Laser-assisted uvula-palatoplasty (LAUP) is a new and effective surgic
al method for the elimination of habitual snoring. LAUP is safely perf
ormed under local anesthesia in the office, and it provides progressiv
e enlargement of the oropharyngeal air space by reshaping and restruct
uring the uvula, soft palate, and pharyngeal pillars utilizing the CO2
laser with special attachments. LAUP can also reduce oropharyngeal ob
struction that may occur during sleep in patients with obstructive sle
ep apnea syndrome. Our experience includes over 335 patients evaluated
and treated within the past year. Successive laser ablation of the vi
brating structures, such as the uvula, soft palate, and posterior phar
yngeal pillars, provided an 84% cure rate. In addition, 7% of the pati
ents reported significant improvement in the loudness of their snore.
The major advantage of this surgical technique is that it is a safe, s
imple, reliable, and bloodless procedure that can be performed in the
office. This method and the results of its use are discussed.