Snoring and sleep apnea
Soft palate surgery with thermoablation (radiowave surgery)
Soft palate surgery with thermoablation is a minimally invasive procedure performed with the use of bipolar electrodes which are applied to correct soft palate and uvula. Due to bipolar electrode, unique effect of thermoablation (approximately 70° - 80° C) with high frequency currents is obtained. Indications to Celon method in laryngology include: excessively flabby and elongated soft palate, tonsils hypertrophy, hypertrophy of the base of the tongue, nasal turbinate hypertrophy. The procedure is performed under local anaesthesia of the palate which is made by entering there a special electrode and leaving it for several seconds. The entire procedure lasts several minutes and after it is completed, the patient may go home. During first 2 or 3 days after the procedure, the patient may feel a slight discomfort in the throat, but the symptoms are not severe and subside along with a healing process. Sometimes, it may be necessary to repeat the procedure to obtain a permanent effect.
Pillar procedure to eliminate snoring
One of the most frequent causes of snoring include disorders of the soft palate, whose slenderness hinders the airflow while breathing during sleep. The procedure which eliminates snoring performed with Pillar technique consists of placing Pillar implants, which aim is to stiffen the soft palate so that tissue vibrations do not cause snoring or sleep apnoea. During the procedure, a surgeon places small implants (approximately 0.7 cm long and 0.08 cm wide) in the soft palate using a special tool. This procedure is neither burdensome nor painful for the patient. It is performed under local anaesthesia and lasts usually for several minutes. Implants are made of special materials which support the soft palate tissue in appropriate manner and at the same time stabilise it and stiffen. The aim of the method is to recover patency in the vicinity of the soft palate allowing free airflow during breathing process while sleeping.
Plastic surgery of the nasal turbinates with thermoablation (conchoplasty)
Lower nasal turbinate surgery (conchoplasty) is mainly based on reduction of the turbinate mucosa volume. Currently, one of the commonly acknowledged treatment method of turbinate hypertrophy is conchoplasty performed radiosurgically. It consists in entering under the turbinate mucosa special electrodes and stimulation of soft tissues with radio waves. As a consequence, scar tissue (connective tissue) is formed inside nasal turbinates tissue (submucosally) which leads to shrinking of turbinates and reducing their volume. Due to application of radiosurgery, this a minimally invasive procedure.
The leading surgical technique used by us to correct nasal turbinates is the RFITT bipolar thermoablation using the Celon apparatus. The procedure consists in low-temperature (approximately 80oC) coagulation with high-frequency waves of precisely determined range. The surgery is usually performed under local anaesthesia. The entire procedure takes 10 to 20 minutes and does not require hospitalization.
Reduction of tonsils’ size (tonsillotomy)
Reduction of the tonsils size is justified only in the event of a significant hypertrophy but without a history of recurrent inflammation (tonsillitis, quinsy) and long-term complications. The most common indications for the procedure include: nasal breathing disorders with apnoea, otitis with effusion and hearing loss, recurrent nose inflammation, throat and ears, malocclusion which require wearing braces. Usually, such clinical picture can be observed in children and tonsillotomy is then combined with adenotomy. The procedure is performed under general anaesthesia with use of numerous surgical techniques - classical surgery, electrosurgery, laser or cryosurgery. In the case of classical surgery, procedure is performed through oral cavity. The overgrown part of the tonsil is removed with the use of special knife (tonsillotome).