Laser light is utilized to progressively vaporize and thereby reduce the size of excess throat tissue in the region of the uvula and soft palate which contributes to snoring and breathing difficulties during sleep. This FDA approved treatment has been available for several years. Typically, this procedure is performed in an office setting under a local anesthetic which provides for a pain free experience during the procedure. From one to three sessions are typically required to achieve the desired results. This outside - in approach disrupts the outer surface layer (mucosa) of the the throat lining resulting in more discomfort than the newer Somnoplasty procedure. LAUP is a more established, studied and relatively time tested procedure.
There will be some swelling and discomfort after the anesthetic wears off which may last for several days to a week or so following the procedure. Pain medication is provided and a cool, soft diet is followed. During the next four to six or so, healing occurs and remaining tissue stiffens providing for a gradual decrease in snoring. Additional sessions are scheduled as necessary.
Not all people with snoring are candidates for the LAUP procedure. Snoring can be associated with enlargement of other tissues of the nose or throat and can be aggravated by excess weight, alcohol intake and smoking. Snoring may be a sign of obstructive sleep apnea, a serious disorder in which the snorer stops breathing several times an hour during sleep. LAUP is not currently indicated for more severe cases of sleep apnea, although this application is currently under investigation. A full examination and possibly a sleep study (polysolmnogram) must be performed to differentiate "simple snoring" from a more significant breathing disorder. This will allow us to identify the appropriate candidate for the LAUP procedure.
Currently, LAUP is indicated for simple snoring and for mild cases of obstructive sleep apnea. Unfortunately, many insurance companies consider simple snoring a social issue rather than a medical problem worthy of coverage. Treating upper airway obstruction and sleep apnea, however, is frequently covered. You should check the policy of your particular carrier.