972-566-8300

7777 Forest Lane, B432, Dallas, TX 75230

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Sleep Apnea/Snoring

Obstructive Sleep Apnea is a very common and dangerous condition.  For individuals who cannot tolerate the CPAP (continuous positive airway pressure), or would simply like another option; Dallas ENT Group can help. 

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Uvulopalatopharyngoplasty (UPPP)

Uvulopalatopharyngoplasty (UPPP) is a surgical procedure that treats sleep apnea by removing excess tissue in the throat and, as a result, widening the airway. This allows air to move through the throat more easily when you breathe, effectively reducing the symptoms of snoring and sleep apnea.

UPPP is recommended for patients with excess tissue in the nose, mouth or throat that blocks the airways and causes breathing abnormalities during sleep. It can also be used after life changes and conservative treatment methods have failed. In addition to widening the airway, UPPP also aims to improve the movement of the soft palate and help the airway remain open during sleep.

During the UPPP procedure, tissue may be removed from the uvula, soft palate and throat, depending on the location and severity of each patient’s individual condition. If the tonsils and adenoids are still intact, they will also be removed during UPPP. This procedure can also be performed using laser energy for more precise, less invasive results. Recovery usually takes about three weeks, during which time patients may experience difficulty swallowing.

Your doctor will discuss these risks with you, as well as address any concerns you may have, prior to your procedure.

 

Oral Appliance

Our customized approach to the treatment of obstructive sleep apnea does not always result in a surgical procedure. Our team of experts may find that an oral appliance is sometimes sufficient in cases of mild to moderate sleep apnea. The oral appliance fits in the mouth during sleep like a sports mouth guard or orthodontic retainer. The appliances help to prevent the collapse of the tongue and soft tissues into the back of the throat keeping the airway open during sleep. Oral appliances may be used alone or in combination with other treatments for sleep-related breathing disorders such as CPAP and surgical therapy. The appliance is frequently adjustable and can be altered in order to move the mandible forward until the anticipated relief is found in the patient.

 

The Pillar® Procedure

Chronic snoring affects one in four Americans. While it may seem like a harmless condition, snoring can cause serious physical and emotional complications for patients and their partners. Snoring can cause bed partners to lose significant amounts of sleep and can be a constant source of arguing among couples. On the health front, snoring can be a sign of obstructive sleep apnea, which can cause breathing difficulties and high blood pressure.

There are many solutions available that claim to cure snoring, but many prove to be ineffective or only temporary. The Pillar® Procedure is a simple, minimally invasive procedure that is clinically proven to effectively treat snoring and obstructive sleep apnea.

Snoring is caused by a vibration of tissue in the upper airway. Doctors believe that the soft palate plays a major role in most cases of chronic snoring. The Pillar Procedure places three to five tiny implants into the soft palate to gradually stiffen it and keep it from constantly vibrating. This is done through a one-time, minimally invasive procedure that takes about 20 minutes in your doctor's office. The procedure does not remove any tissue and is typically painless with a very low risk of complication. The implants that are used are tiny and safe; most patients report them being unnoticeable within the palate

The Pillar Procedure is a safe procedure with proven results that can bring peace and quiet to you and your partner, and help restore a good night's sleep. The procedure is reversible and can be performed in conjunction with other surgical techniques to treat snoring and sleep apnea . Talk to your doctor today to find out if you are one of the many people who can benefit from the Pillar Procedure.

Genio-Glossus Advancement (GGA)

The Genio-Glossus Advancement (GGA) is a procedure which was developed specifically for the treatment of Obstructive Sleep Apnea. Like all surgery for this condition, the operation is designed to open the upper breathing passage. The concept is that a muscle, such as the tongue, will be displaced as it’s tendon is moved or tightened. An analogy is that in order to prevent a pair of pants from dropping lower one would tighten ones’ suspenders. The GGA procedure tightens the front tongue tendon; thereby, reducing the degree of tongue displacement into the throat. The procedure is done through the mouth through an incision below the gum tissue in front of the lower front teeth. After creating a small rectangular bone window, the tendons that attach the front of the tongue to the jaw are pulled forward on a small bone fragment. This produces a larger space between the back of the tongue and the throat thereby creating a wider airway. Complications resulting from this procedure are very uncommon. There is minimal if any alteration in facial appearance and my patients have not complained about this issue. This operation is often performed in tandem with at least one other procedure such as the UPPP or hyoid suspension.

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