Sleep Apnea Surgery

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Pros and Cons of Sleep Apnea Surgery

Sleep Apnea surgery should be considered a last resort when it comes to treating sleep apnea. There are many things that should be considered before going through with the surgery because anytime you go under the knife your life could be put in danger. However, if a CPAP machine causes you discomfort or nasal problems surgery or medication to treat sleep apnea may be prescribed as a last resort.

When should you consider surgery for Sleep Apnea? 

If you have tried using CPAP to remedy your sleep apnea and you just absolutely can't stand the machine you may want to try a chin strap to hold your jaw open first.

Dental devices like those used to stop grinding and clenching have also been successful, but these mouth guards have been known to be extremely uncomfortable.

Surgery is considered a last resort when it comes to treating sleep apnea and it is by far the most dangerous short of leaving sleep apnea untreated.

Losing Weight Could Help Your Sleep Apnea 

In some cases, losing weight may reduce the amount and severity of sleep apnea episodes, but for most patients being overweight is an intensifying factor instead of the cause of OSA. In the morbidly obese a major loss of weight may sometimes cure the condition.

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There are different surgical treatments for sleep apnea 

Many different surgeries may be tried to improve the size or tone of the airway. For decades, tracheostomy was the only effective surgical treatment for sleep apnea. This procedure is only used today in extremely rare, stubborn cases that have defied other attempts at treatment.

Modern treatments attempt one or more of several alternatives, tailored to your needs. Frequently the long term success rate is low, which is why many doctors prefer CPAP for treating sleep apnea. Below are possible procedures which may be used.


  • Nasal procedures - including turbinectomy (removal or reduction of a nasal turbinate), or straightening of the nasal septum, in patients with nasal blockage or congestion which lessens airway pressure and complicates OSA.

  • Tonsillectomy and/or adenoidectomy in an attempt to increase the size of the airway.

  • Removal or reduction of parts of the soft palate and some or all of the uvula, such as uvulopalatopharyngoplasty or laser-assisted uvulopalatoplasty. Variations of this procedure sometimes use radio waves to heat and remove thetissue.

  • Reduction of the tongue base, either with laser excision or radio frequency ablation.

  • Genioglossus Advancement - where a small portion of the lower jaw is moved forward to pull the tongue away from the airway; keeping the airway from becoming blocked.

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  • Hyoid Suspension - where the hyoid bone in the neck, another attachment point for tongue muscles, is moved in front of the larynx.

  • Maxillomandibular advancement - A more intrusive operation usually only attempted in stubborn cases where other surgeries haven't alleviated the OSA, or where an abnormal facial structure is believed to be the root cause.

    In MMA, the upper and lower jaw are separated from the skull, moved forward, and reattached with pins and/or plates.

  • Pillar procedure, three tiny inserts are inserted into the soft palate to offer support, reducing snoring and sleep apnea.



The type of surgery necessary for you will depend on the severity of your sleep apnea. Explore all the possibilities with your doctor." />

Have you had sleep apnea surgery? Would you do it again? 

Feel free to comment even if you haven't had the surgery.

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If you are looking for more information, please read my other lenses about sleep 

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