Palatal Implants: A New Approach for the Treatment of Obstructive Sleep Apnea

Abstract

OBJECTIVE: To evaluate the short-term safety and efficacy of palatal implants in patients with mild and moderate obstructive sleep apnea (OSA). STUDY DESIGN AND SETTING: A prospective, non-randomized study conducted at 5 clinical sites. Three polyester implants were placed in the soft palate under local anesthesia during a single-stage office procedure. Polysomnography was conducted at baseline and 90 days post-procedure. Subjective quality of life data were collected. RESULTS: Fifty-three patients were evaluated; the apnea hypopnea index (AHI) decreased from 25.0 ± 13.9 to 22.0 ± 14.8 events/hour ( P = 0.05). The Epworth Sleepiness Scale (ESS) decreased from 11.0 ± 5.1 to 6.9 ± 4.5 ( P < 0.001), and the snore score decreased from 7.9 ± 2.1 to 4.0 ± 3.0 ( P < 0.001). No serious complications occurred during the study. CONCLUSION: Palatal implants can be an effective initial low morbidity treatment option for patients diagnosed with mild to moderate OSA.