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7/28/2019 Palatal implant.pptx
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Palatal implant
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Palate stiffening
An effective treatment for mild to
moderate minimally invasive procedure
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(primary palatalsnoring)
Friedman
(palatalposition) grade I II
OSA
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.
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Radiofrequency ablation;
soft palate and tongue base
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- OSAS
palatal component
(
21 7
stop)
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Radiofrequency tongue base ablation(RFA)decreases upper airway collapse by
producing a volumetric reduction in tonguebase tissue via the generation of scar tissue.
Insulated probe -> radiofrequency energy->introduced into several areas of the tonguebase and produces coagulation necrosisand healing by scar.
Performed in an outpatient setting under
local anesthesia and may required multipletreatments to achieve desired results
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A review of 11 series showed successrates from 20% to 83% with multiple RFAapplications and concluded that this
procedure is not adequate as a soletreatment method, especially in light ofthe fact that most patients required
multiple sessions.
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Plasma-mediated ablation
Probe 1.5cm .
10~15/lesion ablation 3-6
4-6 1-2
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Midline glossectomy
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Midline glossectomyretrolingual airway
. .
Tongue base procedure retrolingual collapse or narrowing .
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.
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Tongue base procedure Partial midline glossectomy(PMG),
lingualplasty, and radiofrequency tonguebase ablation : retrolingual collapse ornarrowing
Lingual tonsillectomy may helpful in patient
with lingual tonsillar hypertrophy. PMG creates a larger retrolingual airway by
removal of a midline rectangular strip of theposterior half of the tongue.
Lingual tonsillectomy, reduction of thearyepiglottic folds, and partialepiglottectomy are also performed.
Cummings 259page
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