Snoring

Surgery for snoring is rarely used and only considered in cases of very severe snoring when other treatments have failed.

Surgery is used to:

• Remove excess soft tissue from the throat to widen the upper airway. This may involve removing the Reference tonsils and adenoids Opens New Window and other tissues in the back of the throat (uvulopalatopharyngoplasty).
• Correct an abnormally shaped wall (septum) between the nostrils or remove Reference nasal polyps Opens New Window that block airflow through the nose.
• Change the position of the bony structures in the upper airway, allowing air to flow more freely, especially during sleep. More than one surgery may be needed to make these changes.
• Implant plastic cylinders in the soft palate to stiffen it to prevent it from vibrating. This can reduce snoring and the daytime sleepiness it causes.^{Reference 4}

Surgery choices

• Reference Uvulopalatopharyngoplasty removes excess tissue in the throat, widening the airway and leading to a smoother airflow. This may reduce snoring.
• Reference Laser-assisted uvulopalatoplasty uses a laser to remove excess tissue in the throat.
• Reference Radiofrequency palatoplasty is a procedure that uses an electrical current to shrink and stiffen the back part of the roof of the mouth (Reference soft palate Opens New Window Reference Opens New Window and Reference uvula Opens New Window). When the soft palate and uvula are stiffer, they are less likely to vibrate, and you are less likely to snore.
• Reference Tonsillectomy and adenoidectomy may be used if you have enlarged tonsils and adenoids that are blocking your airway during sleep.
• Nasal septoplasty repairs and straightens the bone and tissues (septum) separating the two passages in the nose. This procedure is done if a nasal deformity interferes with breathing.
• Nasal polypectomy removes soft, round tissues (polyps) that can project into the nasal passages.
• Implanting plastic cylinders into the soft palate can stiffen it and help prevent it from vibrating.^{Reference 4}

What to think about

Surgery is rarely used to treat snoring. It may not completely cure snoring, and the risks of surgery may not be worth the small benefit you gain.

Snoring is not always considered a medical problem, so insurance may not cover treatment.

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