Tinnitus 911 size and you're actually scoring these patients are grading

Tinnitus 911 Crooked snoring you're not treating you're not really treating them you know obstructive obstructive sleep apnea but this is primarily snoring certainly when you're choosing your patient for palate implants you know you need to make sure that patient doesn't have any signs of tongue base collapse so on your Mueller maneuver if you see tongue base collapse that's a contraindication to pillar implant the other thing that you have to keep in mind with pillar implant surgery it does reduce snoring but does not completely take snoring away so that's that's one of the misnomers people think when you come in and have pillar implant that the snoring is gonna completely go away it does not reduce but does not completely go away the the main complication of a pillar implant is the extrusion rate it's about ten to fifteen percent the other thing in some of the more recent studies on pillar implants showed that the improvement degrades back to baseline so over time the snoring comes back with the uvula ringo plasti again we're trying to determine levels or sites of obstruction again looking at the soft palate primarily the soft palate and the tongue base you're also looking at tonsil size and you're actually scoring these patients are grading

who are staged 137 percent with patients who are stage 2 and 8 percent with patients who are stage 3 and when we talk about success of palpable surgery certainly success is defined by reduction in that apnea hypopnea index by 50% to less than 20 so back Tinnitus 911 Reviews   into that mild range of obstructive sleep apnea here are some pictures showing the traditional uvula palatal for Ingo plasty tonsils have been removed taken off part of the soft palate and actually tried to sew all of this soft tissue forward you can see this in both in both pictures with the modified you've elope a little for Ringo plasti again you're you're you're essentially performing the same the same type of surgery is a traditional uvula palate over angle plasti however the one thing that distinguishes it from the traditional you're not taking off as much soft palate you're actually taking off part of that mucosa along the along the hard palate and creating a mucosal flap and flipping that flap forward this is this type both these types of surgery are indicated for moderate to severe obstructive sleep apnea and again cure rates are based upon Friedman score and what we've also seen with Friedman Stage two we've seen cure rates as high as 70 to 80 percent when you add a tongue based procedure on top of the modified uvula palate or for Ingo plasti the one drawback with the modified uvula pala referring go class is that there is a slight increase in VP I risk and what that is that's that's regurgitating through your nose so when you swallow there's an increased risk
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