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Uvulopalatopharyngoplasty in adults (UPPP)

Plastic surgery of the palate and middle pharynx - uvulopalatopharyngoplasty - UPPP

Plastic surgery of the palate and middle pharynx, or uvulopalatopharyngoplasty (UPPP), is a surgical procedure to widen the airway at the level of the throat by removing excess tissue, such as the palatine tonsils, parts of the soft palate and possibly the uvula, and to reshape the middle pharynx with sutures.

It is mainly used to treat snoring and obstructive sleep apnea (OSA).

Indications for UPPP procedure
  • Heavy snoring, making sleep and regeneration difficult
  • Obstructive sleep apnea (OSA) confirmed by polysomnography
  • Hypertrophy of the soft palate and uvula, causing pharyngeal narrowing
  • Frequent collapse of the throat walls during sleep, leading to hypoxia
  • Ineffectiveness of CPAP treatment (a device supporting breathing in OBS)
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Course, recovery after uvulopalatopharyngoplasty

The course of the operation
  1. Duration of the procedure 45-60 minutes
  2. Anesthesia – general
  3. Removal of excess tissue – the surgeon removes the palatine tonsils, fragments of the soft palate and the uvula.
  4. Modeling of throat tissue – the palate can be stretched and strengthened to improve airway patency
  5. Closing of wounds – application of dissolvable sutures
  6. Controlling bleeding and waking up the patient
Recovery after palate and throat plastic surgery
  • Hospitalization time – 2 days
  • Sore throat – may last 10-14 days (painkillers may be used)
  • Swelling and difficulty swallowing – subside within 1-2 weeks
  • Liquid and soft diet – for the first few days after the procedure
  • Avoid physical exertion – for 3-4 weeks
  • Improved breathing and reduced snoring – visible after about 6 weeks
Possible complications
  • Postoperative bleeding
  • Temporary changes in voice (hypernasality)
  • Difficulty swallowing (rarely)
  • Dry throat

UPPP is an effective method of treating snoring and sleep apnea in patients with anatomical obstructions in the throat. However, some patients may require additional treatment, such as CPAP therapy or other surgical procedures.

If snoring or sleep apnea is causing chronic fatigue and health problems, it is worth consulting an ENT or sleep medicine specialist.

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See also

Endoscopic sinus surgery

Functional rhinoplasty in adults

Septoplasty in adults

Otoplasty in children and adults

Adenoidectomy in children

Tonsillotomy in children

Tympanostomy in children

Blepharoplasty

Eustachian Tube baloon dilation