Posted by rkf on October 05, 2004 at 12:24:23:

In Reply to: Re: Stanford "graduated" surgery theory posted by smokey888 on October 01, 2004 at 21:18:21:

I had an airway of 5mm when upright. Last year I had MMA at 52, 5'11" and 195lb. Spent two nights in the surgical center after the nine hour procedure (Friday night, Saturday night). Went home Sunday, quit taking pain meds Monday, went back to work the following Monday. Xrays at 90 days showed the airway at 17 which was odd since the advancement was 9mm (upper and lower). Before we started my obstructive events were over 60. At 14 months, the obstructive events were 4 fothe entire 8 hour sleep study. Explanation for lack of real pain was "bone has no nerves, the nerves in the soft tissue get severed during the procedure and by the time they regenerate, you are healed". My surgeon follows the basic Stanford protocol with some common sense. If the airway is tight below the uvula, why do a painful soft tissue procedure above the airway that has less than 50% success rate for best case scenerio? There seems to be a growing wave of younger surgeons who believe to do more initial diagnosis and attack the most likely site of the obstruction. Worked for me.

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