A medical hypothesis: Injection Snoreplasty with B vitamins

摘要

Neuronal degeneration at soft palate and uvula muscles due to recurrent trauma of snoring may be causing to muscular hypotonia with neuronal degeneration and collapsibility thus more severely airway obstruction and OSA 1. Palatal muscular hypotonia can be treated with the newer palatal procedures (injection snoreplasty, pillar implant and soft palate radiofrequency). However, B-vitamins (B1, B6, B12) can be use at injection snoreplasty because of improving the axonal transport, neuronal excitability, or synthesis of neurotransmitters. Introduction Palatopharyngeal denervation and degeneration processes and thus a neuromuscular disorder of the soft palate in patients with sleep disordered breathing was previosly reported 1 . Both sensory and motor neurons of soft palate muscles can be affected. The progressive local neurogenic lesion caused by the trauma of snoring might be a potential contributory factor to palatopharyngeal collapsibility in patient with OSA 2 (Table I). This leads to decreasing of retropalatal upper airway patency with palatal snoring.