Abstract

Abstract The aim of the study was to assess the effectiveness of modified cautery-assisted palatal stiffening operation (CAPSO) to treat snoring. Fifty patients with simple snoring underwent the modified CAPSO; patients underwent polysomnography, preoperatively and at 3 months postoperatively. All patients had improvement in their snoring, and the patients and their sleep partners were satisfied with the result at 3 months postoperatively. The modified CAPSO technique has shown promising and encouraging results in a small cohort of patients with simple snoring.

Highlights

  • Snoring is a widespread symptom affecting about 50% of the adult population

  • The primary therapeutic aim of all available therapies is a reduction in the duration and intensity of snoring to a tolerable degree without harming the patient

  • Flexible nasoendoscopy was performed for all patients, and collapse during a Muller’s maneuver was graded for the soft palate, lateral pharyngeal walls, and base of the tongue on a five-point scale

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Summary

Introduction

Snoring is a widespread symptom affecting about 50% of the adult population. Primary snoring without sleep-disordered breathing is not harmful in itself. The primary therapeutic aim of all available therapies is a reduction in the duration and intensity of snoring to a tolerable degree without harming the patient. Apart from conservative treatments that require patient compliance to be successful, various kinds of surgical procedures exist, with techniques for the soft palate being the most widespread. All these procedures intend to reduce palatal flutter, the major cause of nonapneic snoring. Uvulopalatopharyngoplasty (UPPP) and laser-assisted uvulopalatoplasty (LAUP) are well known but associated with a significant morbidity. These treatments are invasive, destructive, painful, and irreversible to a certain extent.

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