Palatal Surgery
Blockage behind the palate and uvula is very common and it can be found as a single upper airway obstruction, but more often, it is seen in combination with a tongue obstruction for which Inspire is often recommended.Â
DISE will determine the type of soft palate obstruction (e.g., front to back, side to side, concentric), and a specific procedure will be chosen to open up the obstruction in the appropriate direction.Â
A complete, concentric obstruction of the retropalatal airway is the most common cause for patients to be excluded from Inspire surgery by many sleep surgeons. However, in many cases, Dr. Weidenbecher is able to eliminate the palatal obstruction so that patients are now eligible to proceed with inspire surgery and to be fully treated for their OSA. Dr. Weidenbecher has pioneered the multilevel surgical approach of palate surgery combined with Inspire, and his publication can be viewed here.
If present, tonsils will have to be removed. Adjacent muscle tissue flaps are then released and sutured to surrounding ligaments to keep the throat open and prevent obstruction. This procedure is very effective in eliminating complete concentric obstruction behind the palate.
This surgery is a great option for patients that are initially not a candidate for Inspire surgery as this surgery results in palatal conversion and usually makes those patients become candidates for Inspire surgery.Â