Snoring & Sleep Apnea Treatment in Madrid
From precision diagnosis to tailored surgery
If you snore or have sleep apnea and Madrid is your choice, here you have all the alternatives — from precision diagnosis to the most suitable treatments for your case — at the HM Tres Cantos, HM Madrid and HM Valdebebas hospitals.
Medically reviewed by Dr. Iván Méndez-Benegassi Silva · Otorhinolaryngology (ENT) Specialist with over 25 years of experience in sleep surgery and advanced rhinology · European Board Certificate (ORL-HNS) · HM Hospitales, Madrid · License No. 282855946
Topographic Diagnosis
Seeing, during medication-induced sleep, at which level of the throat the airway closes, how much and how, helps to choose the treatment when an oral appliance or surgery is being considered.
Videosomnoscopy (DISE): Drug-Induced Sleep Endoscopy
We see live, during medication-induced sleep, at which level of the throat the airway closes, how much and how, to choose the right treatment for your case.
Oral appliance test during sleep endoscopy (DISE)
Simulation of mandibular advancement with the titratable SAM device during sleep endoscopy (DISE). Verifies in the OR if your airway opens with millimetric advancement before having the custom oral appliance (MAD) made, so it is not ordered if it will not open your airway.
Pharyngeal & Laryngeal Airway
Diagnostic and surgical procedures for the soft palate, lateral pharyngeal walls, tongue base and epiglottis.
Da Vinci Robotic Surgery (TORS) & Coblation
Transoral robotic surgery for pharyngeal, tongue base and epiglottic obstructions. Millimetric precision resections without external incisions.
Pharyngoplasty: Palate & Oropharynx Reconstruction
Treatment of lateral and retropalatal collapse. Modern techniques that reposition and tighten tissue to widen the airway.
Septal Cartilage Graft Pharyngoplasty
A technique I perform in the operating theatre: it improves palate tension and stiffness with the patient's own septal cartilage to reduce snoring, in a single multilevel outpatient procedure.
Hypoglossal Nerve Implant (Nyxoah)
Bilateral hypoglossal nerve stimulation: a minimally invasive surgical alternative to CPAP for moderate-to-severe obstructive sleep apnea.
Conservative & Therapeutic Treatments
Non-surgical alternatives and complementary therapies for snoring and sleep apnea.
Positional Therapy
For apneas occurring exclusively when sleeping on your back. Electronic vibration devices and postural training.
Mandibular Advancement Device (MAD)
The main alternative to CPAP for mild and moderate cases. Personalized intraoral device that advances the jaw during sleep.
Myofunctional Therapy
"Gymnastics" for breathing muscles. Specific exercises to increase upper airway muscle tone.
Pediatric
Surgical techniques for childhood snoring and sleep apnea.
Intracapsular Tonsillectomy & Adenoidectomy
Tonsil and adenoid surgery for pediatric sleep apnea. Coblation and radiofrequency: less pain, minimal bleeding and 3-4 day recovery.
Nasal & Sinus Airway
The nose is the gateway of the respiratory system. Optimizing nasal function is essential for treating apnea and snoring.
Septal Cartilage Graft Pharyngoplasty
A technique I perform in the operating theatre: it improves palate tension and stiffness with the patient's own septal cartilage to reduce snoring, in a single multilevel outpatient procedure.
Septoplasty (deviated septum surgery)
Nasal septum correction with high-resolution optical microscope. Advanced surgical precision without uncomfortable packing.
Functional Septorhinoplasty (Functional Rhinoplasty)
Straightens the septum and corrects the outer bones and cartilage of the nose, including the nasal valve, to breathe better. How it differs from septoplasty and cosmetic rhinoplasty.
Ultrasonic Rhinoplasty (Cosmetic and Functional)
Rhinoplasty in which the bone is worked with ultrasound (piezoelectric). What studies say about bruising and swelling, the tip, the hump, breathing and CPAP.
Preservation Rhinoplasty (NOVA Spare Roof & Sail Maneuver)
Anatomical dorsal preservation technique (2025): without lateral keystone disarticulation, with millimeter hump burring, controlled push-down, and overlapped suture.
Permanent Nose Filler with Your Own Cartilage
The permanent alternative to hyaluronic acid: dips and asymmetries of the nose are filled with your own diced cartilage. Comparison, risks and who it suits.
Turbinoplasty with Coblation & Radiofrequency
Turbinate reduction with minimally invasive technology. Outpatient procedure with fast recovery.
Endoscopic Sinus Surgery (FESS)
Comprehensive treatment of chronic sinusitis and nasal polyps. Gold standard to clean and open sinus cavities.
Multiple Surgeries in a Single Procedure
Nasal procedures are often combined with pharyngoplasties or robotic surgery (TORS) in what we call multilevel surgery, treating several obstruction sites in a single operation when the DISE indicates it.
See the specialistSkeletal Surgery
Surgical procedures on the facial skeleton to permanently expand the airway. From genioglossus anchor repositioning to multidisciplinary skeletal expansion and maxillomandibular advancement.
Genioglossus Advancement & Hyoid Suspension
Skeletal framework modification to maximize respiratory space. We act on anchor points to prevent gravity-induced collapse.
Maxillomandibular Advancement (MMA)
The surgical procedure with highest success in severe sleep apnea when CPAP fails. It advances the maxilla and mandible to permanently enlarge the airway. I personally perform the sleep study and DISE, coordinating surgery and orthodontics with Maxillofacial Surgery.
Adult Palatal Expansion (DOME / MARPE / SARPE)
Widening of the maxilla and nasal floor in adults with a high vaulted palate and persistent nasal obstruction. Airway evaluation and DISE are performed by the ENT; expansion is carried out by Orthodontics and Maxillofacial Surgery.
Before deciding: compare and understand
Educational guides and diagnosis to choose the right path. The specialist decides the treatment after a study.
Frequently asked questions
What is septal cartilage graft pharyngoplasty and how is it different?
It is a surgical technique that uses the patient's own septal cartilage —harvested during a septoplasty— to graft 3-4 pieces into the soft palate, increasing its stiffness and reducing snoring. In a single, multilevel and outpatient procedure both the nasal obstruction and the snoring are addressed at the same time, and because it uses autologous tissue there is no rejection.
What is the Nyxoah hypoglossal nerve implant?
The Nyxoah (Genio™) system is a bilateral hypoglossal nerve stimulator that keeps the airway open through gentle activation of the tongue muscles. It is a minimally invasive surgical alternative to CPAP for moderate-to-severe obstructive sleep apnea, placed through a small incision under the chin, with no internal battery and activated each night by an external adhesive patch.
What is DISE / sleep endoscopy for before surgery?
DISE (drug-induced sleep endoscopy) is an endoscopy performed while the patient sleeps under controlled sedation to see in real time which structures collapse (palate, tongue, walls or epiglottis). It allows surgery to be planned according to the observed collapse and helps to avoid unnecessary procedures.
When is snoring or apnea operated on, and when is CPAP or an oral appliance enough?
There is no single best option for everyone. CPAP is the reference treatment for moderate-to-severe apnea, an oral appliance (mandibular advancement device) suits snoring and mild-to-moderate apnea or CPAP intolerance, and surgery is considered when there is a correctable anatomical site or when the other options fail. A specialist decides after a proper study, based on severity (AHI), anatomy and your preferences.
Where is the surgery performed?
I personally perform the surgical procedures at HM Hospitales. Robotic surgery is performed using the Da Vinci Xi robot; appointments are scheduled at my clinics at HM Madrid, HM Valdebebas or HM Tres Cantos (or by video consultation), where we evaluate your case and determine the surgical plan.
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