Evaulation & workup to detect regions of disproportionate anatomy and its subsequent management in patients of snoring and OSA

50 patients with complaints of snoring with or without symptomatology OSA were selected. The distribution of symptoms was bimodal either in the paediatric age group (mean age 6.4) or in middleaged & elderly (mean age 43.94). In children adenoid and/or tonsillar enlargement (72%) was the commonest cause followed by facial dysmorphism (20%). In adults, disproportionate upper airway anatomy at multiple levels with or without skeletal malformation was the most important cause e.g. long thick soft palate (62.8%), long & oedematous uvula (42.9%), webbing of pillars with reduced interpillar distance (40%). All patients underwent clinical and radiological examination in addition to polysomnographic analysis. Children were generally managed surgically and adults received NCPAP mainly. Surgical treatment was less favored in adults due to involvement of multiple sites.