Obstructive Sleep Apnea Specialist

Paul Schalch Lepe, MD, FACS -  - Ear, Nose & Throat Specialist

Silenso Clinic

Paul Schalch Lepe, MD, FACS

Ear, Nose & Throat Specialist & Sleep Medicine Specialist located in San Diego, CA

If you don’t get the oxygen you need at night, you might find that you have trouble functioning during the day. At Silenso Clinic in San Diego, California, Paul Schalch Lepe, MD, FACS, offers home sleep testing for obstructive sleep apnea as well as several treatments for the condition. If you’re excessively drowsy during the day or are aware of your paused breathing at night, call Silenso Clinic, or book an appointment online today.

Obstructive Sleep Apnea Q&A

What is obstructive sleep apnea?

Obstructive sleep apnea is a condition that limits your ability to take in oxygen as you breathe at night. If you have obstructive sleep apnea, the soft tissues in your throat collapse and close your airway as you sleep. This interferes with your airflow and can stop you from getting the oxygen you need to function well and maintain good health.

If you have obstructive sleep apnea, you might wake up frequently throughout the night in a subconscious effort to adjust your breathing. You might not even remember waking up at all during the night since it happens so abruptly. For this reason, it’s hard to get good quality sleep if you have obstructive sleep apnea. 

Silenso Clinic offers several solutions to improve your sleep quality and nighttime breathing. To diagnose you, your provider might recommend a WatchPAT™ home sleep study to measure your breathing, oxygen, chest motion, body position, and other factors as you sleep. 

How do I know if I have obstructive sleep apnea?

Obstructive sleep apnea can be difficult to identify, especially if you live or sleep alone. One of the most obvious symptoms of sleep apnea is paused breathing, which you might not notice by yourself unless you record yourself sleeping. It’s easier to notice the effects of sleep apnea during the day, which might include:

  • Sleepiness
  • Fatigue
  • Trouble concentrating
  • Memory problems
  • Mood changes
  • Headaches in the morning
  • Morning dry mouth 
  • Morning sore throat
  • Low libido

Snoring is also a possible symptom of obstructive sleep apnea, but not everyone with the condition snores. You should bring up any unusual symptoms during your appointment.

What are my treatment options for obstructive sleep apnea?

Treating obstructive sleep apnea often requires a multifaceted approach, including minimally invasive treatments, surgery, or home use devices. After your home sleep test, your provider might recommend one of the following treatments. These treatments are preferential for patients who are intolerant of continuous positive airway pressure (CPAP) machines.

Oral devices

A custom oral device sits in your mouth as you sleep and forces your lower jaw forward. It holds your airway open so you can breathe easier as you sleep. 

Inspire hypoglossal nerve stimulation

The Inspire hypoglossal nerve stimulator is surgically implanted beneath your clavicle and stimulates your hypoglossal nerve with electrical impulses. The impulses cause your tongue to protrude forward, which can help open your airway.

Minimally invasive or robotic-assisted surgery

The experts at Silenso Clinic might recommend minimally invasive or robotic-assisted surgery for your treatment. With surgeries like AIRLIFT® hyoid suspension, they can adjust the tissue structure in your throat to promote better breathing.

To learn more about obstructive sleep apnea and explore minimally invasive treatments, call Silenso Clinic, or book an appointment online today.

Find out more about featured technology or treatments


Chronic Sinusitis

Learn More

Deviated Septum

Learn More

Sinus Pressure

Learn More


Learn More


Obstructive Sleep Apnea

Learn More

Balloon Sinuplasty

Learn More


Learn More

Nasal Obstruction

Learn More

Home Sleep Testing

Learn More