UVULOPALATO PHARYNGOPLASTY

Snoring by itself may be just a social nuisance but as soonas it is associated with sleep apnoea it becomes a serious medical problem.There are long term implications on the patient’s-Heart-Lungs-Cognitive functioning-Daytime alertness-BMI/ Metabolism - daytime sleepiness leading to obesity- Mortality – it is one of the causes of sudden deathOne of the modalities of managing Obstructive Sleep Apnoea –specially in the presence of enlarged Tonsils – is Uvulopalatopharyngoplasty.In this procedure the enlarged tonsils are removed and thesoft palate and the uvula are trimmed to create a wider passage in the throatso as to reduce snoring.This may be done with simple cold steel instruments or usinga Laser, Coblator or a Microdebrider – the results are usually the same.

Benefitsof UPPP 

1.  Improved Breathing: Surgery for obstructivesleep apnoea can significantly improve breathing during sleep by widening theairway and reducing the frequency and severity of apnoeic episodes.

 2. Reduced Symptoms: Surgery can also reduce oreliminate symptoms of OSA, such as snoring, daytime sleepiness and tiredness.

3. Long-Term Solution: In some patients properlyindicated and performed surgery offers a long term reduction in snoring andsleep apnoea, unlike the CPAP machine which has to be used life long.

SIDE EFFECTS OF THE SURGERY

1. PAIN- There is post operative pain for a fewdays and some diet restrictions are advised till the patient can eat regularfood.

2. BLEEDING – during and sometimes after the surgery

3. INFECTION- secondary infection following theoperation

4. CHANGE IN VOICE – due to removal of tissue fromthe throat

5. NASAL REGURGITATION  - due to removal of part of the palate

ALTERNATIVES TO SURGERY·  Lifestyle changes: Reduce weight, stopsmoking, reduce alcohol intake and avoid talking sedatives at night. Dental/ Oral devices at night- try to keepyour airway open during sleep·        Adopting a particular position whilesleeping- specially try to lie on your tummy · CPAP- Continuous Positive Airway Pressuremachine that helps you breathe better at night and prevents snoring.   

For more infomation : https://entdelhi.com/snoring-sleep-apnea-surgery-2/

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