving possible sound insulation foam degrading that are being evaluated currently. There is no right answer but some academic institutions are advising to continue using CPAP until more information is known.

Patients with mild sleep apnea with no medical issues would ideally stop CPAP use for now and seek alternative treatment for their condition depending on the situation. They can consult with their physician for this.

If you have a machine that is over 5 years old, the recommendation is to obtain a new machine through our office as would normally be done with an outdated or malfunctioning machine. Machines that are less than 5 years old can also be replaced however insurance will not cover the cost despite the company recommendations to stop using them.

CLICK HERE to read the guidelines from the Respironics manufacturer.

OBSTRUCTIVE SLEEP APNEA (OSA)

Snoring may be a sign 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 upper airway narrowing or collapse. 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.

The immediate effect of sleep apnea is that the snorer must sleep lightly and keep the throat muscles tense in order to keep airflow to the lungs. Because the snorer does not get good rest, they may be sleepy during the day, which impairs job performance and makes them a hazardous driver or equipment operator. Untreated obstructive sleep apnea increases the risk of developing heart attacks, strokes, diabetes and many other medical problems.

SLEEP CONDITIONS WE TREAT

Some of the more common sleeping problems are listed below. Please click on the links below to learn more. For more information about any of these disorders and conditions or for questions about a condition not listed here, please contact us to schedule an appointment.

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TO SCHEDULE AN APPOINTMENT CLICK HERE OR CALL (856) 602-4000

New and returning patients can request an appointment with Advanced ENT & Allergy by clicking here. You can also login to our secure patient portal. New patients will need to create an account by contacting our office and providing your email address to our staff. Our staff will then activate your portal account and email you a portal invitation. Click here to get started.

PHYSICIAN PROFILE

STEPHEN P. GADOMSKI, MD, FACS

Dr. Stephen Gadomski earned a bachelor of science degree in Biology and Chemistry from Boston College in Chestnut Hill, MA. He also holds a master’s degree in Zoology from Rutgers University, Newark, NJ.  He was awarded a medical degree from Jefferson Medical College of Thomas Jefferson University, Philadelphia, PA. He served his internship in General Surgery at Albert Einstein Medical Center, Philadelphia, PA and fulfilled his residency requirements for Otolaryngology – Head and Neck Surgery at Jefferson Medical College of Thomas Jefferson University, Philadelphia, PA.

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