Surgical Snoring Cures

Surgical snoring cures including bringing about the thermal, RF or cold burns of the soft palate and removal of chronic nasal obstruction caused by the curvature of the nasal septum, polyps, or thickening of the nasal mucosa.

1. Selective surgical interventions

Therapeutic effect of selective surgical intervention (laser plastic, radio frequency interference) is based on bringing about the thermal, RF or cold burns of the soft palate. The healing tissue and marked decrease the compaction, reducing its vibration and acoustic phenomenon of snoring. Technical procedures are fairly simple and done on an outpatient basis. However, the patient experiences significant pain, resembling severe angina. Procedures are usually repeated 2-3 times at intervals of 2-3 weeks to achieve the desired effect.

Selective surgical interventions are effective for uncomplicated snoring and mild OSA patients with low-lying soft palate and lengthening of the palatine uvula. In moderate and severe obstructive sleep apnea, particularly obese patients, the effectiveness of these methods is low.

2. Surgical removal of anatomic defects at the level of the nose and pharynx.

Difficulty of nasal breathing is one of the causes of snoring and obstructive sleep apnea (OSA). Moderate and severe forms of OSA should be considered as an absolute indication for removal of chronic nasal obstruction caused by the curvature of the nasal septum, polyps, or thickening of the nasal mucosa. In milder and uncomplicated snoring, especially in those older age groups, you must carefully weigh the possible benefits and risks. It is necessary to take into account the social significance of snoring for the patient and his desire to eliminate this sound phenomenon.

Major surgical intervention  involves excision of the palatal tongue, part of the soft palate and palatal arches, as well as removing tonsils. This operation is very traumatic and should be used under strict indications, as the possible development of a number of complications (postoperative respiratory failure or bleeding in the late period – nasal voice, and getting food into the airway). It should also be noted that in severe forms of OSA in patients with obesity, the positive effect of this surgery is only achieved in 20-30% of operated individuals. This is due to conservation restrictions underlying divisions pharynx at the tongue and epiglottis.

In any case, the decision about surgical treatment should be taken ENT surgeon in the light of clinical examination, the results of polysomnography and other additional methods of examination.

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