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Snoring Correction Surgery

Snoring is caused by vibration of the soft palate (the soft part of the mouth's roof) as the lungs strainSnoring Correction Surgery to inhale oxygen through obstructed airways.

Causes

Typically this occurs when the muscles those keep these airways open become too lax or when excess tissue accumulates.

Apart from that, the following situations also lead to snoring.

  • Poor nasal airflow
  • Loose tissues in the throat
  • Loose tissues in the roof of mouth – soft palate
  • Large tonsils and adenoids
  • A large or mispositioned tongue
  • Abnormalities in the jaw
  • Excess neck fat

Nasal and soft palate difficulties are the most common causes of snoring. However, a detailed medical assessment is required to both identify and plan the nature of corrective surgery.

Nasal blockage can be caused by a twist in the nasal septum cartilage. Other nasal problems include swelling of the nasal tissues due to allergy or polyps.

If nasal blockage is part of your snoring problem, this will be your first operation. Approximately 40 percent of snorers are sorted out with the nasal surgery alone. If snoring is still present, then subsequent surgery of the roof of the mouth will be the next procedure.

BRIEF ABOUT THE PROCEDURE

Nasal Surgery options for snoring

Radio-frequency energy

Radio-frequency energy can be used to shrink the Turbinates by creating scar tissue in them which results in a more open nasal passage. The procedure takes about 15 minutes. Most of that time is spent anesthetizing the nasal tissue with topical and other anesthetics injected to the area.

A wand is placed into the tissues and Radio-frequency energy is then released into the tissues for about ten seconds. Multiple applications are done on each side of the nose for maximal effect. After the scar tissue is formed, which takes about 3 months; one can notice the full effect of the procedure. The scar tissue will soften over time and the swelling and narrowing may recur. If needed, the procedure can be repeated.

Deviated septum

The nasal septum is the "wall" in the center of the nose that separates the right and left nasal passages. After trauma (including during birth), the septum can be deviated to one side or may curve to both sides (one side by the front of the septum and the other by the back of the septum). The septum deviation can be corrected by removing the crooked cartilage. This surgery usually is performed in the operating room under general anesthesia. After surgery, if the nasal obstruction is improved, the snoring often improves.

Nasal polyps.

Nasal polyps are mucosal "growths" in the nose that are usually caused by allergies. As they continue to enlarge over time, they can cause nasal obstruction. If the polyps are large enough, they will require surgery to remove them. This is done in an operating room under general anesthesia. Removing the polyps reduces nasal obstruction, which may improve snoring.

Oral surgery options for snoring

Snoring can also be caused by a long, floppy palate and uvula. There are several procedures that involve the uvula and palate. Some procedures remove the tissue whereas others try to stiffen the tissues.

Uvulectomy

Uvulectomy is the removal of the uvula. This can easily be performed under local anesthesia in the doctor's office. A person usually does not miss having the uvula. However, there is a period of one to two weeks of discomfort in the throat after the procedure. Some people require strong pain medications for several days, whereas others need only acetaminophen (Tylenol) or an over-the-counter equivalent. Most people describe the pain as similar to a bad viral sore throat that is worse when swallowing. The main risks of uvulectomy are pain, bleeding, and altered speech (if you speak a language with guttural fricatives like Hebrew or Farsi).

Laser assisted uvulopalatoplasty (LAUP)

Laser assisted uvulopalatoplasty (LAUP) involves trimming the palate with a laser. It can be performed in the doctor's office under local anesthesia. Small cuts are made in the palate on each side of the uvula with a laser. Several procedures are usually needed for a maximal effect. The scarring caused by the procedure stiffens the palate, decreasing the ability of the palate to vibrate and pulls the palate sideways to tighten it. This procedure results in mild to moderate pain for one to two weeks that is generally controlled with oral pain medications.

Snoring due to a long, floppy palate can be treated with office procedures that stiffen the palate. Like a sail on a sailboat, the air moving around the palate can cause vibrations of the tissue. For a sailboat sail, battens are placed to stiffen the sail and decrease vibration. Similarly, a stiffer palate vibrates less. The palate can be stiffened by creating scar tissue (as discussed previously) or with implants.

Radio-frequency ablation of the palate

Radio-frequency ablation of the palate can be performed under local anesthesia in the doctor's office. Usually, three tunnels in the tissue are made with a radiofrequency wand. The radiofrequency energy is applied for approximately ten seconds with the wand in the palate muscle tissue. The tissue heals as scar tissue, and the palate becomes stiffer and vibrates less. Generally, scar tissue in the palate continues to form for up to three months. Up to 77% of people report reduced snoring after this procedure, however, as the tissue continues to heal over time, the palate may soften and re-obstruct. One study demonstrated a 29% relapse in snoring after one year.

Palate implants

Palate implants are now being used to treat snoring. They are made from Dacron, which is a non-reactive material that has been used for many years for heart valve surgery and hernia repair. Dacron also encourages the normal tissue to grow into it. Small Dacron implants are placed into the palate under local anesthesia. The implants stiffen the palate like scar tissue after radiofrequency treatments. The implants stay in the tissue, so recurrence of snoring should be reduced.

There is a small increased risk of infection after insertion of foreign material in the palate tissue. If this occurs, the implant should be removed and replaced with another implant. Although this sound like a negative consequence, infection actually leads to scarring thus leading to decreased vibrations of the palate. The implant procedure results in less tissue inflammation and therefore the procedure does not hurt as much or for as long as following radio-frequency treatments.

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