Key Procedures & Evidence

2025 has brought precision and patient-tailored approaches in ENT surgery for snoring and OSA, matching interventions to age, anatomy, and comorbidities.

1. Adeno-Tonsillectomy (Children)

  • Study highlights: “Adeno‑tonsillectomy remains the first‑line surgical treatment to prevent severe complications and relieve [OSAHS children].” 

  • Effective in approximately 13% of pediatric OSA cases, with 99% complication-free outcomes initially.

2. Uvulopalatopharyngoplasty (UPPP – Adults)

  • Success rates range from 35–50%, but multilevel procedures boost success to 70–95% .

3. Maxillomandibular Advancement (MMA)

  • In moderate-to-severe OSA, MMA achieved 71% success and 69% AHI reduction.

4. Hyoid Suspension

  • Improves airway patency in tongue-base obstruction by advancing the hyoid bone.

5. ROBOTIC TORSA

  • Transoral robotic surgery (TORSA) integrates UPPP and lingual tonsil harvesting with precision and less invasiveness.

 Who Should Consider Which?

  • Children: Adeno-tonsillectomy is the go-to first-line treatment.

  • Adults:

    • UPPP reduces symptoms; multilevel procedures offer best outcomes.

    • MMA is ideal for suitable anatomy and surgical risk acceptance.

    • TORSA offers a cutting-edge, minimally invasive option.

References

  • Adeno‑tonsillectomy efficacy – Int. J. Otolaryngology, 2025 

  • UPPP success & combination therapy – Medscape, 2025

  • MMA results – Medscape, 2025

  • TORSA robotics – Wikipedia, 2025

 

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