Problems of the Pillar Procedure

Sleep disturbances such as habitual snoring and obstructive sleep apnea (OSA) can prevent you from getting the quantity and quality of sleep you need. The Pillar Procedure, or the Pillar Palatal Implant System, is a minimally invasive, outpatient procedure that may improve sleep. Some problems are associated with the procedure.

Procedure

• The outpatient procedure is performed in a doctor's office.

  Medtronic's website states the procedure is performed by a physician in a single office visit lasting about 20 minutes. When muscles in the back of the throat (the soft palate) weaken, a vibration can occur and disturb sleep. To increase stability in the soft palate, the doctor injects three small polyester "pillars" into the palate. The implants provide support to the palate and may reduce the amount of vibration that is possible.

Risks

• The Pillar Procedure is performed with local anesthetic.

  After a Pillar Procedure, some people experience "partial extrusion," which is when the tip of a pillar implant sticks through the soft palate. In that case, the physician will remove the implant and may replace it. Also, as with any surgical procedure, infection is possible.

Limitations

• The Pillar Procedure can cost several thousand dollars.

  The procedure does not reduce OSA symptoms in all patients. OSA's causes include a narrow throat, being overweight and aging. Additionally, the procedure's cost may be prohibitive. Some health insurance companies consider it medically necessary and cover it for OSA treatment. The procedure is considered cosmetic for snoring, however, and not covered by insurance.