Pharyngoplasty Explained: Reshaping the Airway

Procedures to modify the airway have the potential to cure obstructive sleep apnea in people with upper airway collapse and moderate to severe sleep apnea. This video covers the most effective surgeries for upper airway collapse: Modified Uvulopalatopharyngoplasty (UPPP, UP3) Expansion Sphincter Pharynoplasty (ESP) Barbed Suture Pharyngoplasty/ Barbed Repositioning Pharyngoplasty (BRP) In Unmasked: Beyond CPAP, we explore CPAP alternatives available in 2026. From hypoglossal nerve stimulation (Inspire and Genio) to oral appliances, positional therapies, and minimally-invasive surgeries, we review the medical research to help you understand your options. Dr. Weiner is a board-certified ear, nose, and throat doctor in Scottsdale, Arizona, with over 20 years of experience in treating people who struggle with CPAP. His mission is to help you find a treatment you can stick to, so you can enjoy better sleep and health. He is licensed in 31 states and is available for consultation in person and via telemedicine. For more information about CPAP alternatives and Dr. Weiner's practice, visit https://weinersleepsurgery.com/ Unmasked: Beyond CPAP is for general informational purposes only and does not constitute the practice of medicine; no doctor/patient relationship is formed. Relying on information provided through this channel is solely at your risk. While efforts are made to be accurate, information may change. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. See a health care professional for any medical condition you may have. Dr. Weiner is a member of the Inspire Physician Advisory Council and an instructor at physician educational and training activities for Inspire Medical Systems for which he is compensated. 0.00 Introduction 0.23 How do pharyngoplasty procedures treat sleep apnea? 0.44 What if I have collapse of the upper and lower throat? 1.04 Who can be treated with uvulopalatopharyngoplasty aka UPPP aka UP3? 1.57 Who can be treated with expansion sphincter pharyngoplasty aka ESP? 2.56 How does barbed suture pharyngoplasty aka BSP aka barbed repositioning pharyngoplasty aka BRP treat sleep apnea? 3.29 What are the risks of pharyngoplasty? 3.53 How bad is the pain and recovery? 4.16 When will I know surgery was successful? 4.31 Who can get pharyngoplasty?