DISE (Drug-Induced Sleep Endoscopy) is an innovative diagnostic procedure that allows real-time observation of the airway during a simulated sleep state. This study is essential to accurately identify areas of obstruction that cause snoring or obstructive sleep apnoea syndrome (OSAS). Thanks to DISE, specialists can plan a personalised surgical treatment, optimising the results and selecting the most appropriate procedure according to each patient's needs.

Anterior pharyngoplasty is a technique that seeks to enlarge the upper airway space by reshaping and fixing the soft palate and pharyngeal walls. This technique allows for precise anatomical correction, reducing tissue collapse and significantly improving breathing during sleep. It is ideal for patients with localised obstruction in the palatopharyngeal region.

The uvulopalatal flap is a surgical technique that preserves the function of the uvula while removing excess vibrating tissue from the soft palate. This procedure minimises postoperative complications, such as nasal regurgitation, and is highly effective in reducing snoring. It is especially useful in patients with predominantly palatal obstruction.

This technique uses special sutures with small spines or ‘barbs’ to reposition and tighten the tissues of the pharynx without resection. Pharyngoplasty with barbed sutures is a minimally invasive procedure that offers rapid recovery and long-lasting results. It is ideal for patients with moderate airway collapse who are looking for a surgical solution with low risk and minimal downtime.

Expansion pharyngoplasty focuses on increasing the transverse diameter of the upper airway by modifying and repositioning the pharyngeal muscles. This procedure is particularly effective in patients with lateral or circumferential pharyngeal collapse. This technique results in greater airway stability during sleep and a significant reduction in apnoea episodes.

Lateral or Cahali pharyngoplasty is a technique designed to correct lateral pharyngeal wall collapse in patients with severe OSA by surgically repositioning the pharyngeal tissues to enlarge the airspace and improve sleep quality. This technique is especially beneficial in patients with severe OSA associated with prominent lateral collapse.

- Customisation: Modern techniques allow specific areas of obstruction identified through DISE to be addressed.
- Minimisation of complications: Procedures such as the uvulopalatal flap and bearded sutures significantly reduce postoperative pain and side effects.
- Rapid recovery: Many of these techniques are less invasive and allow an early return to daily activities.
- Lasting results: Precise anatomical correction ensures a sustained improvement in the patient's symptoms and quality of life.

Advanced techniques in snoring and sleep apnoea surgery, along with diagnostic tools such as DISE, have revolutionised the treatment of these disorders. If you experience severe snoring or obstructive sleep apnoea, consult an ENT specialist to determine the most appropriate treatment for you.