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Snoring And Surgical Options

There are a number of surgical procedures offered to cure or mitigate the effects of snoring which can be very effective.

Tracheostomy

Sometimes called a tracheotomy, this surgical procedure makes an opening in the neck through to the trachea or windpipe through which an indwelling tube may be inserted. The procedure can be very distressing for the patient who needs to be reassured that the tube is open and that sufficient air can pass through. The tube needs to be suctioned frequently to keep it free from mucous and other secretions. It can be a very frightening experience to undergo a tracheotomy.

Complications of tracheostomy include Pneumothorax – the presence of air or gas in the pleural space that causes the lung to collapse, respiratory insufficiency and pulmonary infection.

The procedure is irritating to surrounding tissue and causes scarring, often requiring follow up surgery. The patient must be taught how to keep the tube free from secretions.

Uvulopalatopharyngoplasty

Or UPPP is a surgical procedure that involves the removal of palatal and oropharyngeal tissue that may be causing an obstruction to the airway. It is the obstruction to the airway that causes snoring so it follows that without the obstruction there should be no snoring.

The procedure is expensive and may be precluded by health insurers and not offered by national health bodies. Often, the tissue will grow back and another procedure is required to remove the new growth, so the solution is sometimes not permanent.

There is a high risk of post-operative infection setting in and some patients have been left with speech defects as a result of this surgery. The procedure has been shown statistically to have a higher than average risk of both surgical and post-operative hemorrhaging.

Some patients who have undergone this procedure have reported post operative problems with swallowing. Although this is still a procedure used to treat sleep apnea it has not always been proven to be successful in curing this condition.

Laser Assisted Uvuloplasty

This procedure, as its name suggests, makes use of lasers to remove the uvula and any tissue causing an obstruction to the airway, without affecting the tonsils or other lateral tissue.

It has an unpredictable success rate and patients who have undergone this procedure have reported post operative changes in their voice – this obviously makes it an unsuitable procedure for anyone who uses their voice to earn their living.

Other reported unwanted side effects of this procedure are a dry mouth and ear pain

Cautery Assisted Palatal Stiffening

In this surgical procedure the palate is deliberately burned or cauterized, often by laser, in order to stiffen it to prevent vibration. The uvula and mucosa are often also removed. This is reported to be the most painful of all of the surgical procedures with a lengthy recovery period.

The procedure is still deemed to be in the early stages of development and is therefore unproven as a successful treatment to treat snoring. It is expensive and it is difficult to predict a positive outcome.


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