According to statistics, approximately 30% of people living on earth have problems with night snoring. And most of them have no idea about their situation. Among these people, 18% are men, 9% are women and 3% are children. And only 13% of all patients decide to treat snoring.
Patients themselves do not realize that they have this problem, since it does not interfere with everyday life. Relatives who notice certain abnormalities often contact the medical center. If classical methods of struggle do not help, and the situation only gets worse, anti-snoring surgery will help.
What do we know about snoring
Constant night snoring can affect a person’s life spheres, for example, as a result of this disease, sleep deteriorates, after which the person practically does not rest. Long-term impairment leads to loss of performance and difficulties in communication.
Surgical treatment of snoring is not always prescribed directly; a full examination is required. But it is necessary to treat this disease in order to prevent problems with obstruction in the respiratory tract.
Apnea appears due to movements and impacts of the tissues of the pharynx, after air vibrations. When a person sleeps, the diaphragm moves, allowing air to pass unhindered. But with severe blockage of the pulmonary tract, temporary respiratory arrest is possible, which can lead to hypoxia of the organs and brain. Therefore, surgical treatment of snoring should only be carried out by a specialist.
If a person snores for the above reason, then treating snoring with surgery is more likely to get rid of the problem, since surgery removes excess tissue.
Operation efficiency
Today, surgery to eliminate snoring is offered in several interpretations. Depending on the problem, surgeries for snoring can be performed on the uvula, tonsils, and arches.
The purpose of such an intervention is to expand the pharynx with an increase in the density of the soft tissue of the pharynx to improve the patency of a person’s airways during sleep.
If there is a favorable outcome of treatment, the patient completely gets rid of apnea or reduces its manifestation several times.
The operation to get rid of snoring is carried out using the “conveyor method”, for which no preparation is required. If carried out poorly, you can end up with:
- Temporary improvements that do not last long, since the cause leading to apnea is not eliminated;
- No improvement at all;
- Deterioration of condition. Signs of sleep apnea appear (holding of breath during sleep, causing death in the process of suffocation).
It is only possible to fully get rid of snoring surgically if the patient is given a comprehensive examination first.
Serious and expensive diagnostic equipment is used, so the question of how much snoring surgery costs depends on these factors.
Types of treatment can be classical, laser and radio wave. These surgical interventions to get rid of snoring are used in an expanded form, in which not only the palate with the uvula is removed, but also excess pharyngeal tissue is tied up. A person is relieved of the tonsils and adenoids, and sometimes a small part of the tongue will need to be removed.
Surgical treatment
- Throat surgery for snoring is performed with manipulations on the uvula and palatine iris (called uvulopalatoplasty surgery), and manipulations on enlarged tonsils are called pharyngovulopalatoplasty.
- If the problem appears due to a crooked nose or polyps, then surgery is prescribed to restore the original shape or remove the polyps.
- Anti-snoring operations, the price of which depends on the cause, are divided into several stages:
- The airways are corrected through surgery;
- Tonsillitis with tonsils is surgically removed;
- In rare cases, surgery is performed to increase the patency of the pharynx (called palatopharyngoplasty surgery).
Airway correction
Surgery palatopharyngoplasty
If a full-fledged anti-snoring operation is prescribed for a person, the price will be increased, since there is each stage with additional stages. This allows you to prevent complications and deterioration of a person’s condition during the operation. In general, the duration of the reviews is approximately the same - at least 3 months of rehabilitation.
Surgical intervention allows you to expand the air flow paths and guarantees easier breathing for a person during sleep. If frequent episodes are visible, then treatment is applied in several stages.
It is important to choose the right place where you can perform high-quality anti-snoring surgery. This service is provided by medical institutions with a full health check and comprehensive treatment.
Surgical intervention in this case is painful, blood is released in large quantities. This operation is performed on a stationary basis. After treatment, the patient remains under the supervision of a specialist for several months. The length of time a person stays in a medical facility varies from person to person, depending on tolerance and general condition.
Anti-snoring surgery has conflicting reviews from doctors, so it is prescribed less often. The operation has many contraindications, and is prohibited for children under the age of 12 years.
The operation is performed using general anesthesia in a hospital setting. This does not take more than an hour, and the person remains in the hospital under the supervision of specialists for about two days. Discharge home is given only if there are no adverse effects of anesthesia and surgery, and also if the patient’s condition is determined to be satisfactory.
Laser therapy
Laser treatment is used in 70% of cases of the disease. This is the most relevant treatment method as during it people experience minimal pain during surgery. Minimizes the risk of injury.
If there is a need for uvulopalatoplasty using laser therapy, a specialist performs laser energy, after which burns appear. When the wound heals, the soft tissue changes to a connective tissue that contracts and becomes harder, after which it decreases in size.
The cost in this case is almost the same; only the region and level of service provision will influence this factor. A preliminary examination of the person is carried out. Depending on the characteristics of the body, the possibility of complete relief from snoring is determined.
Most clients are satisfied with the result. In 80% of cases, after laser therapy, snoring disappears forever. This service is available in almost every region.
As a result of this surgical intervention, the pharyngeal cavity does not sag during sleep. This means breathing more freely, without holding it.
If you look at the statistics for the last 5 years, you can understand that surgery and surgical intervention in the treatment of snoring will help get rid of the disease, if not forever, then for a long time, and also improve the patient’s situation. The main thing is to wisely choose the place where the anti-snoring surgery is performed, since this choice will affect a person’s life.
The procedure is carried out within half an hour. Depending on how severe the patient's problem is, multiple procedures may be prescribed.
In the target area, neocollagenesis is launched - the production of renewed collagen fibers, which thicken and tighten the skin and soft tissues (the same effect is achieved by a hardware facelift). As a result, the airways have a noticeable expansion.
Contraindications
They cannot prescribe surgical treatment for a person who suffers from severe forms of obesity. This is one of the main reasons why snoring occurs. The problem appears due to fat deposits in the oropharynx; surgery is performed in the nasopharynx. This means that the method will not reach the problem and there will be no effect. First you need to get rid of the source.
In case of serious violations, many patients undergo surgery. However, not every specialist guarantees a cure. Without a full check, as well as without treatment of lesions, the risk of violations increases.
In addition to several specific factors that exclude the possibility of surgical intervention for snoring, there are also medical restrictions:
- Diseases of the cardiovascular system;
- Any acute forms of chronic diseases;
- Oncological diseases;
- During pregnancy and breastfeeding.
A person who has undergone surgery may face troubles in the future. The consequences are noticeable both immediately after surgery and several months after healing.
Complications in the early postoperative period are:
- Open bleeding. Excessive bleeding during sleep;
- Inflammatory processes and purulent discharge begin around the incision;
- Intense pain that requires additional use of a pharmacological drug;
- The palate and pharynx swell, which increases snoring during sleep;
- Constant lack of sleep, episodes of sleep apnea appear or become more frequent if a person takes painkillers.
During healing and over the course of six months, the following changes may occur in a person:
- Speech changes (a person begins to speak through his nose or slurred). In the first months there may be pain;
- As the palate scars, the airways become significantly narrower, resulting in increased snoring and apnea episodes appearing or becoming more frequent;
- The expected result is missing. As statistics show, the technique used in the surgical treatment of the problem does not give a 100% result due to the complex nature of the disease.
Laser uvuloplasty provides the opportunity to fully get rid of the problem only for half of the patients who applied. Most of them note a significant reduction in severe snoring during sleep. This depends on the lesions and the intensity of their treatment.
Cost of the procedure
Similar surgical interventions are performed both in the Russian Federation and abroad in professional clinics. The average pricing policy in domestic countries is relatively affordable: in general, the cost reaches 60 thousand rubles.
Citizens who plan to go for treatment to Europe or Israel should prepare for additional costs for examination - cardiorespiratory monitoring or polysomnography, the cost of which is inflated abroad. A comprehensive check is carried out before getting rid of snoring surgically. The price depends on consultation, additional checks, consultations.
In the Russian Federation, most private clinics do not perform uvuloplasty/uvulopalatoplasty without prescribing additional examinations and tests. There is an opportunity to save money, but the risk of starting absolutely unnecessary and sometimes harmful manipulations will increase in proportion to this.
Source: https://hrapguru.ru/lechenie/operaciya-ot-hrapa.html
Anti-snoring surgery: types of surgical treatment, risks and reviews
Snoring is considered a dangerous pathology that interferes not only with the person himself, but also with his loved ones. If you ignore this condition, over time the patient will experience a malfunction of all important systems. Because intermittent breathing during sleep provokes oxygen starvation.
If you experience the first signs of this defect, do not hesitate to consult your doctor. Today, anti-snoring surgery is performed using several modern methods, which we will discuss below.
Why does snoring occur?
Before considering how pathology is eliminated, you should find out why it occurs. There are many reasons for the appearance of snoring; these may be general ailments that impede the movement of air or anatomical changes in one of the areas of the nasopharynx. In addition, there are a number of other conditions that provoke snoring, namely:
- a large amount of overgrown tissue of the soft palate;
- weakness of the muscle mass of the soft palate;
- excessive weight;
- smoking;
- small jaw;
- deviated nasal septum;
- hypertrophy of the tonsils.
If a person is overweight, fat deposits often occur in the soft tissues of the cervical area. In this case, the airways become smaller.
Important: Obesity is the main factor causing snoring and apnea. If you are overweight, review your diet and exercise.
Typically, a long uvula and excessive amounts of soft palate tissue impede air movement. In addition, when a person has a naturally small jaw, he or she experiences a sinking of the tongue during sleep, which also leads to poor air flow.
This also applies to atrophied tonsils. In addition, smoking also interferes with normal air movement. The fact is that toxic substances found in cigarette smoke settle on the walls of the respiratory tract, as a result of which the pharynx swells.
Danger of pathology
Initially, a person may experience a minor degree of distress. However, over time it often worsens due to the following factors:
- gaining excess weight;
- alcohol abuse;
- smoking.
They provoke relaxation of the palatal muscles, as a result of which the movement of air becomes difficult and complicated snoring appears, characterized by pauses in breathing at night.
Important: Snoring itself is not as dangerous as the apnea behind it, which causes breathing to stop up to 600 times in one night.
When breathing stops, a person's brain and lungs stop receiving oxygen. And as you know, without air, the full functioning of organs is impossible. And if surgery to eliminate snoring is not performed in a timely manner, hypoxia will gradually begin to develop in the heart muscle, simultaneously affecting the brain and other organs.
In fact, the patient will experience:
- hypertensive crisis;
- ischemia, and in some situations a heart attack may occur;
- cerebral circulation is impaired, often leading to stroke;
- Lack of oxygen also negatively affects the production of sex hormones.
Important: If a person has moderate to severe apnea and measures are not taken to eliminate it, his life expectancy will average about 10 years.
Surgical treatment of this pathology will prevent the development of a complicated form of the disease.
Principle of surgical treatment
Surgical treatment of the disease in question is a manipulation of excision of excess palatal tissue, partial removal of hypertrophied tonsils and trimming of the uvula in the throat. The fact is that it will not be possible to get rid of provocateurs that form a severe degree of pathology using conservative methods.
In some cases, the patient needs to have the nasal septum corrected if a curvature is detected. At the same time, traditional methods of surgical intervention have contraindications, are very traumatic and often lead to the development of various postoperative complications.
However, thanks to the fact that doctors now have a laser method in their arsenal, the procedure will be painless and effective.
It is worth noting that sometimes to completely rid a person of snoring, doctors resort to several surgical procedures at once:
- Uvulopalatoplasty is used to correct the airways;
- excision of polyps, adenoids and tonsils, pharyngovulopalatoplasty is used;
- in rare cases, doctors expand the lumen of the pharynx.
It is necessary to treat snoring and you should not put off visiting a doctor. Only a doctor can correctly diagnose, identify the cause of the development of ronchopathy and determine the appropriate surgical method for eliminating the pathology.
Who should undergo the surgical procedure?
As mentioned above, it is impossible to eliminate snoring using the traditional method, so surgery is recommended. As a rule, the doctor prescribes a similar procedure if there are the following indications:
- defects in the nasopharynx;
- enlargement of soft palatal tissues;
- changes of an age-related nature;
- polyps and adenoids;
- enlarged uvula;
- nasal septum defect.
In addition, surgical intervention is indicated for those patients who suffer from short-term respiratory arrests. Because it is impossible to remove the pathology in a conservative way. It is important to understand that such a condition threatens a person’s life and it is better not to hesitate in making a decision.
Important: If the patient is overweight, it is likely that this negative factor aggravated the development of apnea. In this case, surgery will be powerless. Only by losing extra pounds and saying goodbye to bad habits can you count on successful surgery.
A person suffering from obstructive sleep apnea does not undergo surgical treatment. Since the positive result does not exceed 20%.
Types of surgery
Today, doctors successfully use various methods of treatment of rhonchotherapy. And the following are considered the most effective:
- surgical intervention performed with a laser;
- surgitron therapy;
- somnoplasty;
- cryoreduction;
- traditional surgery.
Each technique has its own characteristics, advantages and certain disadvantages. In view of this, the choice of snoring removal technique is made only by a doctor after a diagnosis has been performed.
Uvuloplasty
Uvuloplasty for snoring is considered the safest procedure using a laser. During the procedure, the soft palate is subjected to plastic surgery. Due to this, airway patency is restored. However, it should be noted that in some situations one procedure is not enough, then repeated surgery is indicated.
Important: The main advantage of uvuloplasty is the minimal number of post-operative complications.
Today, doctors resort to several methods of uvuloplasty. With its help, you can correct the structure of the palatine arches, soft palate and perform partial truncation of the tonsils. In addition, this technique is used when it is necessary to trim the tongue.
And this manipulation is performed as follows. The laser acts on the tissue, increasing its density and expanding the lumen in the area where the larynx is located. This technique is considered very effective if the patient has a mild form of obstruction during night rest.
Uvuloplasty is recommended to be performed only when a person leads a healthy lifestyle and is in good physical shape. Moreover, if the patient has obstructive apnea syndrome, performing this manipulation is strictly prohibited.
Regarding the issue of the cost of such a procedure, it must be emphasized that the uvuloplasty procedure is considered the most expensive today. However, this method is also the most effective.
Surgitron therapy
Radio wave surgery is another effective way to get rid of rhonchopathy. Manipulation is indicated if the patient has sagging palatal tissues. A device that emits radio waves has a targeted effect on the tissue structure of the sky, strengthening it.
In addition, with the help of surgitron, the process of oxygen passage through the respiratory tract is normalized. Thanks to this, snoring completely disappears.
The manipulation in question is completely safe and minimally invasive. However, radio wave surgery has a contraindication. It is not recommended to resort to this technique if a person suffers from obesity and obstructive apnea. As for the healing time, literally 2 hours after the manipulation, the patient can return to their usual lifestyle.
The price of this procedure is quite high, however, surgitron therapy has proven to be one of the most effective and safe.
Somnoplasty
During somnoplasty, the doctor uses radiofrequency ablation, with the help of which high-frequency waves are applied to the tissue of the palate. Due to this, the area heats up to 85 degrees, scarring occurs and the damaged areas of the palate decrease in size.
The advantages of radiofrequency ablation are that the doctor does not make any incisions to perform it, which means minimal damage to the tissue. In addition, there is no bleeding during the operation. And lastly, when performing somnoplasty, the doctor has complete control over the course of the procedure, which makes it possible to reduce the palate as much as necessary.
Cryoreduction
Often, the elimination of rhonchopathy is carried out with liquid nitrogen. This method is used when it is necessary to excise excess tissue. Such manipulation is very painful, so it is performed under local anesthesia.
After cryoredux is performed, the size of the palatal tissue decreases and the patient’s snoring disappears. It is worth noting that this method has disadvantages. Rehabilitation is accompanied by pain due to burns in the oral cavity.
Surgical intervention
Standard surgical intervention to eliminate snoring does not give a positive result. Moreover, during this procedure, the patient often begins to bleed, and the recovery process takes longer. However, if a person has serious anatomical defects, it seems possible to cure them only through surgery.
During this manipulation, the doctor partially excises the palatine arches and shortens the uvula. In addition, if a person is diagnosed with polyps, atrophied tonsils and adenoids, another additional surgical procedure is performed.
Getting rid of rhonchopathy surgically is performed under general anesthesia, subject to hospitalization of the patient. After the procedure, the person remains in the hospital for about a week under the supervision of the attending physician.
As for the recovery period, it can take up to 4 months. As a rule, with this method of treatment everything depends on the scale and degree of complexity of the operation.
Who is contraindicated for surgery?
Surgical manipulation to rid a person of snoring is a traumatic and radical undertaking. Moreover, like any other surgical procedure, it has a lot of contraindications and limitations, such as:
- heart failure, acute type;
- poor blood clotting;
- infectious diseases in the acute stage;
- period of exacerbation of pathology;
- malignant tumors.
In addition, surgical intervention is prohibited for pregnant women, infants and nursing mothers.
What complications can there be?
What consequences may appear in the postoperative period? This question interests many people who plan to eliminate snoring through surgery. First of all, when deciding to treat this pathology surgically, it is important to understand that the patient may face a number of risks, namely:
- difficulty eating food;
- the appearance of edema;
- change in voice and excessive salivation;
- bleeding;
- severe pain;
- disturbances in night rest.
If a person who has undergone surgery experiences one of the above symptoms, they should immediately consult a doctor.
In general, reviews of surgical treatment for snoring are positive. And if you properly prepare for this manipulation, then no complications are expected.
Recovery period
After eliminating snoring surgically, a person feels severe pain in the area of the oral cavity and nasopharynx. such a condition should not cause fear, since these sensations are normal and can bother the patient for two weeks.
In order for the rehabilitation period to be gentle, the patient must adhere to the following rules:
- minimize physical activity;
- do not stay on your feet for a long time;
- in case of severe pain, take painkillers prescribed by your doctor;
- monitor oral hygiene;
- treat the larynx with sprays aimed at relieving swelling and inflammation;
- do not consume hot or cold foods and drinks;
- abstain from alcohol and smoking;
- take immunomodulatory medications and vitamins.
It is worth noting that a positive result largely depends on whether the correct tactics were chosen and how qualified the doctor is.
Some tips
And in conclusion, it is worth emphasizing that in order to get a positive effect from the procedure, the patient must adhere to several simple rules:
- watch your own weight and avoid obesity;
- stop smoking;
- Minimize your intake of alcoholic beverages and fatty foods;
- change your diet by adding healthy foods.
If snoring begins to bother you, do not hesitate, but seek advice from a qualified doctor. He will select the optimal type of surgical treatment and help you forget about the existing problem forever.
Source: https://ZdoroviySon.com/hrap/operatsiya.html
Anti-snoring surgery - types, indications, how it is performed, contraindications
Snoring at night is a common disorder affecting one in four adults. If left untreated, it can pose a serious danger as it is accompanied by periodic stops in breathing. Today, the most effective method of relief is considered to be anti-snoring surgery.
What it is
Surgical therapy is considered a last resort measure used to eliminate pathology. Surgery to get rid of snoring is indicated if drug therapy does not bring the desired result.
Modern advances in medicine help to quickly cope with the cause through the use of various methods of influence.
Why is uvuloplasty effective?
Surgical treatment of this sleep disorder can achieve the following results:
- The normal shape of the nasal septum is restored. In medical practice, this type of surgical procedure is called septoplasty. Today, it is possible to straighten the nasal septum using a laser, scalpel, radio waves and ultrasound. In addition, minimally invasive manipulations are practiced, that is, restoration of the septum is carried out using endoscopic equipment.
- It is possible to eliminate the overgrown tissues of the soft palate, which vibrate during night sleep and cause disturbances. This type of intervention is called palatoplasty and is often performed using a laser. The desired result can be achieved through radio wave removal and correction with a scalpel.
- It becomes possible to get rid of pathological growths and tumors in the nasal cavity. The cause of the disorder can be neoplasms of various types, localized directly in the nasal cavity.
- A part of the uvula, which responds to the tension and tone of the soft palate, is removed. This manipulation is called uvuloplasty and in most cases is performed using minimally invasive methods. Uvuloplasty can be combined with palatoplasty and tonsil removal.
- The volume of soft palate tissue decreases. This result can be achieved using somnoplasty, that is, exposure to radiofrequency ablation.
Only a doctor can decide on the need for surgical intervention and choose an effective method.
Varieties
You can get rid of snoring through surgery, and it is performed using various techniques.
Standard
Classical - involves the removal of excess soft tissue and the procedure is performed under general anesthesia. The doctor can remove the nasal mucosa, tonsils and trim the uvula. The entire process takes up to 40 minutes.
To heal wounds, special threads are used, which dissolve over time. If the suture is applied correctly, there are no problems with swallowing food, but the healing process can be lengthy.
Laser
Laser anti-snoring surgery is considered the most common and effective method. Its meaning is to evaporate certain areas of the uvula, tonsils, posterior arches of the soft palate and the anterior ends of the lower shells. An experienced doctor can get rid of pathology using this method in one session.
Laser uvuloplasty is performed in an outpatient clinic under local anesthesia. When soft tissues are cut, connective tissues are formed, and when a scar is formed, they are pulled together. As a result of such manipulations, a normal lumen is created for healing air flow.
Radio wave
Using the radio wave treatment method, it is also possible to get rid of pathology, regardless of the severity. During the procedure, modern technology is used and during its implementation it is possible to control the depth to which the electrode penetrates. When treating pathology with the radio wave method, the risk that healthy tissue will be affected is minimal.
The operation to eliminate snoring is performed under local anesthesia and it is often possible to completely get rid of the pathology in just one session. Contraindications to the use of radio waves are excess weight and obesity.
Uvulopalatoplasty
During uvulopalatoplasty, the soft tissues of the oropharynx are shortened and tightened, and this result is achieved through the formation of scar-connective tissue. The specialist uses a scalpel to remove the hypertrophied part of the uvula and the tissue of the velum.
The modified cells are evaporated under the influence of high-frequency radio waves, and the volume of soft tissue is reduced. During this procedure, healthy tissues are not injured, since the area of exposure to radio waves is limited only to the site of intervention.
Uvulopalatoplasty lasts no more than 20-40 minutes.
Indications
Surgical treatment is considered a radical measure, with the help of which it is possible to get rid of the problem forever. It may be prescribed if the following indications exist:
- previous injuries and injuries to the nose;
- congenital and acquired defects of the nasopharynx;
- uncomplicated form;
- mild form of obstructive apnea syndrome;
- pathology caused by hypertrophy of the uvula or soft palate.
Medical practice shows that uvulotomy for snoring can completely eliminate the pathology.
Only in rare cases do relapses occur, but most often they are caused by the characteristics of the patient’s body or non-compliance with the rules of behavior during the rehabilitation period.
Contraindications
Contraindications to surgical treatment are:
- overweight or obesity;
- mouth size is too small;
- elderly age;
- pregnancy;
- strong gag reflexes;
- severe diseases occurring in a chronic form;
- intolerance to anesthesia;
- problems with blood clotting.
The decision about the need for surgical treatment is made by the doctor. Before surgery, you should undergo the necessary examinations before the intervention.
Possible complications
As with any surgical intervention, unpleasant symptoms may return after uvuloplasty. After such treatment, 80% of patients manage to cope with the pathology and 20% experience a decrease in its severity.
Snoring after surgery returns when the patient develops diseases such as cancer, purulent otitis and respiratory obstruction, which is caused by mechanical damage.
In addition, the risk of the pathology returning increases if a person suddenly gains excess weight.
If uvuloplasty is performed incorrectly, nearby tissues are affected, which causes necrosis and a long recovery period.
Recommendations in the postoperative period
The rehabilitation period involves following a gentle regimen and limiting physical activity. The main task is to ensure complete healing of wound surfaces and prevent the development of dangerous complications. Depending on the type of manipulation performed, the rehabilitation period lasts from 2 to 14 days.
Patients recover faster after radio wave therapy, and the longest after classical surgery. On the first day of the postoperative period, the patient should refuse to eat. Subsequently, he is put on a strict diet. This diet includes foods that do not increase saliva production.
The rehabilitation period lasts the longest in patients who have bleeding. They are prescribed antibiotics and drugs with a hemostatic effect. If periodic pain occurs, non-steroidal anti-inflammatory drugs are indicated.
Advantages and disadvantages
The following advantages of uvuloplasty can be highlighted:
- surgical intervention lasts 15 minutes;
- the procedure is considered painless;
- cauterization is carried out automatically;
- the risk of blood loss is minimal.
In addition, after such an operation the risk of complications is minimal. After the intervention, a wound is formed, so the likelihood of developing a purulent process is too small.
There are no age restrictions for uvuloplasty, so laser treatment can be performed even on children.
After such therapy, special particles appear that cause a decomposition process during the healing period of the surface. As a result, the patient has an unpleasant odor from the mouth, but after the wound heals, it disappears.
In addition, after the procedure, increased sweating is noted and you have to adhere to a gentle diet for several weeks.
The pain syndrome can persist for up to 14 days, so you have to take painkillers.
Source: https://zason.ru/operatsiya-ot-hrapa/
Anti-snoring surgery: methods and contraindications
Snoring is a process caused by obstructions in the respiratory tract. For its treatment, surgical intervention is often used, which is highly effective.
More details about the operation
If there is obstruction in the respiratory tract, an operation called uvulopalatoplasty (in other words, uvulotomy) is recommended. This is a surgical intervention that normalizes air flow.
The location of the operation may be the soft palate, arches, uvula, tonsils. Thanks to surgery, the pharynx expands and the density in the soft tissues of the larynx increases. This will ensure easy passage of air.
Who is it shown to?
Anti-snoring surgery is performed only for certain indications. Surgery is indicated for people who are overweight. Uvulotomy is prescribed to patients when inflammatory processes and formations occur.
If a person has such a bad habit as smoking for several decades, then anti-snoring surgery will also help. It is also prescribed for curvature of the nasal septum.
Surgical route
Most often, patients are recommended to undergo surgical treatment for snoring. This is an effective technique, but it also has disadvantages.
The site of intervention is the oropharynx. The use of the operation is recommended for enlarged uvula and tonsils, which are removed using a scalpel.
The surgeon makes incisions in the soft palate. When incisions heal after surgical treatment of snoring, scar formation is observed on the soft palate, which ensures its strengthening.
If there are adenoids in the nasal cavity, they are also removed using a scalpel. This will clear your nasal passages and allow you to breathe freely. During the operation, cutting may be done in the pharynx area, which will help strengthen its tissues.
If they are too soft, palatal implants are installed during surgery. Thanks to this treatment method, you can get rid of rhonchopathy.
Indications and contraindications
Surgical treatment of snoring is carried out in case of injuries to the nose, after which its structure changes, or defects of the nasopharynx that are acquired or congenital in nature. In case of loose lymphoid tissues, it is recommended to undergo surgery to treat snoring.
During pregnancy and breastfeeding, removal of the uvula in the throat from snoring and other methods are not used. If blood clotting is low, then intervention is not recommended.
Malignant tumors and diseases of the cardiovascular system are contraindications for surgical treatment of snoring.
If the patient’s diseases that are chronic in nature worsen, then therapy with this method should be abandoned.
When using this method, complications may develop in the form of bleeding or scarring of wounds. Some complain of severe pain.
Improper treatment may cause the onset or increase in frequency of apnea. It must be remembered that excessive scarring of the palate may increase the intensity of snoring.
Some patients experienced speech changes after surgery.
The approximate cost of traditional treatment is 7,000 rubles.
Uvulopalatoplasty: an advanced surgical method
Uvulopalatoplasty is a universal surgical method that has fewer side effects. Radio waves, a scalpel or a laser can be used to perform surgery. Surgery allows the airways to widen.
Therapy in this case requires the use of general anesthesia. The duration of the manipulation is no more than 60 minutes. After the intervention, the patient must remain in a hospital setting for 24 hours. If there are no complications, the patient is discharged.
The undeniable advantage of this therapeutic method is the absence of burns. This surgical intervention is characterized by minimal blood loss. After the operation, the formation of rough scars is impossible.
Indications and contraindications
The procedure is recommended if the patient has enlarged tonsils and adenoids. If the tissues of the pharynx are excessively soft, then this manipulation is recommended. Palate surgery for snoring may involve removing part of the uvula.
Contraindications to the use of surgery include the possible exacerbation of chronic diseases:
- Pathologies of the heart and blood vessels.
- Neoplasms of a malignant nature.
- Pregnancy and lactation.
The minimum cost of manipulation is on average 12 thousand rubles.
Laser uvuloplasty
Laser is often used to treat snoring. This is a low-traumatic procedure that has a short recovery period.
Before laser snoring treatment, the patient is prohibited from eating for 4 hours. Initially, the operated area is treated with Novocain in the form of a spray, which has anesthetic properties. After this, the selected area is treated with a laser beam, causing burns to form, which allows the excess tissue to be eliminated.
Indications and contraindications
Laser treatment for snoring is recommended for weakened uvula or arches in the soft palate. If tissue grows in the tonsils, laser therapy is recommended.
Laser treatment for snoring is prohibited in case of a thickened tongue or tumors in the nasopharynx area. The procedure is not performed if chronic diseases worsen, as well as in case of individual intolerance to anesthesia and a pronounced gag reflex.
The approximate cost of the manipulation is 15,000 rubles.
Radio waves
The most modern method of surgery to remove snoring is using radio waves. The technique is also effective if the patient is diagnosed with complicated snoring.
In order to increase the tone of the tissues of the palate, the energy of waves that are weakly directed is used. Thanks to this effect, an increase in the lumen of the respiratory tract is ensured.
No special preparation is required before surgery for snoring is performed.
When exposed to radio waves, tissues are dissected. In this case, the blood vessels do not overheat. Due to partial necrosis, the volume of soft tissue decreases, which increases the patency of the respiratory system.
The duration of surgery using radio waves is approximately 20 minutes. For its implementation, the use of local anesthesia is recommended.
However, it is important to know: radio wave treatment may not bring the expected effect.
Indications and contraindications
Surgery is recommended when the tissues of the palate and uvula are weakened. For diseases of the cardiovascular system and malignant neoplasms, the procedure is strictly prohibited.
Surgery is not recommended for patients who have aggravated various diseases in the body. For women carrying a child and breastfeeding a newborn, manipulation is prohibited.
The estimated cost of surgery using radio waves is 20,000 rubles.
CPAP therapy method
This is a universal technique that helps eliminate snoring. Thanks to the method, constant positive pressure is created in the respiratory system.
During the operation, a special device is used, which is a compressor. With its help, air is supplied into the respiratory tract under the pressure selected by the doctor, which prevents the closure of the cells of the oropharynx.
Forecast
Elimination of snoring by uvulotomy has a positive prognosis in 60 percent of patients. When using laser therapy, snoring completely disappears in 15 percent of patients. 20 percent of patients report significant improvement. When using radio wave treatment methods, a positive prognosis is observed in 60 percent.
Instant anti-snoring remedies: tablets, sprays, folk remedies
Snoring is an unpleasant phenomenon that brings a lot of inconvenience to others and the patient himself. But thanks to several types of operations, it is possible to choose the appropriate option for the patient and cure annoying snoring in one day.
Source: https://neuromed.online/operatsiya-ot-hrapa/
Surgical treatment of snoring
Surgery for snoring is a last resort. Such treatment is used only in cases where drug therapy, the use of special devices, devices and other methods have not produced results.
Indications for surgery
Treatment of snoring by surgical intervention is a radical measure that can permanently eliminate this pathology. The operation is indicated in the following cases:
As a result of the operation, in most cases the pathology was completely eliminated. Only in rare cases can there be relapses, but they are more likely associated with the individual characteristics of the body or non-compliance with recommendations during the rehabilitation period.
Contraindications for surgery
Contraindications for the operation include:
- obesity;
- small mouth size;
- problems with blood clotting;
- intolerance to anesthesia;
- severe chronic diseases;
- old age.
The decision to prescribe and select an operation is made only by the doctor. Before this, the patient must undergo all necessary clinical and instrumental examinations.
Types of operations
There are several types of surgeries for snoring, which involve reducing the amount of soft tissue that interferes with normal breathing.
Surgical methods:
- Classical. This method includes excision of the root of the tongue, uvulotomy, tonsillotomy, conchotomy, uvulopalatopharyngoplasty. The operations are performed under general anesthesia. Such interventions are associated with blood loss and a long rehabilitation period. After surgery, patients will feel pain for some time.
- Alternative. They allow you to get rid of snoring in a more gentle way. This involves treatment using laser, radio waves, and ultrasound. Performed without general anesthesia, patients recover quickly after surgery.
The choice of treatment method will depend on many factors. These include the presence of chronic diseases, the patient’s age, reaction to anesthesia, and the condition of soft tissues.
Classic methods
The basis of classical surgical methods is the removal of excess soft tissue under general anesthesia. The doctor can remove tonsils, nasal mucosa, and trim the uvula. All wounds are sutured with special threads, which themselves dissolve over time. If the suture was placed correctly, it will not interfere with the swallowing process. It takes some time to heal.
This operation takes up to 40 minutes, depending on the amount of work. Before the procedure, the patient is prohibited from eating any food.
Depending on what area doctors are working on, the operations have the following names:
- uvulotomy – resection of the uvula;
- tonsillotomy – tonsil resection;
- uvulopalatoplasty – resection of part of the soft palate, uvula, excess tissue of the pharynx, palatine tonsils, adenoids;
- conchotomy – resection of the nasal mucosa.
After such operations, a long period of rehabilitation is required. The person attends regular preventive examinations.
Alternative Methods
The laser method of treating snoring is characterized by the absence of pain, speed and short recovery period.
The use of laser is indicated for snoring and mild obstructive apnea syndrome. The point of this procedure is to evaporate certain areas of the uvula, posterior arches of the soft palate, tonsils, and the anterior ends of the lower shells. Depending on the amount of work, you can invest in 1 procedure. Laser anti-snoring surgery is performed under local anesthesia in an outpatient clinic. As a result of cutting soft tissues, connective tissues are formed, and when a scar appears, they are tightened, thereby creating a normal gap for air flow.
This procedure is not accompanied by bleeding. Its result will depend on the qualifications of the doctor. If the procedure is performed incorrectly, neighboring tissues may be affected, which will lead to necrosis and a long recovery period.
There is also a radio wave treatment method . It helps treat snoring regardless of severity. Modern technology is used during the procedure. When working with it, you can control the depth to which the electrode penetrates. The risk that healthy tissue will be affected is also reduced.
This anti-snoring operation is performed under local anesthesia. A good specialist can complete all the work in 1 procedure. Treatment with radio waves is contraindicated for overweight and obese people.
Previously, ultrasound methods were used, but they were considered painful and dangerous due to the high risk of blood loss. They have been replaced by more progressive treatment methods.
Recovery after surgery
The rehabilitation period after surgery involves following a gentle regimen and limiting physical labor. The main goal of this period is to ensure complete and rapid healing of wound surfaces, and to prevent the possible development of complications. Depending on the type of manipulation, the recovery period can last from 2 days to 2 weeks.
Patients recover faster after using radio wave treatment, and longer after classical methods. On the first day after the procedure, the patient is forbidden to eat, then he is transferred to a strict diet, which includes foods that do not increase saliva production.
Patients with bleeding take longer to recover. They are prescribed hemostatic agents and a course of antibacterial drugs. When attacks of pain occur, non-steroidal anti-inflammatory drugs are prescribed.
You can get rid of snoring surgically once and for all. But such interventions have their own contraindications, risk groups and nuances, and they are not prescribed for everyone. Such treatment is resorted to only after the lack of effect from therapeutic agents. And only a doctor gives an appointment for surgery.
Source: https://SleepGuide.ru/hrap/lechenie-hirurgicheskim-metodom
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