Abstract
Uvulopalatopharyngoplasty (UPPP) was the first palatal surgery specifically developed for snoring and obstructive sleep apnea (OSA). To date, palatal surgery remains the paragon among various sleep surgeries and is the most commonly used surgery for OSA. During past decades, palatal surgery has evolved from the traditional UPPP, minimally invasive palatal surgery, to a functional reconstruction of the lateral pharyngeal wall and soft palate. The advancement of palatal surgery over the past 40 years has been a multi-dimensional evolution involving the concepts, surgical techniques, and postoperative care in treating sleep-disordered breathing (SDB). Conceptual evolution includes refinements of surgical indications, assessments of obstruction sites, and surgical limitations pertinent to clinical outcomes. Technical evolution comprises the suspension of muscle to maximize the velopharyngeal airspace and hybrid procedure to minimize the complications. Evolved postoperative care ensures better recovery after surgery and integrated treatment. In order to achieve comprehensive safety and efficacy in treating SDB patients, palatal surgery addressing the velopharyngeal obstruction continues to evolve.
| Original language | English |
|---|---|
| Title of host publication | Barbed Pharyngoplasty and Sleep Disordered Breathing |
| Publisher | Springer International Publishing |
| Pages | 1-10 |
| Number of pages | 10 |
| ISBN (Electronic) | 9783030961695 |
| ISBN (Print) | 9783030961688 |
| DOIs | |
| State | Published - 01 01 2022 |
| Externally published | Yes |
Bibliographical note
Publisher Copyright:© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2022.