Surgical Options for Severe Snoring
At Pasha Snoring & Sinus Center, we offer a variety of surgical solutions to address different anatomical causes of sleep apnea. Some of the most common procedures include:
Palatal Reconstruction (Pasha Modification)
Dr. Pasha has developed his own unique approach to reconstructing the back of the throat to treat sleep apnea. His version of Palatal Reconstructive Surgery is much more minimal to better preserve function.
Traditional Septoplasty
A Septoplasty allows for the septum inside your nose to be straightened by removing or reshaping it. A deviated septum occurs when the thin wall, or nasal septum, between your nostrils is displaced to one side, making one nasal passage smaller.
Partial Turbinate Reduction
If your turbinates persistently cause nasal obstruction, you may be a candidate for reducing the size of the turbinates surgically through a procedure called partial turbinate reduction, which is the procedure of the removal of a small nasal bone that reduces the size of the turbinate.
Nasal Valve Reconstruction
Dr. Pasha has a unique approach to address the nasal valve: Nasal Valve Reconstruction, in which he addresses the columella and shapes the cartilage and skin to a more normal position and shape.
Genioglossal Advancement
The purpose of this procedure is to suspend the tongue by pulling or “slinging” the muscles that support the tongue forward to increase airway size. Since a small bone segment is moved, this procedure does not change the appearance of the face.
Hyoid and Tongue Advancement & Stabilization Procedures
The objective of this procedure is to prevent the tongue from blocking your airway in the deep throat by making a small incision under the neck and placing sutures around the hyoid, bringing it forward toward your chin to give support to the muscles that support the back of the throat.
Lingual Tonsillectomy
If your lingual tonsils become too enlarged, Dr. Pasha may consider the Lingual Tonsillectomy procedure, in which he’ll remove your lingual tonsils if they are determined to be contributing to your snoring or sleep apnea.
Midline Glossectomy
This procedure is recommended for some sleep apneic patients and snorers since the tongue may fall back during sleep, causing obstruction and snoring.
Transpalatal Advancement Pharyngoplasty
Transpalatal Advancement Procedures create room in the upper portion of the back of the throat, creating a more open airway to reduce snoring and apneas.
Transoral Robotic Surgery (TORS, Da Vinci Robotic Surgery)
For select patients who have a collapse of the airway in the base of the tongue at night, Dr. Pasha may recommend the Da Vinci Robot to access the base of the tongue. The advantage of utilizing the robot is to allow for better visualization, precision, range of motion, and access to the deeper portion of the throat.
Inspire Therapy
The Pasha Snoring & Sinus Center is now offering Inspire therapy, a breakthrough obstructive sleep apnea (OSA) treatment option for those who cannot use Continuous Positive Airway Pressure (CPAP) therapy. OSA affects 22 million Americans.
Maxillomandibular Advancement (MMA) Surgery
This procedure is reserved for severe sleep apnea, and the surgery may be suggested if you continue to have severe sleep apnea after other procedures have failed. It is also performed in patients with significant jaw deformity contributing to obstructive sleep apnea.
Tracheotomy
In the event of life-threatening sleep apnea, Dr. Pasha can recommend a tracheotomy in which a small hole is made in the windpipe so air can avoid potential airway obstructions.
