Non- Surgical Treatments:
Drugs play no part in treatment of Snoring.
Non- Surgical Treatments for Snoring available at our Snoring Clinic, MicroCare ENT Hospital and Research institute are
> CPAP for OSAS
Nasal continuous positive airway pressure (CPAP) – this is the gold standard treatment for OSAS. It is effective in 99% patients who can tolerate. This approach involves wearing a pressurized mask over your nose while you sleep. The mask is attached to a small pump that forces air through your airway, which keeps it open. CPAP eliminates snoring and prevents sleep apnoea.
Although CPAP is the preferred method of treating obstructive sleep apnoea, some people find it uncomfortable Nasal BiPAP (bi level positive airway pressure)
Radio Frequency Treatment
Radio surgically assisted UP3
Radio Frequency Treatment: Treatment without Surgery – This simple technique using Radio Frequency removes excess tissue without surgical incisions.
Radio Frequency Treatment – LATEST ADVANCEMENT IN THE SNORING SURGERY at Microcare ENT Hospital
700% less lateral damage than Laser
A) Radiosurgically Assisted Uvulopalatopharyngoplasty UP3
B) Radio Frequency Treatment (Somnoplasty) Treatment without Surgery
Radio Surgical Volumetric Reduction of Redundant Tissue of Soft Palate and Tongue Base.
• Done in OP, can go back home immediately
• No hospital stay
• Non-invasive procedure
• No surgical incisions
• Less post-operative pain
• Faster Healing
• Cost effective
Indications: obstructive sleep apnoea, chronic nasal obstruction and habitual snoring.
Radiofrequency energy generate heat at temperatures between 65 C (149 F) and 95 C (203 F) for creating pinpoint coagulation at precise locations within the upper airway. Normal cells and tissues are not destroyed. The generated heat directly denatures protein structures, and as the tissue heals in approximately three to eight weeks, the tissue volume is reduced; opening the airway. That result in gradual decrease in snoring in a month or so and for most people the problem is resolved.
Depending on the severity of snoring a second procedure is required after 6-8 weeks. The success rate in this method of treatment is 80- 90%.
Coblation Technology Assisted Palatoplasty:
Coblation technology: an innovative science for medical applications
Coblation technology uses electrical energy to excite the electrolytes in a conductive medium like saline, creating precisely focused plasma. The energized plasma particles possess sufficient energy to break organic molecular bonds, resulting in tissue dissection and ablation.
The unique properties of Coblation technology enable rapid and controlled removal of tissue while preserving the integrity of surrounding healthy tissue as the radiofrequency current does not pass directly through the tissue, relatively low temperatures (40°C to 70°C) are generated as a by-product of the process.
No Potential Side Effects:
No hazardous side effects are observed with Coblation Palatoplasty. It is a safe and minimally invasive technique.
LASER surgery performed to treat snoring is called Laser assisted Uvulopalatopharyngoplasty (LAUP).
Successive vaporizations of lax tissue thus removing excess tissue enlarging your airway and reducing the vibration of snoring in the palate are performed under local anaesthesia in the outpatient ENT clinic. The patient response determines the no. sessions.
Laser surgery generally is not recommended for sleep apnoea.
Palatoplasty or Uvulopalatopharyngoplasty (UP3): This operation essentially involves removing the tonsils, trimming the faucial pillars if required, removing the uvula and a variable amount of soft palate. You will be given General anaesthesia during this procedure.
This results in removal of excessive and space occupying tissue with corresponding increase in the cross sectional area of upper airway. It is a type of face- lift to your throat.
Indications for UP3 are
1. Socially disruptive simple snoring
2. OSAS where obstruction is primarily at the upper oropharyngeal level.
Pillar implants are tiny implants inserted into the soft palate to reduce the tissue vibrations that cause snoring.
This procedure is a simple, safe and effective treatment designed to help you stop snoring in selected patients suffering from mild to moderate obstructive sleep apnoea (OSA).
The Pillar Procedure stiffens the soft palate, which is believed to be a significant contributor for at least 80% of people with snoring. This can be performed in about 20 minutes.
The Pillar Procedure has only limited benefits for most patients with moderate to severe obstructive sleep apnoea.
Turbinate Reduction is a quick, painless office based procedure that can provide effective relief from nasal congestion or blockage.
The Coblation wand emits radio frequency energy that shrinks the turbinates in a minimally invasive procedure.
Benefits of Turbinate Reduction:
The turbinates are structures inside the nose. Enlarged turbinates can cause nasal block and difficulty in breathing. Turbinate Reduction shrinks the turbinates providing relief from nasal allergy symptoms.
Turbinate Reduction can help:
Reduce sinus-related snoring
Relieve nasal congestion & drainage
Reduce the severity of severe or chronic nasal allergies
Deviated Septum of the nose is a common condition that may lead to a blocked airway leading to snoring and sleep apnoea and can be treated with surgery called septoplasty.
What Is a Deviated Septum of the Nose?
A shift in the position of the midline nasal septum to left or right might disrupt the passage of breathing air. This blockage may be partial or complete one side or both sides.
This may occur approximately 80 percent of people from birth due to a genetic or congenital cause or may also occur as a result of trauma.
Septoplasty: nasal surgery to fix a deviated septum of the nose
Septoplasty i.e. moving the nasal septum back to the midline to open up the airways on each side is done if breathing problems like snoring or sleep apnoea occur due to deviated septum.
This is often curative treatment for snoring if the snoring is caused by deviated septum of the nose.