An in-office procedure for snoring control, relatively painless and less expensive than previous procedures, was first described at the annual meeting of Otolaryngology Head and Neck Surgery held in Washington, D.C. from September 24, 2000 through September 27, 2000.

The Injection Snoreplasty is a technique for treating snoring by injecting a small amount of a medication into the soft palate tissue. The medication, Sodium Sotradecol, has been used for many years by vascular surgeons to shrink varicose veins. The new procedure takes advantage of the properties of Sotradecol to create a scar within the soft palate tissue. This contracts and stiffens the soft palate, significantly reducing and, in many cases, resolving the snoring.

First, the palate is sprayed with a topical anesthetic to numb the surface. Next, the sclerosing agent is injected with a small needle. There is virtually no pain, although patients will often feel a small lump in the throat. Within minutes, the area of the soft palate just above the uvula will turn purple as the sclerosis begins. It is necessary to remain in the office for 15 minutes to observe for possible allergic reactions, though none have been reported with the Injection Snoreplasty. Dr. Brodner supervises a full-service allergy practice with the necessary equipment to treat any such reactions. Patients can return to work or school after leaving the office, if they desire.

Within the next week, the injected area will turn white and the mucosa will slough off, leaving a small groove. This is not abnormal. There may also be some mild swelling of the uvula. Patients will often feel a small lump in the throat. This may be associated with mild to moderate discomfort. By the end of the second week, the small groove becomes a thin scar, stiffening the palate. Improvement in snoring should be expected by the fourth week, perhaps sooner. As with all snoring treatments, there is no guarantee given with payment. Patients properly selected by a Sleep Medicine expert, such as Dr. Brodner, usually experience an 80% success rate - defined as a 50% or greater reduction in the snoring intensity. A second injection, at a reduced fee, may be required for complete symptom improvement.

What should I expect at my Snoring Evaluation?

• At your first visit, Dr. Brodner will perform a comprehensive Sleep Medicine and ENT examination. Assessment of your sinonasal and upper airways will allow Dr. Brodner to determine the role of Injection Snoreplasty in your individualized treatment plan.
• Dr. Brodner utilizes the latest equipment and techniques for snoring localization -- flexible fiberoptic endoscopy (camera visualization) will be performed to evaluate your nose and throat.
• Dr. Brodner will order a polysomnogram (sleep study) to ensure your snoring does not represent the more serious medical problem, Obstructive Sleep Apnea.

What is the cost of Injection Snoreplasty?

Insurance will not pay for the treatment of snoring. The initial comprehensive evaluation for coexisting sleep disorders and sinonasal problems is usually covered by insurance.

The current cost for Injection Snoreplasty is $500.00 and is due at the time of the procedure. This includes follow up care for thirty days. If necessary, additional injection cost is $300.00.