Surgical treatment of sleep apnea

Surgical treatment of sleep apnea is based on determining and treating the obstruction that is causing the breathing disorder. Treatment of sleep apnea requires collaborating between different specialists — our clinics have created special working groups for this.

DISE — Drug Induced Sleep Endoscopy

If clinical examination and X-ray do not reveal definite results, Drug Induced Sleep Endoscopy (DISE) may be necessary. During DISE, the patient is under surface anaesthesia, the surgeon observes the respiratory tract and determines the obstacle causing breathing troubles using a thin endoscope. Sleep apnea is usually a complex problem and might require different operations.
 

Plastic surgery of the soft palate and pharynx

This procedure is carried out under general anaesthesia. It involves removal of the tonsils and reducing the size of the soft palate so that it would not block the respiratory tract. Simultaneously, the surgeon will try to maintain the functionality of the soft palate as much as possible.
 

Coblation of tongue tissue and fixing the position of hyoid bone

If breathing disorders are caused by the tongue blocking the respiratory tract, it might prove to be necessary to enlarge the space at the back of the tongue. One option is coblation using plasma RFQ to reduce the tissue. Another option is brining the hyoid bone in the tongue forward and fixating it.
 

Correcting the position of jaw bones

Congenital developmental anomalies in the jaw bone can reduce the space the pharynx has to a great extent, causing sleep-related breathing disorders. In this case, correcting the position of one or both jaw bones is an effective form of treatment.