800A Fifth Avenue, Suite 404
New York, NY, 10065
DAVID KOSLOVSKY, D.D.S., F.A.C.S.
Pillar Procedure Snoring Treatment
According to the American Academy of Otolaryngology, 25% of normal adults suffer from chronic snoring. But snoring can be more than just an embarrassment or a nuisance. Chronic snoring can prevent you and your sleep partner from getting a healthy, restful night’s sleep. What’s more, snoring may be a sign of a more serious condition, such as obstructive sleep apnea. If left untreated, sleep apnea could lead to significant health issues, including profound fatigue, heart problems, hypertension, and stroke.
There is good news for people who snore. Now there’s a simple, minimally invasive option that can treat chronic snoring and certain cases of mild to moderate obstructive sleep apnea. At New York Oral & Maxillofacial Surgery, Dr. Stein and Dr. Koslovsky offer the Pillar Procedure snoring treatment – a safe and effective procedure that can be performed in as little as 20 minutes in our New York office. Designed to provide lasting relief, the Pillar Procedure offers many benefits over more aggressive, invasive surgical treatments for snoring and sleep apnea. The Pillar Procedure for snoring is relatively painless, requires local anesthesia with optional IV Sedation, and minimizes downtime, with most patients returning to their normal activities the same day. More than 30,000 people worldwide have been treated with the Pillar Procedure. Make an appointment in our New York offices today to find out if you’re a good candidate for the innovative Pillar Procedure to treat snoring.
What causes snoring and obstructive sleep apnea?
For some people, the soft palate tissue at the back of their throat relaxes too much during sleep, causing a narrowing in their airway. When air is drawn in over the soft palate, it can cause vibrations in this tissue, leading to a snoring sound. In people with obstructive sleep apnea, the soft palate can collapse into the throat, causing a partial or total obstruction of the airway. When this happens, the sleeper will stop breathing and then wake up to resume breathing, sometimes as many as a hundred times per night. Often, people who suffer from sleep apnea are unaware that they are waking up repeatedly during the night. Sleep interruptions from chronic snoring and obstructive sleep apnea can cause daytime exhaustion, and may lead to other serious health problems.
How does the Pillar Procedure treat snoring and sleep apnea?
The Pillar Procedure, offered at our New York oral surgery office, is an innovative, minimally invasive approach to treating soft palate issues that may cause or contribute to chronic snoring and sleep apnea. The Pillar Procedure employs several tiny implants to help stiffen soft palate tissue, reducing vibrations that cause snoring or can lead to airway obstruction. Recent studies* show that the Pillar Procedure can significantly reduce snoring intensity, decrease daytime sleepiness, and improve your lifestyle.
BENEFITS OF THE PILLAR PROCEDURE
|Treats chronic snoring||Minimally invasive|
|May treat some cases of mild to
moderate sleep apnea
|Can be done in doctor's office|
|Simple and safe procedure||Only local anesthesia needed (IV sedation is also available)|
|Provides lasting effects||Short 20 minute procedure|
|Minimal patient discomfort||No downtime - patients return to
normal diet / activities on same day
What should I expect from the Pillar Procedure?
The Pillar Procedure for snoring is performed right in our New York offices. During the procedure, your oral surgeon will place three small implants in your soft palate tissue. The implants, less than an inch in length, are made from a woven polyester material that has been safely used for decades in implantable medical devices. These implants add structural support to help stiffen the soft palate. Over time, your body will naturally form tissue capsules around the implants, further increasing the rigidity and stability of the soft palate. Ultimately, a more structurally sound soft palate will reduce or eliminate vibrations that can cause or contribute to chronic snoring, as well as certain cases of mild to moderate sleep apnea. In most instances, the Pillar Procedure takes just 20 minutes to complete and can be done using only local anesthesia.
Compare Soft Palate Procedures
Surgical treatment options to address the soft palate component of snoring and obstructive sleep apnea (OSA) have traditionally involved the scarring or removal of tissue. A minimally invasive option to treat the soft palate is the Pillar Procedure from Medtronic. The table below lists common soft palate procedures for snoring and obstructive sleep apnea.
|SOFT PALATE OPTIONS|
|Soft Palate Procedure||Patient Visits||Invasiveness||Post Procedure Pain||Most Likely
Potential Complications / Side Effects
|The Pillar Procedure: Using local anesthetic, the physician uses a specially designed delivery tool to place three tiny implants into the soft palate to support and stiffen the palate. Procedure takes one brief visit to the physician's office.||One||Least
(less than 1%)
|Sclerotherapy. A small amount of a caustic chemical (called a sclerosant) is injected into the soft palate, which burns and destroys soft palate tissues. The destroyed tissue is replaced by scar tissue that stiffens the palate. Local anesthetic is used.||Multiple||Ulceration and breakdown of mucosal membranes||No|
|Radiofrequency (RF) ablation. Relatively low-level heat, generated by radiofrequency energy, is used to destroy soft palate tissue. Local anesthesia is used.||Multiple||Ulceration and breakdown of mucosal membranes||No|
|Laser-assisted uvulopalatoplasty (LAUP): The surgeon uses a laser to cut away the uvula, the tissue that hangs from the middle of the back of the roof of the mouth. Patient may be under local anesthetic or general anesthesia.||Multiple||Transient velopharyngeal insufficiency (VPI), a poor seal between the pharynx and soft palate, causing regurgitation of food and water when swallowing and adversely affecting speech.||No|
|Uvulopalato-pharyngoplasty (UPPP)Surgical removal of tissue, which may include the uvula, soft palate, tonsils, adenoids, and pharynx.||One||Most
|Very High||Post-operative hemorrhage. Transient velopharyngeal insufficiency (VPI), a poor seal between the pharynx and soft palate, causing regurgitation of food and water when swallowing and adversely affecting speech.||No|
Is the Pillar Procedure painful?
The Pillar Procedure for snoring is minimally invasive. Unlike other surgical treatments for snoring, the Pillar Procedure does not require removing or damaging tissue, so patient discomfort is minimal and easily managed with over-the-counter pain relievers. Most patients return to their normal diet and activities the very same day as the procedure.
Will I be able to see or feel the implants?
Once implanted, the inserts are not visible, cannot be felt, and won’t interfere with swallowing or speech. In a very few cases, some patients report a mild “foreign body” feeling in their throat, which is temporary and disappears within a few days after the Pillar Procedure.
How soon will I see results?
Some patients experience noticeable improvement in as a little as a few weeks after the Pillar Procedure, while other patients take up to three months to see the full effect. The Pillar Procedure for snoring is designed to offer lasting relief as long as the implants remain in place.
Am I a good candidate for the Pillar Procedure?
If your soft palate is causing or contributing to snoring or obstructive sleep apnea, the Pillar Procedure could be an excellent treatment option for you. Our oral surgeons will meet with you in our New York offices to examine your airway and determine if you are a good candidate for the Pillar Procedure.
How do I get started with the Pillar Procedure?
Dr. Stein, Dr. Koslovsky, and our staff would be happy to discuss the Pillar Procedure for snoring with you. Please call 212-888-4760 or schedule an appointment online to arrange for a private consultation at our office.
Maurer JT, Verse T, Stuck BA, Hörmann K, Hein G. Palatal Implants for Primary Snoring: Short-Term Results of a New Minimally Invasive Surgical Technique.Otolaryngology-HNS2005 Jan; 132(1):125-31.
Maurer JT, Verse T, Stuck BA, Hörmann K, Hein G. Long-Term Results of the Pillar Palatal Implant System for Primary Snoring. Otolaryngology-HNS2005 Oct; 133(4):573-8.
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DR. STEIN'S PATIENTS SPEAK OUT
Dear Dr. Stein,
Dr. Stein, we wanted to extend a heartfelt thank you for the excellent care you provided for our daughter Ana. From the moment we met you during our first consultation, we knew Ana could not be in better hands. We truly appreciate your kindness and professionalism. She still talks about your letting her listen to music! See you during the summer for the next exposure! :)
Jenny & Geoff
You did an amazing job on my teeth. I could not have imagined that one day my teeth/smile would look this great. Thanks again for all your hard work. :)
My dentist, whom I regard highly, recommended Dr. Mark Stein for a complicated extraction that she would not perform. I was scared of this procedure, but Dr. Mark Stein made it easy—a walk in the park. The staff was extremely friendly and the entire experience was beyond my expectations. I give Dr. Stein an A+.
Best place ever to go get your wisdom teeth pulled. They were so pleasant as soon as you met them and made sure you were comfortable and even followed up after hours at home to make sure I was ok and had no more concerns. I didn't feel a thing. Dr. Stein and his staff are great!
Dr. Stein is a wonderful surgeon. I had a true fear of having teeth pulled, to the extent that I have had fillings and then root canals done on my wisdom teeth. Please let me advise don't do that. Instead, visit Dr. Stein. All of his work for me has been painless, fast, friendly, and professional. I recommend Dr. Stein without reservation.
I was referred to Dr. Stein for extraction and a dental implant. He was extremely kind, listened to my concerns and explained everything thoroughly. The procedure was totally painless and I had no problems afterwards unlike my other dental experiences. I would highly recommend Dr. Stein to anyone needing an oral surgeon. A+++
Dr. Stein is an outstanding oral surgeon. He is extremely friendly and gentle, called me the evening after my surgery to make sure I was doing OK, and took plenty of time to explain what he was doing and what to expect. I recommend him highly.
Dearest Dr. Stein & Wonderful Staff Members,
I would just like to take this opportunity to thank you all for getting me in so promptly for my consult, then for the fast appointment, and finally for the professional courtesy. You truly made me feel very comfortable and I did not want it to go unnoticed.
Thank you…from the bottom of my heart. You have changed my life, making each and every day a reason to show off my beautiful smile. I appreciate all that you have done. I am reminded of your hard work, patience, compassion and confidence every time I look in the mirror.
Thank you so very much. Because of you, I can put my past to rest and smile bright into my future...
Dr. Stein is a brilliant doctor and surgeon, who is highly professional and caring. He is hard working, and is truly committed to his patients. He practices cutting edge medicine, and is highly respected by his peers.
Dr. Larisa Kayserman MD
DR. KOSLOVSKY'S PATIENTS SPEAK OUT
I know the thought of having a tooth extracted doesn't exactly bring calm and serenity to mind; however, my experience with Dr. Koslovsky was just that! I felt so comfortable with Dr. Koslovsky, he is a master of his work. Dr. Koslovsky does an amazing job of preparing you for what is to come during the appointment! I cannot recommend Dr. Koslovsky enough, such a pleasant experience.
Great surgeon and extremely dedicated to his patients!
I cannot say enough incredible things about Dr. Koslovsky. It has been a little over 2 years since my surgery and to say I am happy with the results would be an understatement. I am a better version of myself, I no longer am self-conscious to speak without thinking people are staring at my under bite. Dr. Koslovsky is professional, personable, thorough, extremely knowledgeable about what he does, and trustworthy.
Dr. Koslovsky might be the best oral surgeon I've ever had. Did a sensitive bilateral surgery and followed up. Constantly answered all my questions. Amazing doctor.
Dr. Koslovsky provides excellent care and is very pleasant to interact with.