Abstract
Barbed Reposition Pharyngoplasty (BRP) proved adequate to manage lax redundant soft palate and collapsing lateral pharyngeal walls in OSA patients in previous multicenter and prospective randomized studies. However, three main issues were considered: different soft palate length and anatomy among OSA patients, postoperative sutures extrusions with postoperative pain, and residual snoring due to the palate’s lax central part. The so-called “co-barbed pharyngoplasty” or “CO-BRP” includes using both coblation technology and different barbed sutures to overcome the problems found associated with the original BRP technique.
Coblation was used in tonsillectomy, palatopharyngeal muscle sectioning at its lower part with instant hemostasis, and ablation of supratonsillar fat in the lateral palatal space. It allowed minimal pain by minimal tissue penetration and minimal thermal damage. It also permitted ablation of supratonsillar fat high up to the contact point to widen the lateral palatal space, hence more shortening of long soft palates. Different suture material was used (V-Loc™ wound closure device) with more barbs, so more stability of sutures in the soft palate always mobile during speech and swallowing.
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Bahgat, A., Bahgat, Y. (2022). Barbed Pharyngoplasty Experience in Egypt. In: Vicini, C., Salamanca, F., Iannella, G. (eds) Barbed Pharyngoplasty and Sleep Disordered Breathing. Springer, Cham. https://doi.org/10.1007/978-3-030-96169-5_35
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