Surgery for Sleep Disorders and to Correct Obstructive Sleep Apnea
Surgeons in the Sleep Disorders Program are international leaders in the development of better reconstructive surgical procedures for OSA and snoring. The procedures focus on reconstructing the normal anatomy and replace historic methods that remove structures and tissue from the throat. By improving airway structure (repositioning and realigning tissues) in contrast to excising and removing tissues:
- Function and healing are better
- Recovery is faster
- Studies show better sleep outcomes.
Upper Airway Stimulation Therapy (FDA Approved)
Inspire™ II consists of three implantable components:
- Implantable pulse generator (IPG)
- Self-sizing cuff stimulation lead
- Pressure-sensing lead (to sense pressure changes with breathing)
The respiratory pressure waveform is monitored by the IPG algorithm and triggers stimulation therapy with breathing. The device monitors respiratory waveforms, program stimulation modes and stimulation parameter values. The physician adjusts these to optimize the therapy. Patients also have the ability to adjust and modify the therapy.
An abnormal nasal airway is one of the major contributors to poor sleep, and also one of the major predictors of failure of devices such as CPAP, mandibular advancement devices and Provent/Theravent™. Improving the nasal airway with medical or surgical interventions improves sleep. When needed, sometimes nasal surgery is the only intervention that will improve CPAP tolerance. Minor improvements have marked effects.
No single structural abnormality explains nasal problems in sleep disorders. A careful expert evaluation of the nasal valve, nasal septum, turbinates, sinuses and tissues of the back of the nose is important for many individuals with sleep disorders to look for correctable medical causes or to identify structural abnormalities. If surgery is required, it is most often done under local anesthesia with a rapid return to work or other normal activity.
This procedure is used for people with obstruction in the upper pharynx of the palate. The technique removes the uvula, a portion of the soft palate, the tonsils and redundant (excess) tissue from the throat. UPPP may be performed in conjunction with other treatments targeted at other areas of collapse.