Check for updatesReceived:15 September 2022Accepted:11 December 2022D0L10.1111/rep.14443POSITION PAPERRespirologyWILEYAustralasian Sleep Association position statement on consensusand evidence based treatment for primary snoringLeba M.Sarkis12 Andrew C.Jones3 Andrew Ng Christopher Pantin3Sarah L.Appleton Stuart G.MacKay7Otolaryngology Head and Neck SurgeryAbstractDepartment,The Wollongong Hosp ital,Wollongong.New South Wales,AustraliaPrimary snoring impacts a significant portion of the adult population and has the"Sydney Medical School,Faculty of Medicine andpotential to significantly impair quality of life.The purpose of these guidelines is toHealth.Untversity of Sydney.Sydney.New Southprovide evidence-based recommendations to assist Australasian practitioners in theWales,Australiamanagement of adult patients who present with primary snoring without significantespiratory and Sleep Medicine Department,obstructive sleep apnoea.The Timetable,Methodology and Standards by which thisThe Wollongong Hospital,Wollongong.New South Wales,AustraliaPosition Statement has been established is outlined in the Appendix S1.Centre for Sleep Disorders&Respiratory FailureThe main recommendations are:St George Hospital,The Lucas Institute NSW.AustraliaWeight loss,and reduced alcohol consumption should be recommended,whereCentre for Sleep Science (UWA).Absolute SleepappropriatePty Ltd.If clinical judgement dictates,benzodiazepine and opioid reduction or avoidanceFlinders Health and Medical Research Institute-may be advisedSleep Health (Adelaide Institute for Sleep Health).Positional therapy should be considered in supine dominant snorersCollege of Medicine of Public Health,FlindersUntversity,Bedford Park,South Australia,In dentate patients,Mandibular advancement devices (MAD)should be recom-Australiamended as a first line treatment following assessment by both an appropriate7School of Medicine,University of WollongongDentist and Sleep physicianNew South Wales,AustraliaContinuous positive airway pressure (CPAP)devices may be recommended in patientswith primary snoring in those already committed to their use or willing to tryCorrespondenceStuart G.MackaySurgical treatment of primary snoring by an appropriately credentialled surgeonEmail stuartma@uow.edu.aumay be advised and includes nasal (adjunctive),palatal and other interventionsThis position statement has been designed based on the best available current evidenceHandling Editor:Philip Bardinand our combined expert clinical experience to facilitate the management of patients whopresent with primary snoring.It provides clinicians with a series of both non-surgicaland surgical options with the aim of achieving optimal symptom control and patient out-comes.This is the first such set of recommendations to be established within Australasiaand has also been reviewed and endorsed by the Australasian Sleep Association.KEYWORDSnon-surgical,primary snoring,sleep,surgery,treatmentINTRODUCTIONsleep disordered breathing (SDB).Con
