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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.in

Otolaryngology online

Volume: 9