Lateral pharyngeal wall collapse often causes very loud snoring and sleep apnoea. There are two main operations for lateral pharyngeal wall collapse - Expansion Sphincter Pharyngoplasty and Barbed Suture Pharyngoplasty. In this video I explain what all that means and which of these is better at dealing with the lateral wall collapse problem.

Below are three articles that you might find useful as side reading:
1. Barbed Reposition Pharyngoplasty versus Expansion Sphincter Pharyngoplasty: A Meta-Analysis - Laryngoscope - Volume 131, Issue 6 - June 2021 - Pages 1420-1428

2. Barbed palatoplasty vs. expansion sphincter pharyngoplasty with anterior palatoplasty - Laryngoscope - Volume 130, Issue 4 - April 2020 - Pages E275-E279

3. Evolution of soft palate surgery techniques for obstructive sleep apnea patients: A comparative study for single-level palatal surgeries - Clinical Otolaryngology Volume 43, Issue 2 - April 2018 - Pages 584-590

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Chapters
0:00 Introduction
0:27 What is obstructive sleep apnoea?
0:40 What is a sleep study / polysomnography?
0:47 What is lateral pharyngeal wall collapse in sleep apnoea?
1:42 Very loud snoring
2:05 What is DISE (drug induced sleep endoscopy)
3:02 Pharyngeal Cushions - How to tell if you have lateral wall collapse
4:30 Skip to here if you know about lateral wall surgery
4:50 Expansion Sphincter Pharyngoplasty
8:00 How painful is it?
8:51 How to stop lateral and posterior wall collapse
9:16 Argentinian modification of ESP
9:49 Barbed suture pharyngoplasty
11:35 Study comparing Barbed with ESP AHI reduction
12:01 Tiredness improvement compared
12:26 Time required to complete operation
12:34 What is a barbed suture?
12:58 Which is less painful?
13:05 Which one is better?
14:13 Is this the best operation for Obstructive Sleep Apnoea / Snoring?
15:40 Hardest part of sleep surgery
16:31 Conclusion


** DISCLAIMER: Please be advised that the information presented in this video is not intended to serve as a substitute for professional medical advice, diagnosis, or treatment. It is essential to understand that all content, including text, graphics, images, and information, provided in this video, is for general information purposes only. You will need to consult with your doctor or health professional before making any medical decisions based on the contents of this video. **