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Archive for the ‘Sleep Apnea Surgery’ Category

Pillar Procedure

Thursday, December 10th, 2009

There is a new technique being applied to a sleep apnea surgery procedure that now involves minimally invasive surgery. This new technique is called the pillar procedure.

The pillar procedure promises to cure snoring and reduce sleep apnea problems without undergoing invasive and radical surgery. The treatment was approved by the FDA back in 2004 but the pillar procedure technique uses small implants to stiffen the soft palate in snorers.

The technique is relatively new with a reported 30 thousand snorers having the procedure done worldwide. To see if the pillar procedure is available in your area contact your ear nose and throat specialist.

The Pillar Procedure is a new FDA approved office procedure to treat primarily snoring disorders and select cases of sleep apnea.

The most common source of snoring is from the fluttering of the soft palate which is the soft part of the top of the mouth. Often the uvula which is hanging tissue at the back of the throat will also flutter causing the snoring or increasing the sound intensity.

This technique lessens the incidences of snoring by stiffening the soft palate thereby reducing the vibration of the soft palate.

This new technique is done in an outpatient setting, often right in the physician’s office, typically in less than one hour under local anesthesia. The doctor will “freeze” your throat using sprays, gels, and Lidocaine. Then three small “pillar” implants which are about 2 mm in diameter are placed inside the soft palate to cause scarring to stiffen the palate.  As the implants stimulate scarring, the soft palate will stiffen resulting in continued reduction of snoring for 4-6 weeks.

Since the procedure is done in an outpatient setting, recovery is much quicker and with less discomfort than other sleep apnea surgery procedures. Pain after the surgery varies widely depending on individual tolerances and personalities. Generally speaking, on average a person should anticipate soreness in the area for a few days after the procedure.

Is This Procedure Right For You?

Ask your ENR specialist or physician. You can’t determine the proper answer just from information that you read here or anywhere else. Only a licensed physician can determine if the pillar procedure is appropriate for your individual situation. The procedure was developed for people who are “palatal” snorers with small tonsils and a favorable tongue position. These factors can only be determined after a proper assessment and physical exam during your visit to a physician. If you have severe sleep apnea, this technique may not be recommended.

Does It Work?

Current studies vary. It is reported that in general 70-90% of patients or their partners were satisfied with the reduction of snoring. Long-term studies are currently still being conducted and results compiled. Remember, the pillar procedure is a relatively new procedure.

This new procedure has many advantages compared to standard sleep apnea surgery and other snoring surgical treatments.

  1. It is minimally invasive
  2. Performed under local anesthesia
  3. It is performed in an outpatient setting (less disruption to your schedule)
  4. It is a less painful procedure and recovery is also faster

The Pillar Procedure is the latest and greatest procedure aimed at treating snoring and various degrees of sleep apnea.

Sleep Apnea Surgery

Friday, December 4th, 2009


If you too are considering this option you will want to talk with your physician or sleep specialist to determine which sleep apnea treatments method is appropriate for your disorder.

Sleep apnea surgery is intended to eliminate or significantly reduce the source of the blockage of your throat airway. This is done by reducing the excess tissue of the palate. This sleep apnea surgery typically will also involve the removal of the uvula and tonsils or adenoids.

Sleep Apnea Surgery Risks

Though any surgery involves risk, untreated sleep apnea can prove to be harmful to your health and even has caused death. It is important to remember that the elimination of snoring may not mean you have eliminated your sleep apnea.

Snoring is caused by the vibration of the tissue in the palate. Surgery such as Sonomoplasty will tighten this tissue which will cause the snoring to be audibly reduced or eliminated. The obstruction of your throat’s airway however may still exist.

Talk with your doctor to see if they believe that this type of sleep apnea surgery will eliminate your apnea. Don’t be surprised if this surgery does not cure your sleep apnea all together, but it should reduce the number of apnea events you experience each night.

Insurance Issues

Most insurance plans will cover surgery for sleep apnea while denying surgery claims for snoring. It is important to check with your insurance provider and discuss the billing code that will be used with your doctor’s billing person. The doctor many not know the exact code that will be used so it is best to check with the billing personnel of the doctor office.

Surgery Side Effects

The vast majority of people will experience very light throat pain for a day or two from laser assisted surgery techniques after sleep apnea surgery. More traditional surgery methods to remove excess tissue and the uvula will result in more significant pain for a longer period of time, often lasting a couple of weeks.

Uvulopalatopharyngoplasy

UPPP or Uvulopalatopharyngoplasy is the most common sleep apnea surgery recommended by doctors. This surgery involves the removal of uvula along with the tonsils and adenoids. The uvula is the tissue that you see hanging from the middle of the back of your mouth. The soft palate on the roof of your mouth may also have excess tissue removed. This can be accomplished with the assistance of a laser.

UPPP procedures require general anesthetics and will require a short stay in the hospital. The use of general anesthetics does complicate the surgery as the anesthesia enhances the apnea condition, including the recovery period. These are factors that you should weigh seriously in your discussion with your doctor or the surgeon.

Non-Surgical Sleep Apnea Treatments

You do have other sleep apnea treatments options that do not require surgery. These include sleep apnea devices that move your jaw forward to help open the airway.

The most popular sleep apnea treatments today is the use of sleep apnea machines which use air pressure to keep your throat and airways unobstructed while you sleep.

Which sleep apnea treatments are right for you will depend on the severity of your apnea and personal preferences.

Final Thoughts

Before you consider surgery make sure you have exhausted the other sleep apnea treatments available and have seen an ears, nose and throat specialist. Many people will also seek a second opinion from an Otolaryngologist or maxillofacial surgeon before proceeding with sleep apnea surgery. Often your insurance provider may require that you get a referral or see a specific specialist before they will authorize a particular type of sleep apnea surgery.