Who is a good candidate for UPPP?

Good candidates are adults with moderate to severe obstructive sleep apnea (OSA) confirmed by polysomnography, where the primary obstruction site is the retropalatal area. Ideal patients have significant soft-tissue redundancy at the palate and uvula, and have failed or cannot tolerate continuous positive airway pressure (CPAP) therapy. Contraindications include severe obesity (BMI > 40), significant retrognathia or other craniofacial abnormalities, and active infections. A thorough preoperative evaluation, including drug-induced sleep endoscopy, is essential to confirm candidacy.