Snoring Rx

Clinical Case

Retrograde Uvuloplasty, Non-contact coagulation and Interstitial

Laser Used

Epic-S Diode Laser 940 nm
5w, CW

Accessory Used

100 mm fresh tip, uninitiated, to conduct non-contact mucosal and sub-mucosal coagulation
Surgical handpiece

Authored by Physician

Yosef Krespi, MD
Professor of Otolaryngology, Hofstra School of Medicine, New York

Patient Symptoms

Persistent palatal snoring. Excessive day time sleepiness, sleep fragmentation. Loud snoring confirmed by bed partner.

Diagnosis

Normal or very mild sleep apnea events detected during sleep study. Thick or elongated uvula, small tonsils. No other sleep related comorbidities, such as high BMI, hypertension. Persistent palatal snoring. Excessive day time sleepiness, sleep fragmentation. Loud snoring, palatal flutter, confirmed by bed partner. Conduct overnight recording with an app., such as, SnoreLab.

Management

Laser assisted surgical solution consist of ablating the nasal (posterior) surface of the uvula trans-mucosal and intramuscular in order to shorten and stiffen the uvula and soft palate arch. The laser procedure can also be combined and augmented with soft palate lift and stiffening by using resorbable barbed implants such as “Elevoplasty”

Laser Surgery, Pre-Op

Anesthesia is achieved with a topical application of a mixture of lidocaine 2% and neosynephrine, followed by injection of 2% lidocaine with epinephrine 1:100.000.

Publications

The Efficacy of Diode Laser Palatoplasty on Patients with Troublesome Snoring (Download PDF)Palatal stiffening via transoral, retrograde interstitial laser coagulation (Download PDF)