Uvulopalatoplasty is a surgical technique that
removes the uvula and associated soft-palate tissues. It does not
remove or alter tonsils or lateral pharyngeal-wall tissues.
Snoring
affects millions of people; it's thought to affect four out of ten men
and up to three out of ten women. Most people deny that they snore and
don’t admit it, but snoring can cause serious health problems. Sleep
apnea, sleep apnoea or sleep apnœa is a sleep disorder characterized by pauses in breathing during sleep . These episodes, called apneas(literally, ‘without breath’), each last long enough so one or more
breaths are missed, and occur repeatedly throughout sleep. The noise of
snoring is caused by parts of the nose and throat; in particular, the
soft palate; vibrating as you breathe in and out. At night, the muscles
that help keep your airways open relax and become floppy. This causes
the airways to narrow and vibrate more, making snoring more likely.
In
the short-term, snoring can cause tiredness, irritability and
restlessness during the day. This puts you at risk of accidents when
driving. In the long-term, it can cause high blood pressure, heart
attacks and strokes.
How is Snoring Reduction Performed?
A
special RF electrode is used to make two vertical cuts on either side
of the uvula. These are joined by a horizontal cut and the uvula is
removed. Occasionally, the edge of the soft palate is trimmed as well.
How Will I Feel Post-op?
A
white or gray membrane on the surgical site is normal and should
disappear in 1 to 2 weeks. Patients should consume water and liquid
foods for the first few days. Normal diet can resume after the fifth
day. An antibiotic is usually prescribed for seven to ten days
following the surgery. A local anaesthetic spray (Benzocaine) may be
used topically to anaesthetize the throat and relieve any pain.
What are the Risks and Benefits?
The
danger of serious bleeding is over after you leave the hospital . In a
small percentage of patients, bleeding may occur after 6 to 8 days. If
this happens, remain calm, as this bleeding usually stops
spontaneously.
Am I a Candidate for Snoring Reduction?
Snoring
affects nearly a quarter of the population. If you are in good health
and want your partner to sleep in peace, you are a good candidate.
What are the Long Term Effects?
The majority of patients see a dramatic reduction or elimination of snoring.
Are There Any Other Options Available?
Uvulopharyngopalatoplasty
(UPPP) costs $1100. The success rate is 69- 100% in reducing snoring,
with more variable results in treating obstructive sleep apnea. The
technique employed at the hospital involves removing tonsils, lateral
pharyngeal mucosa on each side, the uvula and adjacent soft palate,
with suture closure of the mucosa. You will spend one night in
hospital. Complications may occur as a result of general anaesthesia
and muscle excision.
Palatal
Advancement shortening costs $1,300 and includes a one night stay in
hospital. Surgical procedures designed to shorten, stiffen, or
otherwise modify the palate may provide relief of upper airway collapse
at the palatal level in patients with sleep-disordered breathing.
The
Pillar® Implant System ($1500) is a minimally invasive implant that is
used to stiffen the soft palate tissue to reduce the flutter that
causes snoring and/or palatal obstruction of the upper airway in
patients with mild to moderate Obstructive Sleep Apnea (OSA). The
Pillar Palatal Implant System changes the soft palate structure and its
response to airflow. Placing three tiny implants into the muscle of the
soft palate tissue adds structural support to and stiffens the soft
palate to decrease snoring. The advantage is the procedure is the least
invasive, is reversible and requires only one visit with a local
anaesthetic. Ask your doctor which procedure will suit you best.