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The first involves surgery of the soft tissue (tonsillectomy, uvulopalatopharyngoplasty) and the second involves skeletal surgeries (maxillomandibular advancement). First, Phase 1 or soft tissue surgery is performed and after re-testing with a new sleep study, if there is residual sleep apnea, then Phase 2 surgery would consist of jaw surgery.
A pharyngeal flap surgery unites the posterior pharyngeal wall and the soft palate to definitively occlude the midsagittal aspect of the palatopharyngeal port while bilaterally maintaining patencies between the nasopharynx and oropharynx to facilitate nasal respiration and resonance during the production of nasal phonemes.
The implant may be configured to best accommodate the patient's comfort and sleeping habits (e.g., set a delay based on sleep latency). The hypoglossal nerve stimulator implantable pulse generator battery life typically lasts 8–12 years, after which the implantable pulse generator may be safely replaced with another surgery.
Obstructive sleep apnea or sleep apnea is defined as either cessation of breathing (apnea) for 10 seconds, or a decrease in normal breathing (hypopnea) with an associated desaturation in oxygen and arousal during sleep that lasts at least 10 seconds. In adults, it is typical to have up to 4.9 events per hour.
Hyoid suspension, also known as hyoid myotomy and suspension or hyoid advancement, is a surgical procedure or sleep surgery in which the hyoid bone and its muscle attachments to the tongue and airway are pulled forward with the aim of increasing airway size and improving airway stability in the retrolingual and hypopharyngeal airway (airway behind and below the base of tongue).
Other requirements to qualify for the surgery include a short and immobile or easily fatigued palate (Mazaheri et al., 1994). The patient’s pattern of VP closure is one aspect that is taken take into consideration by doctors in deciding whether pharyngeal flap surgery is the appropriate method of treatment (Armour et al. , 2005).
Orthognathic surgery is also available as a very successful treatment (90–100%) for obstructive sleep apnea. [13] Cleft lip and palate. Orthognathic surgery is a well established and widely used treatment option for insufficient growth of the maxilla in patients with an orofacial cleft. [14]
For habitual snoring, the soft palate and the uvula are targeted; For obstructive sleep apnea, the base of the tongue and other airway structures are targeted; Note: the actual areas targeted depends on each individual's specific anatomy, so the above are just general associations.