Dr Paulose

World Class ENT Plastic and Laser Surgeon

Coblator surgery in India

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Multilevel Surgery Cures Snoring and Sleep Apnea


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Obstructive sleep apnea (OSA) is often a multi-level upper airway disorder in which anatomic factors in the nose, oral cavity, and throat collectively leads to obstruction during sleep. Nasal factors include deviated septum, turbinate hypertrophy, and adenoid
hypertrophy. Oral cavity factors include large tongue, large tonsils, and uvular-palatal hypertrophy. Factors in the throat include large base of tongue and rarely, problems related to the voice box.
Where ever there is obstruction, the obstruction should be removed, that is the principle of OSA surgery, only a multilevel approach can cure the patient from severe OSA.

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Sleep Disorder Breathing:Surgical Treatment


RF Technology used in Surgical Treatment of Snoring and Sleep Apnea.
Dr.K.O.Paulose FRCS DLO, Consultant ENT Surgeon, Jubilee Hospital, Trivandrum, Kerala, India. Performs Coblation assisted RF surgery in treating a patient with severe obstructive Sleep apnea. The patient first tried a CPAP, but unable tolerate it. So surgical intervention was asked for.

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Sleep Apnea Surgery :Obesity


Snoring and sleep apnea is very common in obese patient and vice verse.Type 2 diabetes also common in these patients as a complication of snoring sleep apnea.Here an obese patient weighing 115kg is undergoing surgery to cure severe OSA (500+), he was not able to survive on a CPAP.