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Surgical Techniques Development
  • Surgical Techniques Development is published by MDPI from Volume 11 Issue 1 (2022). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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  • Open Access

10 October 2011

Palatal Ttiffening via Transoral, Retrograde Interstitial Laser Coagulation

and
1
Center for Sleep Disorders, New York Head Neck Institute, New York, NY 10019, USA
2
Department of Otolaryngology St. Luke’s-Roosevelt Hospital Center, New York, NY 10019, USA
*
Author to whom correspondence should be addressed.

Abstract

Current treatment modalities for snoring may include mucosal removal, coblation or radiofrequency palatoplasty, injection snoreplasty and placement of palatal implants with described disadvantages. We introduce a new laser assisted method avoiding intraoral injury. A pilot study treating 13 loud snorers having an RDI < 8 was conducted. A diode laser coupled to a flexible fiberand a handle with curved needle was used. The fiber was introduced into the nasal surface of soft palate between palatoglossal and glossopharyngeal arches and advanced progressively anteriorly after pulling the uvula forward three times to create palatal scarring and stiffening. All responded to a phone survey. Six patients reported significant improvement, 4 had some improvement, 2 had mild improvement and one patient had no change. Pain score was moderate for 3 patients while the rest had mild pain. The laser harbors many advantages over other methods. Results with this technique are encouraging further studies.

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