California Sleep Institute


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Sleep Apnea Surgery

Surgical therapy for treating Obstructive Sleep Apnea Syndrome is based on identifying the sites of airway obstruction. This may include regions of the nose, soft palate and tongue base. The procedures that are effective in clearing specific areas of blockage include methods to remove or reposition tissues that partially or completely block the upper airway during sleep.

These procedures include varied forms of reconstruction that is dependent on the needs and anatomy of the individual patient. Most of these procedures have been used for years and have the data to back up their effectiveness. Newer techniques are continuously being evaluated and are only utilized when there is sufficient medical evidence to support efficacy and safety.

The physician, along with the patient, will discuss both old and new techniques and then decide together the best course of action. Some of the procedures available include:

  • Tracheotomy
  • Glossectomy
  • Radiofrequency shrinkage
  • Osteodistraction

In addition to the above, surgical techniques developed at our center are also used to improve the upper airway at the three levels of possible obstruction: nose, palate & base of tongue. These are nasal reconstruction (nose), uvulopalatopharyngeoplasty (UPPP) or uvulopalatoflap (UPF), (soft palate) mandibular osteotomy with genioglossus advancement, hyoid myotomy and suspension, and maxillomandibular (Bi-maxillary) advancement (tongue base).

For a more complete review of the Powell Riley Protocol, continue to MANAGEMENT OF SLEEP-DISORDERED BREATHING.

California Sleep Institute ... Where Surgery Works for Sleep Apnea

Each year, hundreds of patients visit our clinic from across the world with the diagnosis of Obstructive Sleep Apnea. Frequently, we are asked if our services can be found closer to home. To understand how specialized our services are, there are several facts to consider, click here.