Sleep Apnea Madison NJ

Obstructive Sleep Apnea Treatment

If you snore, you may suffer from sleep apnea, which is a potentially dangerous condition characterized by lapses in breathing.

Sleep Apnea occurs when air passages become blocked and airflow stops for 10 seconds or even longer. The brain senses the lack of oxygen and tells the body to breathe. You may wake up or enter a lighter stage of sleep.

The compressed airways and lapses in breathing may cause snoring. Often people who snore or have sleep apnea waken feeling fatigue, groggy throughout the day, mental confusion and forgetfulness. Sleep apnea may compromise your health and has been linked to various health issues such as diabetes, heart problems, and high blood pressure.

graphic of sleep apnea

Dr Sam Romano has a few simple tests that he can perform conveniently in his Madison NJ office. These non-invasive tests will check your airways to see if there are blockages.

Airway Testing

Obstruction Testing: Quick – Easy – Completely Painless

Accoustic Pharyngometer As a Sleep Disorder Dentist, Dr Romano, uses the Pharyngometer to screen patients prior to diagnosis. A narrow airway reading on the Pharyngometer correlates to higher Apnea Hypopnea Indices once the person is diagnosed. After diagnosis the pharyngometer helps to show us how the airway changes in repsonse to mandibular advancement. It has been concluded that the pharyngometer was accurate in ruling out patients who would not benefit from oral appliances 95% of the time.

The Eccovision® Acoustic Pharyngometer allows Dr Romano to quickly and easily measure a patients pharyngeal airway size and stability from the Oral Pharyngeal Junction to the Glottis.

The Pharyngometer graphically displays the relationship between the cross-sectional area of the airway and distance down the airway in centimeters.

Studies have shown a clear relationship between the existence of OSA and a narrow, collapsible, airway. The Pharyngometer accomplishes these measurements using acoustic reflection technology, similar to a ships sonar.

Sound waves are projected down the airway and reflected back out in such a way that the Pharyngometer software can analyze and quantify changes in the airways cross-sectional area. The test is minimally invasive and takes 2-5 minutes to complete.

graphic of apnea nasal treatment


The Eccovision® Acoustic Rhinometer allows Dr Romano take easy measurements of nasal patency. The device gathers information using acoustic reflection.

Sound waves are sent up the nasal passageway and they are reflected back out in such a way that the Eccovision® Acoustic Rhinometer can accurately map out the topography of the nasal airway. This allows us to clearly identify the location and severity of any obstruction in the airway. The test is completely non-invasive and takes 30 seconds to complete.

The SGS Eccovision Acoustic Rhinometer is used daily by many ENT and pulmonary physicians as part of screening and evaluation procedures for patients who present with; Deviated Septum, Allergy, Congestion, Nasal Resistance, Nasal Polyps, Hypertrophied Turbinates and any other type of upper airway obstruction or resistance.

In order to check the nasal passages, the rhinometer (instrument #2) test is performed first. This tool helps to rule out any obstruction or enlargement in the turbinates as the cause of your sleep disordered breathing problem.

After the airways have been tested, you will be given a take home diagnostic embletta. You will do a sleep study in the privacy of your own home to determine if apnea is occurring during your normal nights sleep.

graphic of sleep apnea treatment

Once the results of the home sleep test are deteremined, Dr Romano will meet with you discuss the next options. Oral appliances can be custom made, to open airways during sleep. Repeat vistis to the office to test the accuracy of the applicance are essential.