Surgical Treatments for Sleep Apnea

Surgery

When conservative treatments fail, surgery may be recommended—especially for severe sleep apnea that risks serious health complications. Surgical options aim to remove excess tissue or widen airways to restore healthy breathing during sleep.

Common Sleep Apnea Surgeries

Uvulopalatopharyngoplasty (UPPP)

Uvulopalatopharyngoplasty (UPPP) is a procedure that tightens tissue in the throat and palate, often removing the tonsils and adenoids to help widen the airways. This treatment is most effective for obstructive sleep apnea (OSA) caused by throat obstruction.

Septoplasty and Turbinate Surgery

Septoplasty and Turbinate Surgery involves repairing a deviated nasal septum and reducing the size of the turbinates to improve nasal airflow. This is typically recommended for patients whose OSA is worsened by nasal blockages.

Maxillomandibular Advancement

During a maxillomandibular advancement procedure, the upper and lower parts of the jaw are moved forward to create more space behind the tongue and soft palate and reduce the risk of obstruction during sleep. Breathing is restored as the path for airflow is cleared.

Hypoglossal Nerve Implant (Upper Airway Stimulation) – Inspire Implant

Hypoglossal Nerve Implant (Inspire Therapy) is an FDA-approved treatment for moderate-to-severe OSA that works by placing a small implant in the chest and neck. This device gently stimulates the nerve controlling the tongue during sleep to prevent airway collapse. The procedure is outpatient, takes 1-2 hours, and is activated nightly via a handheld remote. Studies show it results in a 79% reduction in apnea events. The benefits of Inspire Therapy include no need for a CPAP machine, adjustable settings, and coverage by most insurance plans. Recovery typically takes 1-2 weeks, after which stimulation settings are customized to the patient’s needs. Inspire Therapy is a gold-standard alternative for patients who cannot tolerate CPAP.

Genioglossus and Hyoid Advancement

For those with tongue-based obstruction, Genioglossus and Hyoid Advancement pulls the tongue muscles forward to prevent the collapse of the lower throat. This surgery is recommended for OSA caused by the tongue.

Using the Airlift System

The Airlift procedure is a minimally invasive treatment designed to reduce snoring and treat mild to moderate Obstructive Sleep Apnea. This advanced solution works by supporting and stabilizing the tongue and upper airway, preventing tissue collapse during sleep.

Tracheostomy

Tracheostomy is a rare, but sometimes necessary, procedure performed only when all other treatments have failed. It creates a temporary airway bypass for severe, life-threatening OSA and is typically reserved for the most critical cases.