What types of surgical interventions are used in the treatment of obstructive sleep apnea (OSA)?

Updated: Feb 25, 2021
  • Author: Charles E Morgan, DMD, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Answer

Answer

When surgical therapy is indicated, conservative procedures are attempted first. These procedures include uvulectomy, nasal reconstruction, adenotonsillectomy, and palatal implants. More aggressive operations include uvulopalatopharyngoplasty (UPPP, or UP3; demonstrated in the image below) and genioglossal advancement with hyoid myotomy. Second-line treatments for OSA are more complex and include maxillary-mandibular advancement, bimaxillary advancement, palatal advancement and tongue-base surgery (midline glossectomy), and tracheostomy.

Uvulopalatopharyngoplasty. Reprinted with permissi Uvulopalatopharyngoplasty. Reprinted with permission from Elsevier [Hester JE, Powell NB, Riley RW, and Li KK. Maxillary-mandibular advancement in obstructive sleep apnea. Operative Techniques in Otolaryngology-Head and Neck Surgery. 2002;13(2):135-7].

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