KeypointsThe Barbed Reposition Pharyngoplasty is a new technique for widening the oropharyngeal space.Minimal invasive technique with minimal rate of complication.Easy to learn and to perform.Compelling results are shown in a Multicentre Study.Valid alternative to other palatal procedures.INTRODUCTIONThe main mechanism of the most classic palatal techniques for obstructive sleep apnoea/hypopnea syndrome (OSAHS) was basically the shortening of the soft palate by trimming the free edge or pulling up the uvula and the soft palate. The main and most used over time palatal procedure is the uvulopalatopharyngoplasty (UPPP). In the last year, many new palatal surgical techniques for snoring and OSAS were devised to address mainly the lateral pharyngeal wall and to enlarge laterally the oropharyngeal inlet such as lateral pharyngoplasty, Z‐palatoplasty, uvulopalatopharyngoplasty (UP2), expansion sphincter pharyngoplasty (ESP) and relocation pharyngoplasty. As the palate component of multilevel procedure, ESP proved to be superior to UPPP. In the last years, surgeons have been trying to modify the approach to lateral pharyngeal wall/retropalatal airway switching from ESP to less invasive procedures. In our experience, the relocation pharyngoplasty according to Li was modified with some different solutions of experienced surgeons developing a new technique named as Barbed Reposition Pharyngoplasty (BRP).The details of technique are
Clinical Otolaryngology – Wiley
Published: Jan 1, 2018
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