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Soft-palate implants for obstructive sleep apnoea

 
Guidance issued
 
Number: IPG241

Summary

The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on soft-palate implants for obstructive sleep apnoea.

Description

Obstructive sleep apnoea (OSA), or obstructive sleep apnoea/hypopnoea syndrome, is characterised by repeated, reversible episodes of apnoea and hypopnoea during sleep, loud snoring and excessive daytime sleepiness.

The procedure is usually performed under local anaesthesia. A hollow introducer needle containing the implant is used to pierce the soft palate, close to the junction with the hard palate, reaching into the muscle layer. The needle is then withdrawn, leaving the implant in position. Typically two or three implants are inserted in a single procedure, at the midline of the soft palate or parallel to it. The aim of the procedure is to stiffen the soft palate over subsequent weeks as a result of fibrosis.

OPCS code:

Details

Arrangement:
Do not use
Topic area:
Mental health and behavioural conditions
Mouth and dental
Specialty:
Oral and maxillo-facial surgery
Otolaryngology
Specialist advice has been sought from:

British Society of Otorhinolaryngologists, Head and Neck Surgeons (ENT-UK)

British Association of Oral and Maxillofacial Surgeons

British Thoracic Society

Association of Anaesthetists of Great Britain and Ireland

Royal College of Anaesthetists

British Sleep Society

Date notified to NICE:
29 November 2006
Provisional consultation date:
July/August 2007
Guidance issue date:
28 November 2007

Contact details:

Project manager (for general enquiries or comments)
(for general enquiries or comments)
Technical lead
(for procedure specific enquiries or comments)
Georgina Ronalds
ip@nice.org.uk
Contact Address:

Interventional Procedures Programme
National Institute for Health and Clinical Excellence
MidCity Place
71 High Holborn
London
WC1V 6NA

Links: