The main reason for the high failure rate of UPPP snoring surgery:

• 1, the majority of patients with upper airway obstruction occurred in the multi-level obstruction, UPPP can only lift the soft palate and the level of obstruction.

• 2, too much resection of vertical palate, soft palate  will lead to the destruction of velopharyngeal function, can cause choking and excessive consumption of nasal, Clinicians tend to make the Hypertrophy and long soft palate resection is not enough, which lead to surgery failed;

• 3, many conventional medical institutions to carry out the surgery under local anesthesia, For the patients who’s soft palate is too long and significant hypertrophy, local anesthesia is difficult to accurately grasp the surgical removal of the amount of the full removal of the plethora of organizations, which is one of the factors leading to surgical failure.

• 4, upper airway obstruction is a common cause of excessive oropharyngeal soft tissue areas, But it can also be found clinically in patients with upper airway due to peripheral muscle dysfunction caused by, such patients should not choose surgical treatment. In addition, the soft palate level obstruction in patients with severe single-UPPP can not be completely lifted.

Obesity is one of the most common cause of obstructive sleep apnea syndrome (OSAHS),  UPPP snoring surgery is still internationally recognized as one of the effective therapies for the treatment of OSAHS.

However, the success rate of UPPP snoring surgery for obesity obstructive sleep apnea is only 40-50%. Its high failure rate was mainly due to inappropriate surgical indications to grasp and hard to grasp the amount of soft palate resection. At the same time UPPP snoring surgery  can cause the destruction of velopharyngeal function, resulting in eating and language dysfunction.

Surgical methods:

Treated with general anesthesia or local anesthesia, according to the corresponding point in patients with velopharyngeal the mouth to the palate vertical position of vertex distance of 85-90% of the design of the new jaw hanging vertex, along the tongue palatal arch palatal arch and the new palatal pharyngeal hanging point for the purpose  shaped curve, the design line of remote organizations, the organization shall be required to remove excess.

After the design lines marked with methylene blue in turn both sides of the soft palate and lateral pharyngeal tissue operation, first of all along the arch wire and the surface of the tongue palatal arch incision for resection of soft palate mucosa and submucosal organizations and fat, revealing the tonsil. Peel from top to bottom hypertrophy tonsils, tonsillar artery and vein ligation, removal of pharyngeal arch in front of the palate mucosa, the palatal pharyngeal arch forward cover, close the pharyngeal side of the wound.

At last, removal of excess palatal down, hanging palate surgery to retain the roots of the appropriate side of the nasal cavity mucosa, and flip to the oral palatal surfaces exposed vertical wound closure to prevent postoperative scar contracture. Patients with nasal intubation back to normal wards, in addition to routine postoperative monitoring, care and things, and pay special attention: the complete suction tube secretions, prevent siltation and keep their smooth, close monitoring of patient oxygen. Oropharyngeal area according to the patients after 1-3 days of swelling in the removal of tracheal intubation, after extubation in patients with sleep may be secondary to positive pressure ventilation treatment and oxygen.

Before determining whether surgery is appropriate, consider the cause of the snoring, click here to get the real reason why do people snore ? Of course, not everyone who snores has sleep apnea–and not everyone who has untreated sleep apnea snores. Before undergoing surgery for snoring, it is wise to consider if sleep apnea is present. There are four basic snoring surgeries.

Laser-Assisted Uvuloplatoplasty (LAUP)

The laser-assisted uvulo-palatoplasty (LAUP) is one of the older ways of controlling snoring and sleep apnea. It was originally designed as an alternative, lesser invasive way of trimming and stiffening the soft palate as compared with the standard uvulopalatopharyngoplasty (UPPP) procedure. The LAUP is an in-office procedure performed under local anesthesia using novocaine, which is similar to what you get at the dentist’s office.

Uvulopalatopharyngoplasty (UPPP)

UPPP usually involves removing the uvula and pharyngeal arches, partial removal of the soft palate and sometimes the tonsils. This procedure is performed under general anaesthetic. Research indicates that UPPP is often complicated by severe post-operative pain. Additionally there may be some long-term complications such as nasopharyngeal regurgitation, persistent palatal dryness, long-term voice changes and a partial loss of taste.

Radio-Frequency Ablation (Somnoplasty)

Radio-frequency ablation is designed to shrink redundant tissue of the soft palate. The treatment involves heating the inner tissue to 85ºC which results in the tissue beneath the skin being scarred. Somnoplasty is minimally invasive and creates controlled lesions that have little effect on surrounding tissues.

Palatal Stiffening (CAPSO)

CAPSO or electrical cautery, burns the palate causing fibrosis and consequent stiffening of the soft palate. It is also used a means to remove a longitudinal strip of mucosa along the soft palate or uvula. This procedure is performed during a single out-patient visit under local anaesthetic. Because this procedure is less invasive than UPPP or LAUP there are generally fewer complications, however post-operative pain is similar to the other surgical methods.

Before having the snoring surgeries,  it is high recommended to try some natural stop snoring tips.

To stop snoring, the change of lifestyle should always be the first step, but these tips do not always be effective. If you are this is the case, then you may want to consider a laser-assisted uvula called UPPP (LAUP) for surgical procedures. This relatively new snoring surgery may cure or reduce the majority of people snoring.

LAUP is a small hand-held laser device, removed too much on the tissue from your soft palate and uvula. This snoring surgery will make your airway more spacious, thenl reduce the vibration.

If you undergo the LAUP procedure you can expect to return to a normal routine almost immediately. For the majority of those undergoing this procedure there will be swallowing pain similar to a severe sore throat. This discomfort lasts for approximately ten days and can be relieved by oral analgesic and anti inflammatory medicines.

Some people will have sore throats, and lasts about a week’s time. In rare cases, laser surgery may be pulled up or lower your tone speak. When you decide to accept the laser surgery prior to seriously consult a doctor.

There are a number of snoring surgeries for the treatment of sleep apnea, which depends on the cause:

• If the sleep apnea syndrome is due to jaw deformities, snoring surgery can be implemented to correct the deformity (usually the extension of the mandible). This will be effective for most people.

• If you are suffering from sleep apnea of unknown etiology, and  also non-life-threatening, It can be implemented by so called uvula – the palate – UPPP (UPPP), this operation is under general anesthesia, to shaping and organization of the throat tighten. However, such snoring surgery is only 30-50% success rate, and may affect the future ability to accept CPAP therapy.

• If your sleep apnea syndrome is causedby the increased tonsils or adenoids , and it  can be resolved by the so called a tonsillectomy or adenoidectomy simple surgery.

Sleep snoring, also known as snoring, modern medicine referred to as “sleep apnea syndrome.” The incidence of snoring is still very high, according to the American Medical statistics, around 30% of people snoring during sleep.

Snoring is not performance of sleep incense, It is unusual because of the anatomical structure of the throat, resulting in a narrow pharyngeal airway, mainly due to poor inspiratory inspiratory dyspnea. Snoring is the sound of breathing air through a narrow airway, make the relaxation of the soft palate and uvula occurred vibration occurs. When the pharyngeal airway stenosis, blocking the airflow can not be through, apnea phenomenon occurs. Thus, strictly speaking, this kind of snoring should be referred to as “obstructive sleep apnea syndrome.”

Because sleep apnea phenomenon often occurs, their sleep is frequently interrupted throughout the night. Sleep apnea can lead to death as it takes a huge toll on the body and affects other systems which can lead to fatal situations such as a heart attack, congestive heart failure, a stroke or the patient may fall asleep while driving for example and have a tragic accident.

From the anatomical structure, The reason cause pharyngeal airway stenosis : long soft palate and uvula, muscle relaxation, pharyngeal wall decreased muscle tone, relaxation, tongue hypertrophy, tongue base after the shift, sometimes accompanied by tongue-tie is too short, pharyngeal tonsil hypertrophy accounted for between the holes. Others such as obesity, and short neck is also the cause.

Due to the abnormal anatomical structures, resulting in a narrow pharyngeal airway, plastic snoring surgery is called excessive velopharyngeal closure and its surgical treatment are: shortening the soft palate, uvula narrow shape, pharyngeal wall lysis, pharynx expansion , palate and pharynx shape, tongue-tie extended tonsillectomy operation carried out jointly, we can expand the pharyngeal airway, particularly the nasopharyngeal airway, a surgery, also be ready access to the therapeutic effect of once and for all.

The birth of this method is based on a closed velopharyngeal diseases research: velopharyngeal insufficiency – a cleft palate and cleft palate patients after surgery, pronunciation unclear; excessive velopharyngeal closure – that is obstructive sleep apnea syndrome. This study was funded by the United States CMB Fund.

Question : 2 months ago, I went to hospital to have a snoring surgery, the doctor said that surgery is very successful and could no recurrence. At that one month after i have the snoring surgery, I do stop snoring and have a good sleep. Howevery just over a month, my snoring recurrent, and I do not know how to do? what is the problem ?

Expert Answers:

Snoring is a respiratory integrated disease, is not alone. In general, after we have a check at the hospital, we will find that certain organs of the throat increased or deformed. These increases or deformation of the organ hampered breathing, while during sleep, these lesions organs affect the normal breathing, So that the body’s function will intensify breathing, the intensity breathing will driven the throat organs shock, which resulting snoring.

General doctors will recommend you to have snoring surgery, because snoring surgery have quick effection. but often overlooked the shortcomings of the snoring surgery – likely recurrence. In fact, only the eliminate the respiratory diseases, can cure snoring completely. Therefore, the current snoring surgery can not solve the problem, is not desirable.