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Expansion Sphincter Pharyngoplasty (ESP) is a surgical procedure used to treat obstructive sleep apnea (OSA) by addressing lateral pharyngeal collapse. ESP aims to stiffen the lateral pharyngeal walls and prevent their collapse during sleep, thereby improving airflow and reducing the severity of OSA symptoms. The procedure involves various techniques, including tonsillectomy, expansion pharyngoplasty, rotation of the palatopharyngeus muscle, partial uvulectomy, and closure of the anterior and posterior tonsillar pillars.
ESP is typically performed under general anesthesia in the operating room. The procedure involves raising flaps of tissue from behind each tonsil and attaching them across the back of the throat. This narrows the space behind the palate, helping the velopharyngeal valve close and preventing air leakage through the nose during speech. The surgery takes approximately 1 to 2 hours, and dissolvable stitches are used.
ESP may be suitable for individuals with obstructive sleep apnea, particularly those with lateral pharyngeal wall collapse. It is often considered as a treatment option for patients who have not responded to other conservative treatments or who are unable to tolerate continuous positive airway pressure (CPAP) therapy.
ESP may not be suitable for individuals with certain medical conditions or those who have contraindications to general anesthesia. The healthcare provider will evaluate the individual’s overall health and determine the most appropriate treatment option.
Preoperative care for ESP involves a comprehensive evaluation by the healthcare provider to determine the suitability for the procedure. The healthcare provider will provide detailed preoperative instructions that should be followed closely.
Postoperative care for ESP includes monitoring for complications, such as pain and bleeding. Patients will typically be admitted to the hospital for at least one night for hydration, pain control, and airway monitoring. Follow-up visits with the doctor are important to assess the success of the surgery and address any concerns or complications that may arise.
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Expansion Sphincter Pharyngoplasty (ESP) is a surgical procedure used to treat obstructive sleep apnea (OSA) by addressing lateral pharyngeal collapse. ESP aims to stiffen the lateral pharyngeal walls and prevent their collapse during sleep, thereby improving airflow and reducing the severity of OSA symptoms. The procedure involves various techniques, including tonsillectomy, expansion pharyngoplasty, rotation of the palatopharyngeus muscle, partial uvulectomy, and closure of the anterior and posterior tonsillar pillars.
ESP is typically performed under general anesthesia in the operating room. The procedure involves raising flaps of tissue from behind each tonsil and attaching them across the back of the throat. This narrows the space behind the palate, helping the velopharyngeal valve close and preventing air leakage through the nose during speech. The surgery takes approximately 1 to 2 hours, and dissolvable stitches are used.
ESP may be suitable for individuals with obstructive sleep apnea, particularly those with lateral pharyngeal wall collapse. It is often considered as a treatment option for patients who have not responded to other conservative treatments or who are unable to tolerate continuous positive airway pressure (CPAP) therapy.
ESP may not be suitable for individuals with certain medical conditions or those who have contraindications to general anesthesia. The healthcare provider will evaluate the individual’s overall health and determine the most appropriate treatment option.
Preoperative care for ESP involves a comprehensive evaluation by the healthcare provider to determine the suitability for the procedure. The healthcare provider will provide detailed preoperative instructions that should be followed closely.
Postoperative care for ESP includes monitoring for complications, such as pain and bleeding. Patients will typically be admitted to the hospital for at least one night for hydration, pain control, and airway monitoring. Follow-up visits with the doctor are important to assess the success of the surgery and address any concerns or complications that may arise.
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Choosing the right hospital and physician are important factors to consider that significantly influence a patient’s treatment. The preferred choice for many patients is choosing private care.
Choosing the right hospital and physician are important factors to consider that significantly influence a patient’s treatment.
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