by Michael Jubinville, MPH
Uvulopalatopharyngoplasty (UPPP) is surgery to take out excess tissue from the back of the mouth and the throat.
Reasons for Procedure
UPPP is most often done to treat sleep apnea. This causes pauses in breathing during sleep. Rarely, it may be done to treat severe snoring. Muscles in the back of your throat relax when you sleep. When the muscles relax, the soft tissue they support can collapse into the airway. The narrowed airway can cause snoring and sleep apnea.
UPPP removes excess soft tissue to keep the airway open during sleep. It may be done if other treatments haven't worked.
Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems such as:
Some people don't respond to this surgery. Other methods to control sleep apnea may still be needed.
Your chances for problems are higher for:
This surgery is more successful in those who maintain a healthy weight.
What to Expect
Prior to Procedure
You may have:
Before arriving for surgery:
Talk to your doctor about the medicines you take. You may need to stop taking some medicines up to 1 week in advance.
General anesthesia will be used. It will block pain and keep you asleep through the procedure.
Description of the Procedure
The doctor can gain access to the area through the mouth. Cuts will be made to take out excess tissue. Your tonsils and adenoids may also be taken out at this time. A special tool with an electrical current, or clamps and ties will be used to stop bleeding. Stitches may also be used to close some cuts.
Immediately After Procedure
You will be taken to a recovery room.
How Long Will It Take?
The length of the procedure will depend on the amount of work you have.
How Much Will It Hurt?
Anesthesia will prevent pain during surgery. Medicines will ease pain afterwards.
Average Hospital Stay
The usual length of stay is 1 day. This is to make sure you can swallow. If you have any problems, you may need to stay longer. In other cases, you may not have to stay overnight.
At the Hospital
The healthcare staff will watch your vital signs. They may also give you:
During your stay, the healthcare staff will take steps to lower your chances of infection such as:
There are also steps you can take to lower your chances of infection such as:
It may take a few days before you are comfortable enough to return to your normal diet or return to work.
Call Your Doctor
Call your doctor if any of these occur:
If you think you have an emergency, call for emergency medical services right away.
American Academy of Otolaryngology—Head and Neck Surgery
American Sleep Apnea Association
Canadian Sleep Society
Canadian Society of Otolaryngology
Uvulopalatopharyngoplasty (UP 3). Ear, Nose, and Throat Center of Utah website. Available at: https://www.entcenterutah.com/adult-care/surgery/pdfs/Post-Operative-Instructions/Uvulopalatopharyngoplasty-post-op-instructions.pdf. Accessed August 13, 2018.
Surgery for sleep apnea. American Sleep Apnea Association website. Available at: https://www.sleepapnea.org/treat/sleep-apnea-treatment-options/sleep-apnea-surgery. Accessed August 13, 2018.
Khan A, Ramar K, Maddirala S, Friedman O, Pallanch JF, Olson EJ. Uvulopalatopharyngoplasty in the management of obstructive sleep apnea: The Mayo Clinic experience. Mayo Clin Proc. 2009;84(9):795-800.
Last reviewed May 2018 by EBSCO Medical Review Board Daus Mahnke, MD