17 September 2008

Every patient has different shaped nose and throat. That's why before the surgery start, Oral and Maxillofacial Surgeon will measure the airway at several points and check for any abnormal flow of air from the nose to lungs.

1. Uvulopalatopharyngoplasty (UPPP) Uvulopalatopharyngoplasty BeforeUvulopalatopharyngoplasty After
  • UPPP is usually performed on patients who are unable to tolerate the C-PAP.
  • This procedure shortens and stiffens the soft palate by partially removing the uvula and reducing the edge of the soft palate and eliminates tissue from the back portion of the mouth near the top of the throat. The adenoids and tonsils may be removed as well.
  • Your airflow blockage be life-threatening, the ENT may find it necessary to build an opening in the windpipe through a procedure called tracheotomy.
  • An operation on your nose might be necessary to improve a deviated septum or to remove polyps that are blocking your airflow.
2. Hyoid Suspension
  • The hyoid bone is a U-shaped bone in the neck located above the level of the thyroid cartilage (Adam's apple) that has attachments to the muscles of the tongue as well as other muscles and soft tissues around the throat.
  • The procedure secures the hyoid bone to the thyroid cartilage and helps to stabilize this region of the airway.
Hyoid Suspension BeforeHyoid Suspension After3. Genioglossus Advancement (GGA)Genioglossus Advancement BeforeGenioglossus Advancement After
  • GGA treat obstructive sleep apnea.
  • It is designed to open the upper breathing passage, and tightens the front tongue tendon, reducing the degree of tongue displacement into the throat.
  • This operation is often performed in tandem with at least one other procedure such as the UPPP or hyoid suspension.
4. Maxillomandibular Advancement (MMA) Maxillomandibular Advancement BeforeMaxillomandibular Advancement After
  • This procedure moves the upper and lower jaws forward.
  • As the bones are surgically advanced, the soft tissues of the tongue and palate are also moved forward, again opening the upper airway.
  • MMA is the only technique that can create the necessary air passageway to resolve their OSA condition for some individuals.
Sleep apnea is a serious condition. If someone close to you has spoken of your loud snoring and has noticed that you often wake up abruptly, gasping for air, consult your Oral and Maxillofacial Surgeon immediately!


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