Sleep Apnea Surgery Center

EASE Treatment Course:

  • Domestic patients require a total of 2 week stay
  • International patients require a total of 3 week stay

Preoperative requirement:

  • CT scan
  • Covid Test 48 hours prior to surgery

Intraoperative course:

  • Surgery duration is approximately 1 hour under IV sedation or general anesthesia
  • Discharge within 1 hour after surgery is typical

Postoperative management:

Sleep with head elevated (two pillows so the head is above the heart)

  • No nose blowing
  • Apply ice to cheeks to reduce minor swelling
  • Pain control consists of Ibuprofen (such as Advil) 600 mg every six hours
  • Tylenol 350 mg in-between the doses of Ibuprofen
  • If pain control is insufficient, eliminate the Tylenol and take the Norco (prescribed)
  • Pain medication is typically needed for several days
  • No exercise for 1 week but walking is encouraged starting post-surgery day 1
  • Soft food diet such as well-cooked pasta, fish, milk shakes and soup for a few days

Expansion course:

  • Duration can range between 8-12 weeks
  • Expansion starts within 2-4 days of the operation and is usually done 2-3 times per week
  • Usually no pain during the expansion but some pressure may be felt
  • Twice weekly communication with Dr. Li after returning home is necessary to monitor the expansion progress (for out-of-town patients)
  • There is no major dietary restriction during the expansion phase other than avoiding big and chewy food such as bagels, Dutch crunch bread

Consolidation phase:

  • Orthodontics can begin during the consolidation phase
  • The device needs to remain for 10-12 weeks after the completion of the expansion
  • Removal is usually performed under local anesthesia at Sleep Apnea Surgery Center

Over the past 15 years, Dr. Li has made numerous modifications to reduce the invasiveness and improve the outcomes of maxillomandibular expansion; the resultant current approach developed by Dr. Li is known as endoscopically-assisted surgical expansion (EASE).

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