Sleep Disorder Tests

Relevant healthcare services are offered from 08:30 to 17.30 every week day, except Sunday, at outpatient clinic of Sleep Disorders and Snoring Unit of the Turkiye Hospital.
You can have further information by phone: 0212 314 12 12 or 0507 576 77 05 (Tamer Erence)

A healthy body deserves rest as much as nutrition.  In this regard, “sleep” is one of the important aspects of a healthy life.   Quality of life decreases in people who cannot sleep well and enough due to various reasons.  This will has adverse influence on productivity.

Regular sleep is considered an undeniable fact of life in order to have a healthy and happy life.  Problems leading to impairment of sleep quality are regarded among major health problems.

The etiology of sleep disorder(s) is investigated, determined and treated at Sleep Disorders and Snoring Unit of Türkiye Hospital. Our experienced physicians and other healthcare practitioners are serving our patients with modern technological equipment of Türkiye Hospital.

Some Examples of Healthcare Services Provided

First, underlying causes should be identified in order to start treatment of insomnia.  This is ensured by doing diagnostic workout using such technological equipment. These tests and analyses are as follows:

Sleep Tests

  • Overnight sleep test
  • CPAP Titration
  • Daytime sleep tests (daytime nap study)

Digital EEG

  • Computed EEG
  • Short-term sleep EEG
  • Pediatric EEG
  • Video EEG monitoring
  • 24-hour sleep EEG

Surgery in the treatment of snoring and sleep apnea
Apnea, implying respiratory arrest, creates a substantial reason for insomnia.  This serious health problem can be treated successfully, which is also associated with risk of death during sleep.

Resulting from obstruction of upper respiratory tract, sleep apnea was treated surgically by opening a hole in patient’s trachea. Nowadays, this kind of interventions are rarely performed.  Now, the preferred treatment is delivering pressure air via a nasal mask. Although tracheotomy, opening a hole in trachea, is a rarely employed, it is the unique modality for immediately relieving complaints in patients with severe apnea. However, care and maintenance of this hole is not only challenging, but it is also associated with many risks. It also has psychological adverse effects.

Since there are various upper respiratory tract-related factors, which may occlude airways of the patient, the treatment is determined by patient’s condition.

Accordingly, it is substantial to assess the following three places, where the patient’s airway is occluded:

  • Nose
  • Soft palate
  • Tongue

If there is nasal obstruction secondary to septal deviation, it can be eliminated by correcting the bone and excising nasal turbinates or adenoidal hypertrophies.

The reduction of soft palate is a treatment modality with success rate of 50% in terms of facilitating the breathing. Snoring is also resolved with this operation.

Recently, soft palate surgery is carried out using scalpel, radio-cautery, and laser.

This treatment aims excision of hypertrophic soft tissue, which is occluding the airway. Sometimes, it is deemed appropriate to open two occlusion zones in same session. Or, these operations can be carried out sequentially at separate sessions.

The following issues must be clearly explained and informed to patients:

Snoring surgery is a serious intervention that has greater risks compared to other medical treatments. In addition, surgical treatment has no warranty of cure for any patient.  However, statistical success rates can be declared.

If apnea is secondary to enlarged tongue base or occlusion of the airway by the tongue, further complex surgeries may be required, such as upper and lower jaw surgery.  This intervention may be performed along with soft palate surgery.

Jaw bone surgeries can be extended to moving upper or lower jaw bones forward.

Major surgeries must be reserved for patients who definitely refuse CPAP treatment.  But while preferring such operations, it should be kept in mind that there are some individuals who had forward displacement of facial bone and nasal and palatal surgeries, but cannot recover although 4-6 months had elapsed.

Jaw surgery has successful results generally in solving snoring and sleep apnea problems.  Success rates of such surgeries may reach to that of CPAP devices.

Laser Applications
Also, laser technology is used to remove the factors occluding the airway and thus, eliminating the snoring.

It is known that the laser modality is first used by Kamami in Paris in 1980 and spread to the USA in 1992.  This procedure is accepted as a method of treatment, which can be used for treating simple snoring not associated with sleep apnea. Operation can be carried out at outpatient settings under local anesthesia.  One-week analgesic therapy is required to relieve postoperative pain.  These interventions can be performed in multiple sessions for patients without sleep apnea.  Treatment can be completed in up to 5 sessions in some patients.  Although it is a simple, secure, and reliable treatment method for snoring, the limits of this treatment should be well explained to patients.

Today, “Laser therapy of snoring" is apparently became a marketing strategy.  However, snoring and sleep apnea are among the major problems that cannot be solved with hit-and-run tactics.  From this perspective, a reasonable approach is needed for the problem.

What you need to know about treatment of snoring

The patient with snoring and sleep apnea should have overnight sleep test.

It should be always reminded that there can be many inoperable reasons that can cause snoring and sleep apnea.

Sleep test is the most detailed and realistic indicator of the apnea.

If this short-term respiratory arrest is secondary to occlusion of airway in nose and throat, anatomic and dynamic structure of the apnea must be identified very well.

To clarify such issues, endoscopic examinations, cephalometric analyses and even cinetomography should be performed. The issue can be complicated.

Various forms of surgeries and especially laser have substantially commercial nature. The population of eligible patients is also relatively small.

Today, the most valid treatment for sleep apnea is the use of CPAP device.