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Otolaryngology: Laser-Assisted Uvulopalatoplasty (LAUP)

Treatment Specialists
These physicians provide diagnosis and treatment for Laser-Assisted Uvulopalatoplasty (LAUP):

Carl F. Ehrlich, M.D.
Jay F. Piccirillo, M.D.
Margaret A. Ogden, M.D.
Stanley E. Thawley, M.D.

What is Laser-Assisted Uvulopalatoplasty?
The Laser-Assisted Uvulopalatoplasty (LAUP) is an outpatient treatment for snoring. The procedure was originally described in France where it was first performed in 1990. The procedure was brought to the United States where it has been shown to be a very safe and effective treatment for snoring.

Is it a complicated procedure?
Laser treatment is much like a visit to the dentist. The patient is treated right in the doctor's office -- sitting upright and fully awake in a comfortable chair. After local anesthesia (Lidocaine) is applied, the last is used to remove the uvula and trim the soft palate, with the treatment taking approximately 30 minutes. The procedure is done in one session in over 80% of the cases.

What does the patient experience after surgery?
The patient will experience a severe sore throat, especially while eating, for seven to ten days. Speaking is generally not affected. Patients go right back to their normal activity after the session. The biggest advantage to treatment with the laser, however, is that it works. Snoring is eliminated or significantly reduced in most patients after one session. A second treatment may be necessary in 20% of patients. Patients usually report a noticeable reduction in their snoring immediately. Further improvement occurs with healing postoperatively.

How effective is this procedure?
The procedure has been found to be quite effective at relieving snoring. Despite this, some patients may subsequently develop obstructive sleep apnea. Symptoms of obstructive sleep apnea include restless sleep, daytime sleepiness, and irritability. Patients who develop these symptoms must return for evaluation. Obstructive sleep apnea, left untreated, can lead to medical complications including heart and lung disease. Patients considering the LAUP procedure may require full evaluation and follow up for medically significant breathing disorders during sleep.

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Copyright 2010 Washington University School of Medicine
Copyright 2010 Washington University School of Medicine