Managing Disturbing Snoring With Palatal Implants

Ho, Wai-kuen; Wei, William I.; Chung, Ka Fai

doi:10.1001/archotol.130.6.753

Cited by 58 publications

(69 citation statements)

References 21 publications

(25 reference statements)

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“…The implants themselves, as well as the surrounding fibrosis, are intended to reduce threedimensional flutter of the soft palate and therefore inspiratory airway resistance [249].…”

Section: Pillar Methods Rationalementioning

confidence: 99%

Non-CPAP therapies in obstructive sleep apnoea

Randerath

Verbraecken²,

Andreas³

et al. 2011

Eur Respir J

309

179

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In view of the high prevalence and the relevant impairment of patients with obstructive sleep apnoea syndrome (OSAS) lots of methods are offered which promise definitive cures for or relevant improvement of OSAS.This report summarises the efficacy of alternative treatment options in OSAS.An interdisciplinary European Respiratory Society task force evaluated the scientific literature according to the standards of evidence-based medicine.Evidence supports the use of mandibular advancement devices in mild to moderate OSAS. Maxillomandibular osteotomy seems to be as efficient as continuous positive airway pressure (CPAP) in patients who refuse conservative treatment. Distraction osteogenesis is usefully applied in congenital micrognathia or midface hypoplasia. There is a trend towards improvment after weight reduction. Positional therapy is clearly inferior to CPAP and long-term compliance is poor. Drugs, nasal dilators and apnoea triggered muscle stimulation cannot be recommended as effective treatments of OSAS at the moment. Nasal surgery, radiofrequency tonsil reduction, tongue base surgery, uvulopalatal flap, laser midline glossectomy, tongue suspension and genioglossus advancement cannot be recommended as single interventions. Uvulopalatopharyngoplasty, pillar implants and hyoid suspension should only be considered in selected patients and potential benefits should be weighed against the risk of long-term side-effects. Multilevel surgery is only a salvage procedure for OSA patients.

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“…The implants themselves, as well as the surrounding fibrosis, are intended to reduce threedimensional flutter of the soft palate and therefore inspiratory airway resistance [249].…”

Section: Pillar Methods Rationalementioning

confidence: 99%

Non-CPAP therapies in obstructive sleep apnoea

Randerath

Verbraecken²,

Andreas³

et al. 2011

Eur Respir J

309

179

View full text Add to dashboard Cite

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“…Instead, the Pillar Palatal Implant technique was done under local anesthesia to patients who did not show any signs of retropalatal obstruction. Operations were applied according to a classic route (6)(7)(8)(9)(10)(11)(12).…”

Section: Methodsmentioning

confidence: 99%

“…A reactive fibrotic state is made by inserting 3 implants into the soft palate. This intervention reduces vibration of the soft palate and decrease air flow-induced turbulence, thereby leading reduced snoring (6,7,8,9). It can be done under local anesthesia in an office setting with minimal preoperative and postoperative pain.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Two Techniques in Simple Snoring and Obstructive Sleep Apnea Syndrome Patients: Palatal Implant or Uvulopalatal Flap

2014

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“…The fibers induce a chronic inflammatory response that creates a fibrous capsule around the implants. This inflammatory reaction is designed to reduce the soft palate flutter and collapsibility that contribute to sleep-disordered breathing at the velopharyngeal level [170]. There are conflicting reports regarding the efficacy of pillar implants.…”

Section: Soft Palatal Implantsmentioning

confidence: 99%

Non-positive airway pressure therapy for obstructive sleep apnea

Jafari

Roux

2012

Curr Respir Care Rep

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Obstructive sleep apnea (OSA) is a common disorder associated with cardiovascular morbidity. Various methods are offered to improve symptoms of OSA and its outcome. Although positive airway pressure is the most effective treatment for OSA, its clinical effectiveness is limited by patients' compliance. Other suggested treatments for OSA focus on expanding upper airway and reducing its collapsibility. For example, mandibular advancement device (MAD) achieves this goal by mechanically protruding the mandible. Other available treatments including weight reduction, positional therapy, drugs, nasal dilators, and nasal expiratory pressure device are clearly inferior to CPAP.

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Managing Disturbing Snoring With Palatal Implants

Abstract: To evaluate the safety and efficacy of polyethylene terephthalate implants in the soft palate to modify disturbing snoring.

Cited by 58 publications

References 21 publications

Non-CPAP therapies in obstructive sleep apnoea

Non-CPAP therapies in obstructive sleep apnoea

Comparison of Two Techniques in Simple Snoring and Obstructive Sleep Apnea Syndrome Patients: Palatal Implant or Uvulopalatal Flap

Non-positive airway pressure therapy for obstructive sleep apnea

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