42140 Uvulectomy, excision of uvula

Name of the Procedure:

Uvulectomy, excision of uvula

Summary

A uvulectomy is a surgical procedure that removes all or part of the uvula, the small, fleshy tissue hanging at the back of the throat.

Purpose

The procedure primarily addresses issues such as severe snoring, sleep apnea, and recurring throat infections. The goal is to alleviate symptoms, improve airflow during breathing, and reduce the frequency of throat infections.

Indications

• Severe snoring not responsive to other treatments
• Obstructive sleep apnea
• Frequent throat infections
• Chronic uvulitis (inflammation of the uvula)
• Swallowing difficulties due to an elongated uvula

Preparation

• Patients may be required to fast for 6-8 hours before the procedure.
• Medication adjustments (e.g., blood thinners) may be necessary.
• A pre-operative consultation and possibly a sleep study or throat examination.

Procedure Description

1. The patient is given local anesthesia or general anesthesia, depending on the case.
2. The surgeon visualizes the uvula with the help of a mouth gag.
3. The uvula is carefully removed using surgical scissors or a laser; bleeding is controlled.
4. Sutures may be used to close the incision site, if necessary.
5. The area is cleaned, and the patient is monitored for a short period post-operation.

Duration

The procedure typically takes around 15-30 minutes.

Setting

Usually performed in an outpatient clinic or a hospital surgical center.

Personnel

• ENT surgeon (otorhinolaryngologist)
• Anesthesiologist (if general anesthesia is used)
• Surgical nurses or assistants

Risks and Complications

• Bleeding
• Infection
• Swelling
• Pain or discomfort in the throat
• Changes in speech or voice
• Temporary difficulty in swallowing
• Rarely, aspiration of food or liquids into the nasal passages
• Potential for sleep apnea recurrence if not completely resolved

Benefits

• Reduced snoring and improvement in sleep quality
• Relief from chronic throat infections
• Improved breathing during sleep
• Enhanced overall quality of life

Benefits are typically noticed within a few days to weeks post-procedure.

Recovery

• Avoiding hot, spicy, and hard foods for a few days.
• Pain management with prescribed medications or over-the-counter pain relievers.
• Gargling with salt water to relieve soreness.
• Rest and limited physical activity for a few days.
• Follow-up appointment to monitor healing.

Recovery time is generally 1-2 weeks.

Alternatives

• Continuous Positive Airway Pressure (CPAP) for sleep apnea.
• Use of oral appliances to manage snoring.
• Non-surgical methods like weight loss or changing sleep positions.
• Tonsillectomy if tonsils contribute to the problem.

Each alternative comes with its own benefits and limitations; CPAP, for example, is non-invasive but requires nightly use.

Patient Experience

Patients might feel sore throat and discomfort for several days post-procedure. Pain management measures include prescribed painkillers and cool, soft foods to soothe the throat. Complete recovery is typically achieved within 1-2 weeks, during which patients should follow their doctor’s instructions for optimal healing.