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UPPP Surgery

Posted on 5/9/17 at 10:56 am
Posted by TU Rob
Birmingham
Member since Nov 2008
12737 posts
Posted on 5/9/17 at 10:56 am
Has anyone here had this done? I have mild to moderate apnea, and couldn't stand the CPAP machine. Doc said I was a good candidate for the surgery, and have it scheduled in a few weeks. I've heard the recovery is pretty bad, but he seemed to think I would be able to come back to work in about a week. I work a desk job so nothing physically demanding.

Anyone care to share horror stories or other info that might help me out? It will be tonsil removal, as well as uvula, and reshaping the palate.
Posted by ItalianTiger
BR
Member since Feb 2005
759 posts
Posted on 5/9/17 at 11:01 am to
Had my tonsils and uvula removed when I was 33. Also septoplasty and turbinectomy. Only time I said the "F" word in front of my folks. Lost a good bit of weight because I could only swallow a few times after I put down a couple of teaspoons of liquid lortab which was no easy task. With that being said I'm glad i did it bec of the relief I received. It's gonna hurt!
Posted by OysterPoBoy
City of St. George
Member since Jul 2013
35060 posts
Posted on 5/9/17 at 11:07 am to
quote:

Had my tonsils and uvula


That sucks. Kids are a blessing. Maybe you can adopt.
Posted by TU Rob
Birmingham
Member since Nov 2008
12737 posts
Posted on 5/9/17 at 11:28 am to
quote:

Also septoplasty and turbinectomy


I had that done back in the summer of 2000. I had a bad deviated septum, and they did some sinus work as well. Slept in a recliner for a week, with a squirt bottle of water by my side. I would wake up with my throat so dry I couldn't breathe. And I couldn't just sip, I needed to blast my throat with water and then I could swallow. Eating wasn't bad, it was just the mouth breathing at night since I had so much packing stuffed up my nose.

quote:

Lost a good bit of weight because I could only swallow a few times after I put down a couple of teaspoons of liquid lortab which was no easy task


Yeah, the ENT told me yesterday to expect to lose about 10-12 lbs, and some lose up to 15. Also told me that if I could keep that off after the surgery it would be so much better and make him look like a great surgeon. Honestly I could stand to lose about 20-25 so this will be a kickstart to that as well.

quote:

With that being said I'm glad i did it bec of the relief I received. It's gonna hurt!


That's what I'm hoping. My options were CPAP or surgery, and many have told me I'm crazy for not just using the machine, but I'd rather suffer for a couple of weeks than fight a machine to sleep with every single night.
Posted by SATNIGHTS
Red Stick
Member since Jan 2008
2239 posts
Posted on 5/9/17 at 9:48 pm to
Dude no......

Worst experience of my life but if you must then here are some supplies that will help.

Crushed ice
Gatorade to help get the pain meds down. It burns.....
Sonic slushy things
Ice pack for neck. This helped tremendously
Dehumidifier or humidifier whatever it was.
This post was edited on 5/9/17 at 9:49 pm
Posted by SATNIGHTS
Red Stick
Member since Jan 2008
2239 posts
Posted on 5/9/17 at 9:49 pm to
I cut the liquid loratab with Gatorade.
Chloraseptic spray
Sherbet
Posted by Kingpenm3
Xanadu
Member since Aug 2011
8959 posts
Posted on 5/9/17 at 9:54 pm to
Never! Try everything before uppp.

You need to find a dentist that treats osa.
Posted by JJ27
Member since Sep 2004
60263 posts
Posted on 5/9/17 at 10:03 pm to
What's your AHI?
Posted by RummelTiger
Texas
Member since Aug 2004
89834 posts
Posted on 5/9/17 at 10:14 pm to
YOU DOWN WITH UPPP?!?!?!
Posted by Glistening Member
Gramercy
Member since Nov 2007
744 posts
Posted on 5/9/17 at 10:15 pm to
quote:

desk job


Posted by TU Rob
Birmingham
Member since Nov 2008
12737 posts
Posted on 5/9/17 at 10:18 pm to
17.4
Posted by mikrit54
Robeline
Member since Oct 2013
8664 posts
Posted on 5/9/17 at 10:18 pm to
Yeah you know me...
Posted by TU Rob
Birmingham
Member since Nov 2008
12737 posts
Posted on 5/9/17 at 10:21 pm to
quote:

Never! Try everything before uppp. You need to find a dentist that treats osa.


It isn't jaw related. Swollen tonsils and enlarged tissue. I tried CPAP as well. Just couldn't handle it. I'm not looking forward to it or anything but I don't like not sleeping well and waking up with a sore throats feeling half the time. It's so bad I gag and sometimes puke in the mornings.
Posted by Kingpenm3
Xanadu
Member since Aug 2011
8959 posts
Posted on 5/9/17 at 10:40 pm to
quote:

It isn't jaw related. Swollen tonsils and enlarged tissue. I tried CPAP as well. Just couldn't handle it. I'm not looking forward to it or anything but I don't like not sleeping well and waking up with a sore throats feeling half the time. It's so bad I gag and sometimes puke in the mornings.


My daughter actually had a very similar situation, had her adenoids out at 9 and it was truly life changing. With that said, I would get more opinions, because I'm sure there would be some rationale for doing all if the surgeries at once, but I personally would do the tonsils only first. The stories, and the results of uppp are not very favorable.

Eta: Talk to more people who have had uppp (I haven't) and their results before you listen to anything I say.
This post was edited on 5/9/17 at 10:55 pm
Posted by JJ27
Member since Sep 2004
60263 posts
Posted on 5/9/17 at 11:06 pm to
quote:

17.4


I'd bet my house it will not fix you. That's a lot of pain and suffering and it's not going to work.
Posted by TU Rob
Birmingham
Member since Nov 2008
12737 posts
Posted on 5/10/17 at 8:36 am to
quote:

Eta: Talk to more people who have had uppp (I haven't) and their results before you listen to anything I say.


Like the guy that recommended this ENT to me because we had almost identical symptoms and his UPPP and tonsillectomy he said was a horrible recovery but life changing? Along with my dad who had it done. I wouldn't be going through with it if I didn't think it would help. In fact, everything I've read said to expect the worst recovery period but after a couple of weeks you feel great.

And this is my 3rd opinion. I went to a group of ENT's a few years ago and one of them referred me to the other for surgery. The old guy only did clinic and no surgeries, so referred me to his partner that did surgeries. He didn't think I needed it. Told me to take Claritin and Flonase, and said I have acid reflux. I may have heartburn once or twice a week, so a couple years later with no relief, I started looking for a new doctor.

This new ENT wanted me to get the sleep study done, did a CT scan to look for sinus issues, and wanted me to exhaust all other options before surgery. It wasn't sinus related, he told me to quit the allergy medicines as they were doing nothing. I also did allergy testing there. All came back negative. He even said if I could tolerate CPAP and if it alleviated it, he wouldn't recommend surgery. That being said, he told me I was a good candidate for the surgery. Laid out all the options, told me about recovery, and said there are very few people he would recommend this to. But I'm apparently a good candidate and if I was up for it we would do it.

Appreciate all the feedback from everyone.
Posted by anewguy
BR
Member since Mar 2017
1239 posts
Posted on 5/10/17 at 9:13 am to
quote:

17.4


I hope it works for you but I think you will still need a CPAP after this...
Posted by Kingpenm3
Xanadu
Member since Aug 2011
8959 posts
Posted on 5/10/17 at 11:21 am to
quote:

It isn't jaw related.


Just a little more about a dental appliance. The effect of the jaw being brought both forward and open is dragging ALL of those soft tissues that you are talking about out of both the NASAL and oral pathways of breathing. Most oral appliances are fixed, without opening, reinforcing a lip seal, to encourage nasal breathing. But there are also other options that allow complete opening as well if that is more comfortable.



Posted by SATNIGHTS
Red Stick
Member since Jan 2008
2239 posts
Posted on 5/10/17 at 9:21 pm to
So I have severe osa.... will a dental work for me?
Posted by TU Rob
Birmingham
Member since Nov 2008
12737 posts
Posted on 6/7/17 at 10:48 am to
Update:

Had the surgery the Friday before Memorial Day. The recovery wasn't that bad. They removed the tonsils and did the UPPP procedure. I was back to work the next Wednesday. The pain was bearable. Not really painful by itself, just when trying to swallow. Lots of smoothies, Jell-O, and a ton of water. Anything too cold hurt so I had mostly tap water with a couple of ice cubes. Any more and it stayed too cold.

Had a 1 week post op check last Friday and the ENT said I was doing great, better than expected at that point. My wife says I still have a slight snore, but I also still have swelling and a bunch of stitches back there. I'm sleeping great. I go back in 2 weeks for another check and then I'll schedule another sleep study after that. So far, none of the issues I was having before as far as the gagging in the mornings and dry mouth.
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