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A
somnoplasty is a stiffening procedure used to help snorers with
a floppy soft palate. It uses radio frequency energy to cause
scars in the soft palate and these act like a scaffold, supporting
the rest of the tissue. When the patient breathes in and out,
because the soft palate is stiffer, it vibrates less and makes
less noise. The treatment is done in an outpatient clinic under
a local anaesthetic, similar to going to the dentist. When the
anaesthetic is injected into the soft palate, it feels quite uncomfortable
for a few seconds, after that the treatment is painless. After
the treatment, the soft palate is swollen for a few days and a
bit sore. It is usually not necessary to take anything stronger
than simple painkillers. If the uvula is particularly swollen,
it may be necessary to sleep propped up for a couple of days as
lying flat will be uncomfortable. Very occasionally, the pain
from this procedure is quite severe and may need strong painkillers
and antibiotics to be prescribed. This treatment is not suitable
for snorers who are excessively overweight or have significant
sleep apnoea. It has a 50% chance of significantly improving snoring
and in some cases the snoring is abolished completely. It may
be that two or more treatments are necessary.

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