Retrograde Uvuloplasty, Non-contact coagulation and Interstitial
Epic-S Diode Laser 940 nm
100 mm fresh tip, uninitiated, to conduct non-contact mucosal and sub-mucosal coagulation
Authored by Physician
Yosef Krespi, MD
Professor of Otolaryngology, Hofstra School of Medicine, New York
Persistent palatal snoring. Excessive day time sleepiness, sleep fragmentation. Loud snoring confirmed by bed partner.
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.
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”
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.