Has anyone here had mid-palatal tori removal?

[4638675696]

I will cross-post to this to a few related groups. I am 35 years old and preparing for EASE for OSA with Dr. Kasey Li.. I need to have a small torus removed from my palate in order to be an EASE candidate. Dr. Stanley Liu has also confirmed that this would be necessary if I wanted DOME. I'm scheduled for the tori removal surgery this Tuesday and am curious to hear from anyone who has done it and what their experience was like.

[chunkyfrog]

Most dentists only remove torii when they interfere with breathing or necessary intubation,
because they GROW BACK.
Removal is not permanent-
-unless dental science has vastly improved since I asked about it.

[LSAT]

https://www.sleepapneasurgery.com/surgi ... ults-ease/

[chunkyfrog]

What is the success rate--and also their definition of "success"?

[4638675696]

Most dentists only remove torii when they interfere with breathing or necessary intubation,
because they GROW BACK.
Removal is not permanent-
-unless dental science has vastly improved since I asked about it.

I barely notice mine and wouldn't be having it removed were it not a requirement for me to proceed with EASE. I assume it isn't a big deal if it grows back post-EASE and the completion of the distraction osteogenesis. I hear that bruxism can cause tori and I definitely grind my teeth. In a perfect world where my SDB is improved from EASE and I am no longer jaw-thrusting during sleep to open my airway, then ideally no tori re-growth.

What is the success rate--and also their definition of "success"?

Here is a copy/paste of some publications about efficacy which should apply to EASE.

Evidence-based literature publications on maxillary expansion to treat OSA
1.) Endoscopically-assisted surgical expansion (EASE) for the treatment of obstructive sleep apnea
https://pubmed.ncbi.nlm.nih.gov/30393018/

2.) Treatment of obstructive sleep apnea syndrome by rapid maxillary expansion
https://pubmed.ncbi.nlm.nih.gov/9871945/

3.) Maxillomandibular expansion for the treatment of sleep-disordered breathing: preliminary result
https://pubmed.ncbi.nlm.nih.gov/15126751/

4.) Distraction Osteogenesis Maxillary Expansion (DOME) for Adult Obstructive Sleep Apnea Patients with High Arched Palate
https://pubmed.ncbi.nlm.nih.gov/28675100/

5.) Effects of surgically assisted rapid maxillary expansion on obstructive sleep apnea and daytime sleepiness
https://pubmed.ncbi.nlm.nih.gov/26092279/

[chunkyfrog]

Thank you.
You have expanded my knowledge.

[4638675696]

No guarantee that it will work for me and I know people who've had EASE and another with EASE + MMA and still not gained the improvement they're seeking, but many of these folks have UARS and not plain OSA and UARS seems to be tougher to treat.