The procedure involves the use of a small titanium screw with attached sutures, which is implanted into the posterior aspect of the lower mandible, at the level of the Genio Tubercle.  A proprietary suture passer is used to internalize a heavy loop of suture through the base of tongue.  Once triangulated, a specific technique is employed to suspend or hammock the base of tongue.  The objective of the Repose GA procedure is to stabilize the base of tongue, not anterior advancement associated with conventional muskuloskeletal advancement.  The procedure minimizes the potential for prolapse and obstruction of the base of tongue when the patient is supine and asleep. 

Over time, a fibrotic bridge forms around the implanted suture, further strengthening the long-term support of the suspension hammock.  For instance, one recent study of 55 patients who underwent Repose THS with UPPP revealed a 78% cure rate at 3 years post procedure (average preoperative AHI = 52.8, average 3 year postoperative AHI = 14.1).  A second peer-reviewed study by Stanford University researchers revealed a higher cure rate for Repose THS versus conventional muskuloskeletal GA.