Titanium Snoreplasty- A New Surgical Technique

Document Type : Original


1 ENT and Head & Neck Research Center, the Five Senses Institute, Iran University of Medical Sciences, Tehran, Iran.

2 Department of Otolaryngology-Head and Neck Surgery, Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran.


Based on the previous data, among the general population aged between 30 and 60 years, snoring is observed in 44% and 28% of males and females, respectively. Therefore, it is important to treat snoring to reduce the disruption of the bed partner's sleep and the patients’ own problems. This study aimed to present a minimally invasive procedure which is easy to perform with less tissue damage.
Materials and Methods:
This study included 13 patients suffering from primary snoring with soft palate length of 2.5cm or more. All of the patients were examined and their partners were asked to fill-out the relevant questionnaires at baselines, 90 days, 6months and 1 year after the surgery in order to assess snoring. A crescent strip of oral mucosa along with the underlying muscle were removed under general anesthesia followed by the insertion of a piece of oval-shaped titanium mesh. Moreover, two subjective methods were employed to assess the snoring of all patients.
11 patients were male, and the mean age and the mean body mass index of the patients were 48.69 years and 28.34 kg/m2, respectively. The scores obtained from the Visual Analog Scale for snoring loudness before surgery reduced from 7.63 to 3.54, which was statistically significant (P<0.05). None of the patients experienced major complications after surgery; however, there was a partial extrusion of the implant in one case which was managed conservatively with spontaneous healing.
Titanium snoreplasty was successful in the reduction of snoring in this study. This method is a single-stage treatment of simple snoring with the multiple effects of palatal shortening, space increasing, and palatal stiffening.


  1. Rowley JA. Snoring in adults. In: MA: UpToDate. Post TW ed. Waltham.2017
  2. Choi JH, Kim SN, Cho JH. Efficacy of the Pillar implant in the treatment of snoring and mild-to-moderate obstructive sleep apnea: a meta-analysis. The Laryngoscope. 2013; 123(1):269-76.
  3. Dalmasso F, Prota R. Snoring: analysis, measurement, clinical implications and applications. The European respiratory journal. 1996; 9(1):146-59.
  4. Thorpy M. International Classification of Sleep Disorders. In: Chokroverty SEds, New York:Sleep Disorders Medicine: Basic Science, Technical Considerations and Clinical Aspects Inc; 2017: 475-84.
  5. Beninati W. Treatment of adults with snoring. In: MA: UpToDate. Post TW ed. Waltham. 2017.
  6. Maurer JT, Hein G, Verse T, Hormann K, Stuck BA. Long-term results of palatal implants for primary snoring. Otolaryngol Head Neck Surg. 2005; 133(4):573-8.
  7. Lee LA, Yu JF, Lo YL, Chen NH, fang TJ, Huang CH, et al. Comparative effects of snoring sound between two minimally invasive surgeries in the treatment of snoring: a randomized controlled trial. PloS one. 2014;9:(5)97186.
  8. Lim PV, Curry AR. A new method for evaluating and reporting the severity of snoring. J Laryngol Otol. 1999; 113(4): 336-40.
  9. Choi JH, Cho JH, Chung YS, Kim JW, Kim SW. Effect of the Pillar implant on snoring and mild obstructive sleep apnea: A multicenter study in Korea. Laryngoscope. 2015:125(5): 1239-43.
  10. Friedman M, Schalch P, Lin HC, Kakodkar KA, Joseph NJ, Mazloom N. Palatal implants for the treatment of snoring and obstructive sleep apnea/hypopnea syndrome. Otolaryngol Head Neck Surg. 2008;138(2): 209-16.
  11. Kuscu O, Onder Gunaydin R, Sozen T, Bajin MD, Ogretmenoglu O. Which Patients Can Benefit from Pillar Palatal Implant Procedure?. Turk Arch Otolaryngol. 2014;52(3): 93-7.
  12. Friedman M, Vidyasagar R, Bliznikas D, Joseph NJ. Patient selection and efficacy of pillar implant technique for treatment of snoring and obstructive  sleep      apnea/hypopnea      


Otolaryngol Head Neck Surg. 2006;134(2):187-96.

  1. Rotenberg BW, Luu K. Four-year outcomes of palatal implants for primary snoring treatment: a prospective longitudinal study. Laryngoscope. 2012; 122(3):696-9.
  2. Ho WK, Wei WI, Chung KF. Managing disturbing snoring with palatal implants: a pilot study. Arch Otolaryngol Head Neck Surg. 2004; 130(6): 753-8.