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Additionally, if you find pronounced webbing and significant hypertrophy of the uvula [Figure 06a/b], this may indicate that a reduction of the uvula and the soft palate mucous membrane is necessary. In the following chapter, it is demonstrated how to use the CelonProCut technology to perform uvula palatoplasty during the same treatment session with no additional risks.

Figure 06a

Figure 06b

05 | Treatment of the Uvula and Webbing

Power settings: For this procedure, a power setting of 20 to 25 watts (mode: PureCut) is recommended. The positioning of a neutral electrode on the patient is not required.

  • Use the CelonProCut accessories to shorten the uvula and webbing.

  • Firstly, take hold of the uvula with the CelonProCut gripping forceps, which also serve as a return electrode. Secondly, activate the foot switch. Then, the incision can start to be made with the CelonProCut electrode [Figure 07a/b].

Figure 07a

Figure 07b
  • It is recommended that the resection of excessive mucous membrane is performed as a rounded shape on both sides of the uvula. Make sure to leave at least 2 mm of mucous membrane in order to avoid damaging the muscle. An excess of mucous membrane also accelerates the wound healing and reduces postoperative pain.

  • The next step is the resection of the tip of the uvula by using the CelonProCut accessories [Figure 08a/b].

Figure 08a

Figure 08b
  • The uvula musculature should be left in place. It is recommended that the reduction of the uvula and the soft-palate mucous membrane is carried out to the extent shown in this illustration [Figure 09a/b].

Figure 09a

Figure 09b

06 | Therapeutic Effect

Uvula and webbing will shorten further during the healing process in the weeks after the procedure.

Figure 10

07 | Postoperative Care

  • To treat postoperative pain and swelling, ibuprofen or diclofenac is recommended, along with a proton pump inhibitor (such as pantozol) for longer-term analgesic issue.

  • The pain may last eight to ten days. A repetition of this procedure is normally not necessary.

  • Schedule a follow-up visit three days after the procedure and then again after three weeks.

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