Retrograde Uvuloplasty

Clinical case:Retrograde Uvuloplasty, Interstitial
Laser used:Epic-S Diode Laser 940 nm
Accessory used:400 um bare fiber tip
Surgery handpiece
Authored by physician:Yosef Krespi, MD
Professor of Otolaryngology, Hofstra School of Medicine, New York

Patient symptoms:

Persistent palatal snoring. Excessive day time sleepiness, sleep fragmentation. Loud snoring confirmed by bed partner.

Diagnosis:

Normal or very mild sleep apnea events detected during sleep study. Long uvula, small tonsils. No other sleep related comorbidities.

Management:

Surgical solution consist of ablating the nasal surface of the uvula trans mucosal and intra muscular in order the shorten and stiffen the uvula.

Laser surgery, Pre-Op:

Anesthesia is achieved with local injection of 2% lidocaine with epinephrine 1:100,000.

Post-Op:
Antibiotics, topical anesthetic gel and analgesics.

Tips:

Interstitial ablation of uvula muscle is achieved in three passes.
Edges of the soft palate arch can be ablated as well.

CAUTION
The laser treatment parameters above are provided as a guide and are based on results published or reported by physicians with experience in this indication. Individual treatment should be based on clinical training, clinical observation of laser-tissue interaction, appropriate clinical endpoints and each physician’s own medical judgment.