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It is an out-patient procedure, in which a laser is used to remove parts or all of the uvula at the rear of the mouth. [1] The surgery usually requires three to five visits, with each lasting less than 30 minutes. [2] It is performed with the patient awake under local anesthesia, and normal functions can be resumed after the operation.
UPPP involves removal of the tonsils, the posterior surface of the soft palate, and the uvula. The uvula is then folded toward the soft palate and sutured together as demonstrated in the figures. In the US, UPPP is the most commonly performed procedure for obstructive sleep apnea with approximately 33,000 procedures performed per year.
This involves removal of the tonsils if still present, and a subsequent palatal procedure. The tonsil pillars are often sutured closed—and the uvula is either trimmed, cut, folded, reshaped, or sutured to the soft palate. [7] Studies have shown that treatment effect of UPPP with tonsillectomy increases with tonsil size. [8 ...
“The uvula is the punching bag located at the back of the soft palate, and helps to close off the upper throat from the lower throat during swallowing and speech,” says Craig Zalvan, M.D ...
The surgery is often done using metal instruments or electrocautery. [1] [6] The adenoid may also be removed or shaved down, in which case it is known as an "adenotonsillectomy". [1] The partial removal of the tonsils is called a "tonsillotomy", which may be preferred in cases of OSA. [1] [7] [8] [9]
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