Loud snoring at night. Pauses in breathing followed by gasps for air while you’re asleep. Excessive daytime fatigue. Frequent nodding off in front of the TV or even when behind the wheel of a car.

Q: If a person is suffering from severe snoring and choking episodes in sleep whom should he consult? A: He can consult a general physician or an internist or a family physician or a sleep specialist.

This Journal feature begins with a case vignette that includes a therapeutic recommendation. A discussion of the clinical problem and the mechanism of benefit of this form of therapy follows. Major ...