Uvulectomy As A Surgical Procedure

Uvulectomy As A Surgical Procedure
(differentiate from traumatic avulsion by 'wanzams')
Uvulectomy is a surgical procedure that involves the removal of the uvula, a small, soft tissue structure located at the back of the throat.
Here's what you need to know:
Indications
- Elongated uvula: Uvulectomy is often performed to treat an elongated uvula that is causing respiratory problems, such as sleep apnea or snoring.
- Uvula hypertrophy: The procedure can also be used to treat uvular hypertrophy, a condition where the uvula becomes enlarged.
- Obstructive sleep apnea: Uvulectomy may be performed as part of a larger surgical procedure to treat obstructive sleep apnea.
- Cancer or tumors: In some cases, uvulectomy may be necessary to remove cancerous or benign tumors that are affecting the uvula.
Surgical Techniques:
Preoperative work up must be done before procedure.
Laboratory investigations:
- Full Blood Count (FBC)
- Erythrocyte Sedimentation Rate (ESR)
- Clotting profile
- Helicobacter Pylori Antigen
- BUE + Creatinine
Consent of patient:
Obtain consent for procedure.
Anaesthesia:
 Local anaesthesia using 10% lidocaine spray in the oropharynx gives adequate anaesthesia for the procedure.
Types
-
Traditional uvulectomy
This involves the removal of the uvula using a scalpel or laser.
-
Scapel or Scissors uvulectomy
This is a minimally invasive procedure that uses a laser to remove the uvula.
-
Radiofrequency uvulectomy
This procedure uses radiofrequency energy to shrink the uvula
Recovery
-
Pain management
Patients may experience pain or discomfort after uvulectomy, which can be managed with pain medication.
-
Diet
Patients may need to follow a soft food diet for several days after the procedure.
-
Antibiotics
Controversial. It depends on local antibiotics policy.
-
Rest
Patients should rest their voice and avoid strenuous activities for several days after the procedure.
-
Follow-up care
Patients should follow up with their surgeon or healthcare provider to monitor their recovery and remove any stitches or sutures.
Risks and Complications
-
Bleeding
As with any surgical procedure, there is a risk of bleeding during and after uvulectomy.
-
Infection
There is a risk of infection with any surgical procedure, including uvulectomy.
-
Respiratory problems
Uvulectomy can cause respiratory problems, such as difficulty swallowing or breathing.
-
Change in speech or swallowing
Uvulectomy can cause changes in speech or swallowing, although these are typically temporary.
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