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Re: severe obstructive sleep apnea UARS

Posted by Kevin (in Walla Walla) on October 14, 2002 at 15:23:46:

In Reply to: Re: severe obstructive sleep apnea UARS posted by TJ on October 14, 2002 at 13:14:03:

UPPP = uvulopalatopharyngeplasty (cutting out the uvula and trimming the lateral or sides of the throat)
GA - genioglossus advancement (cutting the wedge in the base of the chin and rotating it, pulling the base of the tongue forward)
HS = hyoid suspension (hyoid is a small bone in the throat that they pull forward and tie off, creating a larger opening in the back of the throat.

The problem is that after several years, most reports are 5 or less, the apnea problem is at least as bad as it was before the surgery. Some is related to normal aging, tissue stretching, and the fact that gravity sucks.

In some people with OSA and long floppy soft palates, CPAP will force the soft palate down and seal it over the base of the tongue. These people never have trouble mouth leaks, etc. When the long floppy soft palate is cut out, and the patient has to go back on CPAP, there is nothing left to seal, and air goes shooting right out the mouth. These are usually the patients who will also have ongoing problems with regurgitation and reverse flow through the nose.

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