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Open Your Airway at the Palate Level

DISE-guided UPPP with muscle-preserving techniques

Book UPPP Consultation
68%
AHI Reduction
Average drop in palate-dominant patients
2 nights
Hospital Stay
Observation for airway and pain control
10 days
Soft Diet
Timeframe for comfortable swallowing

When to Consult

  • Snoring with DISE-confirmed palate collapse
  • Mild to moderate OSA with poor CPAP tolerance
  • Soft palate redundancy causing vibration
  • Combined nasal and palatal obstruction
  • Prior tonsillectomy patients needing further palate reshaping
  • Failed oral appliance therapy

Understanding UPPP in the Indian Context

UPPP reshapes the soft palate to treat snoring and obstructive sleep apnea in patients who struggle with CPAP. Ajuda leverages DISE to ensure only palate-dominant collapses undergo surgery, securing better outcomes.

When to Consult Our UPPP Team

⚠️ Seek urgent care if:

  • ✓ Severe daytime sleepiness causes accidents
  • ✓ Blood pressure remains uncontrolled despite medication
  • ✓ Bed partner notices long pauses in breathing

Consider UPPP when DISE confirms palate collapse and conservative therapy fails.

Our Diagnostic Approach

1️⃣ Sleep Study Review Assess severity, oxygen drops, and sleepiness levels.

2️⃣ Drug-Induced Sleep Endoscopy Identify collapse pattern; confirm palate dominance.

3️⃣ Airway Imaging CT or cephalometry for multi-level obstruction or revision cases.

4️⃣ Surgical Planning Select technique, discuss recovery, and align lifestyle goals.

Treatment Pathways

Ajuda performs classic UPPP, expansion sphincter pharyngoplasty, and combined tonsillectomy when required. Coblation tools minimise pain while preserving speech function.

What to Expect: Your Care Journey

  • Pre-op Week: Labs, CPAP review, nutrition counselling.
  • Surgery Week: UPPP under general anesthesia; 1-2 nights observation.
  • Week 2: Pain subsides; shift from soft to normal diet.
  • Month 3: Repeat sleep study to confirm success and adjust therapy.

Technology & Innovation

Coblation, nerve monitoring, and DISE integration deliver targeted, safe palate surgery. Dieticians and sleep coaches manage lifestyle factors post-op.

Preventing Complications

Timely UPPP prevents nocturnal oxygen drops, arrhythmias, and metabolic deterioration. Post-op tele follow-ups ensure hydration and wound healing.

Why Ajuda for UPPP?

🎯 DISE Precision

Only suitable patients proceed, boosting success rates.

🔌 Coblation Comfort

Low-heat technology keeps pain and bleeding minimal.

🌐 Sleep Coaching

Tele follow-ups sustain lifestyle changes post surgery.

Take the First Step

Restore quiet nights and energetic mornings. Call 9010550550 to schedule your UPPP consultation at Ajuda Hospitals.

Diagnosis Approach

1

Sleep Study Analysis

Polysomnogram and Epworth score to determine severity.

2

Drug-Induced Sleep Endoscopy

Visualise collapse pattern to confirm palate dominance.

3

Upper Airway Imaging

Cephalometry or CT when multi-level collapse suspected.

4

Preoperative Optimisation

Nutritional counselling, smoking cessation, and dental clearance.

Treatment Options

Classic UPPP

Resection of uvula and part of the soft palate to enlarge airway.

Effective in selected palate-dominant cases
60-90 minutes

Expansion Sphincter Pharyngoplasty

Repositions palatopharyngeus muscle for lateral wall stability.

Improves airway in multi-level obstruction
90 minutes

Palatal Z-Plasty

Z-shaped incision preserves speech and swallowing function.

Maintains palatal function while widening airway
90 minutes

Adjunct Tonsillectomy

Remove tonsils if present to enhance space.

Boosts outcome in hypertrophic tonsil cases
Add 20-30 minutes

Postoperative Pain Management

Analgesics, cold diet, hydration, and tele follow-ups.

Keeps pain scores acceptable for home recovery
2-week protocol

Sleep Rehab

Lifestyle, weight, and sleep hygiene coaching post-surgery.

Maintains long-term airway patency
6 months

Expected Outcomes

Treatment Timeline

Week 0

Surgery completed

Week 1

Pain manageable; soft diet continues

Week 4

Swallowing comfortable; resume normal diet

3-6 Months

Follow-up sleep study confirms outcome

Success Metrics

  • Reduction in AHI
  • Improved snoring scores
  • Enhanced daytime alertness