Tonsillectomy and Adenoidectomy in Children
Children with large tonsils and/or adenoids are at risk for snoring and sleep apnea. In children, symptoms may include restless sleep, mouth breathing, bed-wetting, difficulty with concentration, memory/learning problems, and behavioral problems. In fact, sleep-disordered breathing is the most common reason for removing tonsils and adenoids.
In children with large tonsils and adenoids, surgical removal will result in cure of sleep-related breathing disorders in approximately 90% of patients.
Tonsillectomy in Adults
Adults with large tonsils also benefit from tonsillectomy as part of the treatment for snoring and sleep apnea. In some adults tonsillectomy alone may be curative.
Surgery of the Palate
UPPP (uvulopalatopharyngoplasty) is a surgical procedure of the tonsils and soft palate for treatment of obstructive sleep apnea. The procedure takes about 1 hour in the operating room under general anesthesia. The tonsils are removed and a small triangle of tissue is removed adjacent to the base of the uvula on both sides. The uvula is shortened as well. Sutures are placed to facilitate proper healing.
In properly selected patients, UPPP is curative in approximately 80% of cases.
Surgery of the Mandible
Patients with a recessed chin are at increased risk of developing obstructive sleep apnea because the structure of the jaw lends itself to crowding of tissues in the throat. Genioglossus Advancement (GA) is performed to create a more favorable mandibular anatomic alignment. This procedure is often performed in conjunction with other procedures such as UPPP or tongue base radiofrequency ablation.
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