Laser Tonsillectomy in India:Snoring and OSA
Dr.K.O.Paulose FRCS DLO, Consultant ENT Surgeon, Jubilee Hospital, Trivandrum, Kerala, India.
Surgical Procedures performed for Snoring and Sleep Apnea:
Various surgical procedures are done to cure snoring and sleep apnea, which may include nasal, palatal, tonsil or tongue and neck surgery. The surgical procedure will depend on the location of the tissues contributing to snoring.
Nasal surgery may include improving the nasal airway by straightening the nasal septum, shrinking the lining tissue of the nose, particularly where this has been troubled by allergy or by the removal of nasal polyps. Previous nasal injury involving the external nose and the nasal septum may require correction.
The reduction of soft palate in snoring is done by palatoplasty involving either Coblator or C02 laser surgery. Newer procedures for more severe forms of snoring including RF shrinkage of the base of the tongue as well as procedures to bring the tongue tissues forward may be of assistance in selected cases.
How effective is surgery
Where nasal airflow difficulties contribute to snoring, then nasal surgery alone may cure or significantly improve the symptoms in 30% of snoring patients. Those still snoring may require additional measures.
Most patients undergoing palatal surgery will experience a significant improvement in snoring. 70% to 80% of palatal surgery patients will have an improvement within two to three months of the initial procedure. Dependent on the technique, some patients may require supplementary surgery to further assist control of their snoring.
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