Ear, Nose and Throat Clinic
 
 
 
Home Page
Surgeries
    Septoplasty
    Rhinoplasty
    Somnoplasty
    Endoscopic Sinus Surgery
    Endoscopic Adenoidectomy
    Tonsillectomy
    Ear Surgery
    Voice Surgery
Procedures / Diagnostics
    Endoscopy
    Balance Rehabilitation
    Acoustic Rhinometry
    Rhinomanometry
    Hearing Test
    Hearing Aids
Videos
About Dr. Gallardo
Extended English Site Version
Go To Site's Spanish Version
Where Are We Located?
Subscribe
Contact Us


The Modern Solution to the problem of stuffy nose and snoring.

People Tell Me That I Snore - Take the Snoring Quiz

Nose Function Computerized Analysis


Somnoplasty

Patients that may beneficiate of somnoplasty should take one of the following tests:

 

I Frequently Struggle to Stay Awake During The Day

 

People Tell Me That I Snore

 

I Have Been Diagnosed With OSA

 

I Have Trouble Breathing Through My Nose During the Day Or At Night

 

 

 

 

 

 

 

 

 

 

Clinic's Somnoplasty Equipment
Somnoplasty Equipment

To view this file you need to have installed a software called Adobe Acrobat Reader, if you don't have this software installed you won't be able to view it correctly.

To get the latest version of this software, and to read the instructions on how to install it click here.


Encontrar un Doctor
To find the Clinic's Certification, Click Here or in the image to the left, and then Click Honduras.


The Limitations of Traditional Methods

For years, the medical community has searched for a less invasive solution for the treatment of upper airway disorders. Surgical therapies have succeeded in reducing obstructions in some patients, but carry significant risks and almost always result in significant postoperative pain. Nonsurgical methods have offered patients some relief, but often prove ineffective because of variable compliance and widespread patient discomfort.

Patients with chronic nasal obstruction from enlarged turbinates often endure the prolonged use of intranasal sprays and systemic medications. Some carry significant side effects—and compliance over time can be inconsistent. The morbidity associated with surgical procedures includes pain, bleeding, and the need for nasal packing, adhesion, crusting, dryness and infection. Those who suffer from obstructive sleep apnea have often been treated with continuous positive airway pressure (CPAP). CPAP has a disturbingly low compliance rate (25% to 50%) and is only a palliative treatment. Uvulopalatoplasty (UPPP) procedures can be extremely painful and variably effective. In more extreme cases, patients have been subjected to genioglossal advancement and tracheotomies.

Many patients who seek treatment for habitual snoring have most recently experienced the discomfort of the laser-assisted uvulopalatoplasty (LAUP)—a multiphase procedure so invasive and painful that it can discourage patients from returning after their first visit.


THE CLINICAL BENEFITS OF SOMNOPLASTY

  • Minimally invasive4-5
  • Minimal postoperative discomfort2,4-5
  • Safe5-8
  • Effective4-9
  • Office-based procedure


A simple solution
Somnoplasty, from Somnus,™ is an office-based procedure performed using local anesthesia to treat upper airway obstructions.

Somnoplasty uses controlled, low-power radiofrequency energy to create one or several submucosal volumetric lesions. Over a period of 6 to 8 weeks, the lesions are naturally resorbed, reducing tissue volume and stiffening remaining tissue in the desired area.

Reducing chronic nasal obstruction
Chronic enlargement of turbinates affects over 1.5 billion people worldwide and is irreversible except through surgical intervention.
Through a partially insulated electrode, Somnoplasty reduces turbinate tissue with minimal, if any, crusting or bleeding. The procedure typically takes less than 2 minutes per turbinate. One study demonstrated that 89% of patients were no longer using medication for nasal obstruction at the end of 8 weeks. Multiple lesions have resulted in improved response rates.


BETTER BREATHING
In recent studies, chronic nasal obstruction patients experienced:

  • Improved breathing in 100% of participants
  • Decreased degree and frequency of nasal obstruction—81%10
  • Minimal adverse effects—no bleeding, crusting, dryness, foul odor or need for nasal packing


NASAL OBSTRUCTION ASSESSMENT BEFORE AND
AFTER SURGERY BY PATIENT AND EXAMINER

Degree of Obstruction
Frequency of Obstruction
Nasal Examination
Parameter
Before
After
Before
After
Before
After
Mean
6.33
2.63
6.58
2.86
2.68
0.41
SD
1.64
2.05
1.95
2.14
0.96
0.76
Range
2-10
0-8
2-10
0-10
1-4
0-3
Total Score
272
113
283
123
118
18
Improvement (%)
 
58.8
 
56.5
 
84.8

*Summation of the scores in VAS (43 nostrils).
SOURCE: Li KK, Riley RW, Powell NB, Troell RJ. Radiofrequency tissue volume reduction for turbinate hypertrophy. Otolaryngol Head Neck Surg. 1998;119(6):569–573.


Alleviating obstructive sleep apnea syndrome

Somnoplasty is an effective and minimally invasive choice for the treatment of obstructive sleep apnea syndrome. Delivering radiofrequency energy submucosally to the base of tongue, Somnoplasty creates limited zones of coagulation beneath the tissue surface. As lesions resorb, they stiffen and reduce the tissue in the base of tongue. A study published for OSAS/UARS reported a 55% reduction in the mean respiratory disturbance index (RDI) from baseline for all subjects–with an overall mean reduction in tongue volume of 17%.

SOUNDER SLEEP
Patients seeking treatment for sleep-disordered breathing (SDB) were treated with Somnoplasty,6 demonstrating:

  • Decreased daytime sleepiness—as determined by Epworth sleepiness scores
  • No infections
  • No airway compromises
  • Limited, short-term postoperative pain
  • Decreased snoring—77%

Quieting habitual snoring
It is estimated that over 40 million North Americans are affected by habitual snoring—often resulting from the narrowing and partial obstruction of the upper airway due to abnormal size and positioning of the soft palate and uvula.11-12 Somnoplasty provides a relatively painless procedure to treat habitual snoring—reducing soft palate tissue volume in a precise and minimally invasive manner.4,8 Snoring has been shown to decrease following tissue volume reduction,1,5 and recent studies have shown post-treatment pain to range from negligible to mild.

REST RELIEF
In a recent multicenter study, Somnoplasty treatments were shown to:

  • Deliver a 85.3% success rate for up to two Somnoplasty treatment sessions
  • Reduce mean snoring index 60.6%
  • Reduce mean Epworth sleepiness score 37.5%

 

PATIENTS AND SPOUSES EXPRESS SATISFACTION WITH THE SOMNOPLASTY PROCEDURE

 
Mean
Perception of Procedure:
8.4
0 (Very Difficult) - 10 (Very Easy)
Spouse's Assessment of Improvement:
7.1
0 (None) - 10 (Greatly Improved)
Patient's Quality of Sleep - Pre Treatment:
3.6
1 (Very Poor) - 10 (Very Good)
Patient's Quality of Sleep - Post Treatment:
7.6
1 (Very Poor) - 10 (Very Good)
Number of Treatments
1.7

SOURCE: Clarke ME. Clinical experience using radiofrequency tissue volume reduction (RFTVR), SomnoplastySM for the treatment of snoring. Paper presented at the February 1999 meeting of The American College of Oral and Maxillofacial Surgeons, February 24–26, 1999, Orlando, Fla.


Somnoplasty—the logical conclusion
Somnoplasty has proven to be an excellent option to relieve upper airway obstructions with minimal intraoperative and postoperative pain. In a recent study on the treatment of habitual snoring,14 9% of patients undergoing Somnoplasty needed narcotic analgesics, as compared to 100% of patients undergoing LAUP and UPPP procedures. Somnoplasty has also been shown to effectively reduce tongue tissue volume for the treatment of obstructive sleep apnea. It is a feasible and safe method for palate tissue reduction for the treatment of habitual snoring. And Somnoplasty has also proven effective in the improvement of nasal obstruction caused by turbinate hypertrophy.

With an ever-expanding list of potential clinical applications, the Somnoplasty platform technology promises a future of continued innovation and leadership in the treatment of upper airway obstructions.

Somnoplasty reduction of enlarged turbinates with endoscopic view


Somnoplasty reduction of enlarged turbinates with endoscopic view

 

S2 Somnoplasty equipment used to reduce enlarged turbinates


S2 Somnoplasty equipment used to reduce enlarged turbinates
 

 


Videos Section

In this section you'll find several of the Surgeries that you can take in Ear, Nose and Throat Clinic.

To see instructions about how to download the videos to your computer, Click Here.

Important Notes :

Below is the list of many of our Surgeries: (View Instructions of How to Download the Videos):

File Size
27.42 MB

If you have Questions or Comments don't hesitate to contact us by Clicking Here.


To read more about Somnoplasty you can visit the following site:
http://www.entcolumbia.org/somnop.htm

 


Home Page | Surgeries
| Septoplasty | Rhinoplasty | Endoscopic Sinus Surgery | Endoscopic Adenoidectomy | Tonsillectomy | Ear Surgery | Voice Surgery
Procedures - Diagnostics
| Endoscopy | Balance Rehabilitation | Acoustic Rhinometry | Rhinomanometry | Hearing Test | Hearing Aids | About Dr. Gallardo