SLEEP DISORDER TREATMENT

Depending on the cause and severity of the snoring and/or sleep apnea, treatments may involve simple lifestyle changes in conjunction with non-invasive treatment measures like dental mouthpieces or continuous positive airway pressure, a CPAP machine.

When symptom relief has not been achieved with less invasive treatment options, a more intensive surgical approach may be required. At the Beverly Hills Aesthetic Surgical Institute, Dr. Saadat is pleased to offer a variety of cutting edge treatment options to resolve the anatomical or structural abnormalities that may be causing a patient’s chronic snoring or sleep apnea:

Uvulopalatopharyngoplasty (UPPP): performed under general anesthesia, this surgical procedure entails trimming and tightening excess tissues from the throat region to expand the breathing airways and minimize the vibrations causing the snoring

Laser-Assisted Uvulopalatopharyngoplasty (LAUPPP): this outpatient procedure employs the use of a small, hand-held laser beam to decrease the length of the soft palate and remove the uvula, thereby enlarging the breathing airways while reducing vibration. More than one LAUPPP session is sometimes necessary for complete snoring cessation

Radiofrequency Tissue Ablation (Somnoplasty): performed on an outpatient basis with a local anesthetic, this technique utilizes a low-intensity radiofrequency signal to contract the tissues in the soft palate, which helps to expand the airways. This procedure is a more comfortable and less invasive treatment option, and is best suited for patients with mild sleep apnea who have not achieved symptom amelioration with dental mouthpieces and are unable to tolerate CPAP (continuous positive airway pressure) treatment
Maxillomandibular Advancement (Jaw Repositioning): this surgery involves moving the jaw forward to expand the area behind the soft palate and tongue, which minimizes the potential for future obstruction

Palatal Implants (“the pillar procedure”): when utilizing this technique, Dr. Saadat will insert braided strands of polyester filament into the soft palate to stiffen it, thereby reducing the chance of future airway vibration. This procedure is best suited for patients with mild sleep apnea who are unable to tolerate CPAP
Nasal Surgery (functional rhinoplasty): when sleep apnea is caused by defective or malfunctioning nasal structures, as with a deviated septum or nasal polyps, corrective nasal surgery may be necessary to restore proper nasal functioning and resolve the patient’s sleep disorder symptoms

Tracheostomy: generally considered a more invasive surgical option, tracheostomy is best suited for patients with severe or life-threatening sleep apnea. This surgical technique involves the insertion of a metal or plastic tube to create a new air passageway through which the patient will breathe at night, in order to bypass the blocked air passage in the throat.

Transoral Robotic Surgery (Robotic Tongue Base Resection): Transoral Robotic Surgery (TORS) is a cutting edge sleep apnea treatment option that is ideally suited for patients whose sleep apnea issues stem from hypertrophy (excessive growth) of the tongue base. Dr. Saadat is one of the few surgeons with the clinical skillset and necessary surgical expertise to perform this procedure, which employs robotic technology to manage the tongue base and the epiglottis. This serves to reduce the volume at the tongue base and clear the obstruction to the nasal passageway, thereby minimizing the patient’s pain while improving their ability to swallow properly, and helping to enhance their overall sleep quality.
Every patient’s ear, nose, and throat anatomy is unique, and this anatomical diversity makes a universal treatment approach highly ineffective. For this reason, Dr. Saadat always performs comprehensive medical evaluations before creating individualized treatment plans to efficiently address and resolve the structural issues at the root of the sleep disorder.

Dr. David Saadat