Like horses, the normal anatomical position of the epiglottis causes it to be engaged over the caudal rim of the soft palate, sealing the oral pharynx from the lower airways.

Dr. Shapiro said snoring occurs when the jaw and tongue slip backward, causing the tongue and the oral pharynx to interfere with air as it enters or leaves the windpipe.

HISTORY AND PHYSICAL EXAM: A complete history and physical exam with special attention to the skin, lymph nodes, ears, oral pharynx, gingiva, tongue, teeth, bones, lungs, thyroid, liver and spleen size, bone abnormalities, and growth velocity.