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Secure Your Airway and Swallow

Endoscopic epiglottoplasty guided by sleep endoscopy and swallowing studies

Book Epiglottoplasty
88%
OSA Improvement
Obstruction relieved in DISE-confirmed cases
36 hrs
Hospital Stay
Average observation post surgery
7 days
Diet Progression
Return to normal diet with swallow therapy

When to Consult

  • DISE showing epiglottic collapse during sleep
  • Chronic choking or aspiration with floppy epiglottis
  • Stridor or noisy breathing when lying flat
  • Failed CPAP due to epiglottic obstruction
  • Aspiration pneumonia due to epiglottic dysfunction
  • Voice changes and swallow difficulty post trauma

Understanding Epiglottoplasty in the Indian Context

Floppy epiglottis can trigger sleep apnea, choking, and aspiration pneumonia. Ajuda's ENT and speech therapy team stabilise the epiglottis while safeguarding swallowing function.

When to Consult Our Epiglottoplasty Experts

⚠️ Seek urgent help if:

  • ✓ Breathing stops during sleep with choking spells
  • ✓ Repeated aspiration pneumonia or coughing while eating
  • ✓ Noisy breathing when lying flat

Consult us if DISE shows epiglottic collapse, CPAP fails, or swallowing remains difficult despite therapy.

Our Diagnostic Approach

1️⃣ Flexible Laryngoscopy Visualize epiglottic shape and movement.

2️⃣ Sleep Endoscopy Confirm epiglottic involvement in OSA.

3️⃣ Swallow Study Assess aspiration risk and therapy needs.

4️⃣ Multidisciplinary Conference ENT, sleep physician, and speech therapist align treatment.

Treatment Pathways

Partial epiglottoplasty, epiglottopexy, and laser reshaping are tailored to the collapse pattern. Post-surgery, speech therapy and tele follow-ups ensure safe swallowing and sustained relief.

What to Expect: Your Care Journey

  • Pre-op Week: Sleep study, swallow assessment, labs, nutrition prep.
  • Surgery Day: Endoscopic procedure; overnight monitoring.
  • Day 2: Transition from liquids to soft diet with therapist.
  • Week 2: Normal diet and activity resume; follow-up via video consult.
  • Month 3: Repeat evaluation for sleep and swallow metrics.

Technology & Innovation

CO2 lasers, endoscopic visualization, and DISE integration allow precise epiglottic reshaping. Swallow lab support customises rehabilitation.

Preventing Complications

Addressing epiglottic collapse early prevents aspiration pneumonia, arrhythmias from OSA, and chronic fatigue. Tele follow-ups catch any swallowing issues quickly.

Why Ajuda for Epiglottoplasty?

🧠 Multidisciplinary Expertise

ENT, sleep medicine, and speech therapy collaborate on every case.

🎯 Precision Tools

Laser and coblation ensure minimal tissue trauma.

🌐 Tele Rehab

Virtual swallow coaching supports Telangana and AP patients.

Take the First Step

Eliminate choking episodes and restore restful sleep. Call 9010550550 to schedule an epiglottoplasty consultation at Ajuda Hospitals.

Diagnosis Approach

1

Flexible Laryngoscopy

Assess epiglottic structure and mobility in clinic.

2

Drug-Induced Sleep Endoscopy

Confirm retroflexion or collapse during simulated sleep.

3

Swallow Study

Video fluoroscopic swallow evaluation for aspiration risk.

4

Preoperative Counselling

Discuss surgical approach, recovery, and speech/swallow therapy.

Treatment Options

Partial Epiglottoplasty

Trim lax epiglottic edges to prevent collapse while preserving function.

Relieves obstruction with minimal impact on swallowing
45-60 minutes

Epiglottopexy

Suture epiglottis to base of tongue for stability.

Effective for retroflexion without cartilage damage
60 minutes

Laser Epiglottoplasty

CO2 laser reshapes epiglottis precisely under endoscopic view.

Suitable for delicate adjustments
45 minutes

Swallow Rehabilitation

Speech therapy to retrain swallowing and prevent aspiration.

Improves safety in 85% of patients
4-6 weeks

Sleep Surgery Integration

Combine with palate or tongue base surgery when multi-level obstruction present.

Maximises AHI reduction
Custom plan

Tele Follow-up

Video reviews for symptom tracking and swallow guidance.

Ensures adherence in outstation patients
8-week program

Expected Outcomes

Treatment Timeline

Day 0

Surgery completed with nasal feeding support

Day 2

Begin soft diet with therapist guidance

Week 2

Normal diet resumes; breathing improves

3 Months

Repeat DISE/sleep study confirms outcome

Success Metrics

  • Reduction in AHI
  • Improved swallow scores
  • Reduced aspiration events