Surgery For Snoring & OSA

About Uvulopalatopharyngoplasty (UPPP)

Uvulopalatopharyngoplasty (UPPP) is the most common surgical procedure performed for Obstructive Sleep Apnoea  (OSA). UPPP involves tonsillectomy (if not previously performed), trimming and reorientation of the tonsillar pillars, the uvula and posterior palate.

Since the introduction of the original operation by Fujita et al in 1981, several modifications and variations of UPPP have been developed. In general, the goal of surgery is to increase the size of the airway at the throat by widening the sidewalls of the throat and pulling the back end of the soft palate forward. 

In some patients with isolated palatal narrowing, UPPP may be the first-line treatment. However, UPPP is usually done as part of multilevel surgery for the treatment of OSA. including nasal airway surgery, tonsillectomy and adenoidectomy and a tongue reduction procedure.