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September 05-06, 2019 | London, UK
7
th
International Conference on
2
nd
International Conference on
Otolaryngology: ENT Surgery
Dental Health and Oral Hygiene
Joint Event
&
Otolaryngology Online Journal | ISSN: 2250-0359 | Volume 9
Modified palatal suspension: A complete mucosal preservation
Rashu Mittal M S
Bahrain Specialist Hospital, Bahrain
V
ariety of surgical options are available to deal with
palatal and pharyngeal collapse. Each technique has their
own distinct advantages and disadvantages. No universal
procedure has been defined so far with standard consensus.
The common idea is to achieve maximum possible expansion
of obstructed segment of the upper airway. But this goal
should not be at the cost of excessive tissue compromise
which may produce undue complications and dilute the
intended result. Modified palatal suspension with or without
relocation pharyngoplasty is an innovative procedure
to deal with anteroposterior palatal collapse in cases of
moderate to severe degree of obstructive sleep apnea. The
procedure involves suspension of palatopharyngeus muscle
fibers to pterygomandibular raphe in superficial to deep
manner without any mucosal or muscle dissection of palatal
framework. Significant and sustained improvement was
noticed in terms of retropalatal area expansion, subjective
and PSG parameters over six months follow up.
No significant or long-term side effects were observed in
follow up period. Additionally, low cost involved, and ease of
procedure favors the use of this technique as a good surgical
alternative.
e
:
rashu.mittal@bsh.co.inOtolaryngology online
Volume: 9