AAO-HNSF: Anti-Snoring-Device May Offer Simple and Minimally Invasive Treatment Option
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AAO-HNSF: Anti-Snoring-Device May Offer Simple and Minimally Invasive Treatment Option

By Ed Susman

ORLANDO, FL -- September 25, 2003 -- A braided yarn device implanted surgically into the soft palate under local anaesthesia appears to reduce snoring in patients with primary snoring complaints.

"The anti-snoring device stiffens the soft palate and reduces palatal snoring," said Joachim Maurer, MD, an otolaryngology surgeon, University Hospital, Mannheim, Germany.

He implanted the 18 mm long polyester devices into 15 patients, and then assessed the success in reducing snoring intensity and frequency with SNAP Laboratories sleep analysis devices.

On a visual analog scale, patients and their partners reported a dramatic decrease in snoring intensity, falling from a baseline score of 7.2 on the scale to 2.5, a decrease that Dr. Maurer said reached statistical significance at the P<0.01 level. The SNAP recordings also showed a reduced frequency of snoring, reducing the number of snoring episodes from 347 to 264 snoring sounds/hour.

"We are always seeking new devices to combat snoring, especially devices that are non-invasive and non-destructive of healthy tissue" Dr. Maurer said in his oral presentation here September 25th at the Annual Meeting of the American Academy of Otolaryngology-Head and Neck Surgery Foundation, Inc.

In the study, patients were evaluated on Days 2, 14, 18 and 90 after being the implant procedure. There were no adverse sequelae in the operations. The implantation did not result in changes in the patients' speech, swallowing or taste sensation.

In two cases, the soft yarn devices appeared to extrude from the soft palate, and required removal.

Lt. Col. Eric Mair, a surgeon at Wilford Hall USAF Medical Center, San Antonio, Texas, United States, suggested that the dynamic movement of the soft palate during normal activity could be responsible for the extrusions. He said he was concerned about the possibility that patients might aspirate the devices. Dr. Maurer said that he was aware of no cases in which the devices were able to slide out of the palate and be aspirated.

Regina Walker, MD, clinical professor of otolaryngology, Loyola University, Chicago, Illinois, United States, said she also had cases in which there were extrusions. "But to get those implants out, I had to really work to pull them out," she said.

[Study title: Anti-Snoring-Device: Short-Term Results Of A New Minimally Invasive Surgical Technique]

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