Dr. Samanta Dall'AgneseENT · Sleep Medicine
In the clinic

What I treat.

Otolaryngology and sleep medicine in the same place, for men and women. Before choosing any treatment, the question is always the same: what is causing your problem?

Dr. Samanta Dall'Agnese's clinic
Complaints and conditions

Sleep and the airway are the same problem, seen from different angles.

Snoring, apnea, insomnia and nasal obstruction live between the nose, the throat and sleep. Each complaint below has its own investigation and a treatment with a name, a timeline and a clear criterion.

01

Snoring and sleep apnea

Loud snoring, breathing pauses, sleep that does not restore, and daytime sleepiness. Obstructive sleep apnea raises cardiovascular and metabolic risk, and many people live with it for years believing they have "always slept like this".

Investigation: endoscopic airway examination and a sleep study. Treatment: chosen according to anatomy, from CPAP and oral appliances to surgery.
02

Insomnia and fragmented sleep

Difficulty falling asleep, waking in the middle of the night, waking too early and not getting back to sleep. Chronic insomnia is not solved by sleeping pills taken indefinitely, and prolonged use usually makes the complaint worse.

Investigation: sleep history, circadian rhythm and associated factors. Treatment: behavioural and clinical approach, with medication tapering when indicated.
03

Nasal breathing and obstruction

A blocked nose, rhinitis, a deviated septum, a dry mouth on waking, and children who breathe through the mouth. A nose that does not let air through is one of the most underestimated causes of poor sleep and snoring.

Investigation: nasal endoscopy and allergy assessment. Treatment: medical, with medication and environmental control, or surgical when the anatomy demands it.
04

Sleep in menopause and perimenopause

Insomnia that appears out of nowhere at 45, night sweats, broken sleep and fatigue no one can explain. The hormonal drop changes sleep architecture, and apnea in women presents differently, which is why it is so often missed.

Investigation: sleep assessment with specific attention to female sleep. Treatment: an individual plan, in dialogue with gynaecology when needed.
05

Men's sleep, andropause and performance

Snoring, non-restorative sleep, falling energy, libido and physical output. In men, apnea tends to start early and be treated late, and poor sleep undercuts testosterone, focus and training recovery.

Investigation: sleep study and airway assessment. Treatment: a plan aimed at correcting the cause, not masking the symptom.
06

Laser airway surgery

More than 8 years operating with laser. The minimally invasive technique cuts less, bleeds less and swells less, which means less trauma and a faster recovery. Laser is not for everyone: the indication depends on your anatomy and on what is actually causing the problem.

Indication: defined after airway examination. Advantage: a more comfortable recovery and a faster return to routine.
07

Drug-induced sleep endoscopy, DISE

An examination that shows where and how the airway collapses during induced sleep, rather than only while the patient is awake. It is what makes it possible to choose the right surgery instead of operating in the dark, and it is one of the areas in which I also conduct research.

Who it is for: candidates for snoring and apnea surgery, and cases where previous treatment has failed.
08

CPAP and oral appliances

Indication, adjustment and follow-up. Many people abandon CPAP in the first month because of something simple: the mask, the pressure, or an obstructed nose. An oral appliance is a good alternative in selected cases, chosen with clear criteria.

Follow-up: review of adherence and results, adjusting whatever is not working.
09

Sleep, longevity and routine

For those who sleep reasonably well and want to sleep well: chronotype, light exposure, training times, alcohol, caffeine, and what wearables get right and what they cannot see. Sleep is trainable, and the return shows up within weeks.

Format: a habit-focused consultation, with a practical plan and 30-day goals.
Where I operate

Surgery at leading reference hospitals in São Paulo.

When surgery is the indicated course, the procedure takes place in hospitals with a complete surgical centre, anaesthesia and inpatient support. The choice of hospital takes into account your insurance, the complexity of the case and your schedule.

How the consultation works

You leave knowing what you have, why you have it, and what the real options are.

01

Sleep history

Routine, symptoms, medication, and the snoring reported by whoever sleeps next to you. The conversation already points to half of the diagnosis.

02

Examination the same day

Nose, throat and ears examined endoscopically during the consultation itself, to see where the airway collapses.

03

A plan, explained

Sleep studies when indicated, and a plan in plain language: behaviour, device, medication or surgery.

Contact and booking

Let's schedule your consultation.

Booking is done by WhatsApp or email, with confirmation of the time, fees and preparation instructions before the consultation.

Clinic

Itaim Bibi, São Paulo

The clinic's waiting room
Before you come

What makes the consultation more useful

  • Previous sleep studies, even old ones, and any imaging reports
  • A list of the medication you take, including supplements and sleep aids
  • An account from whoever sleeps next to you about snoring and breathing pauses
  • If you wear a smartwatch or ring, the data from the last few weeks

Does your company sleep badly too?

Talks, workshops and sleep programmes for teams, on the same scientific footing as the clinic.

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