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For those individuals who find the use of a CPAP and alternative therapies ineffective in the treatment of sleep apnea, surgery may become the only viable option. As is the case with practices used to treat snoring, similarly surgical procedures used to treat sleep apnea are not guaranteed to work and may prove incredibly painful.
The most widely used surgery in the treatment of snoring, and indeed sleep apnea is uvulopalatopharyngoplasty (UPPP). During this procedure, the portion of the airway responsible for blockages during sleep is removed under local anaesthetic. Upon healing, the previously slack fibres of the throat are tightened resulting in less obstruction of the airway and reduced episodes of obstructive sleep apnea.
Similarly, another common type of snoring surgery, laser-assisted uvulopalatoplasty (LAUP) may also be used to treat mild cases of obstructive sleep apnea. Depending on the severity of the condition, the procedure may need to be performed several times over a period of a couple of weeks. Although generally carried out under local anaesthetic, patients may elect to rather opt for a general anaesthetic during later procedures due to the pain factor.
Hyod advancement is another effective albeit less common method of treating sleep apnea. Typically, this procedure involves pulling the muscles and tissues of the tongue towards the front of the mouth, thereby preventing the caving in of the throat and widening the air passage.
Finally, radio frequency abalation or somnoplasty has proved over the years to be an incredibly effective procedure in the treatment of obstructive sleep apnea. A needle connected to a radio frequency generator is inserted into the base of the tongue and energy waves are used to shrink the tissues. The effect is that upon healing, scarring of the palate makes it stiffer and thus substantially opens the airway. The entire process takes approximately 30 minutes, and is claimed to be nowhere near as painful as other similar surgical procedures.
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