Uvulopalatopharyn­goplasty: The Fairbanks Technique

1

Introduction

Uvulopalatopharyngoplasty (UPPP) is generally both safe and effective as a surgical treatment for nonobese patients who suffer with mild to moderate sleep apnea. This refinement in surgical technique employs strategies to avoid complications and improve efficacy. Palatal dysfunction is avoided by minimizing soft palate shortening in the midline (uvula) area. Nasopharyngeal stenosis is avoided by minimizing posterior pillar resection and avoiding pharyngeal undermining. Effectiveness of surgery is improved when emphasis is placed on opening the nasopharynx widely in the lateral port areas. Also, tissue removal deep in the inferior tonsillar poles (and hypopharynx) with mucosal advancement and suturing is emphasized.