tongue suspension for the treatment of osa referring also back to fig4 the first and second fibers 102 104 are joined only at one or more discrete connection regions 106 in the illustrated embodiment the device includes a single discrete connection region centrally located between first 102 a 104 a and second 102 b 104 b ends of the first and second fibers respectively as such there remains a single fiber leading leg 105 107 and trailing leg 109 111 for each of the first and second filaments respectively on either side of the discrete connection region the single fiber leading and trailing legs provide flexibility of typical monofilament fibers as they remain unaltered from the extruded condition the volume of the combined fibers at the centrally located discrete connection region 106 provides an increased load bearing surface at the center of the tongue which also serves to minimize the risk of pull out fig7 illustrates the tissue suspension device 100 implanted within the tongue t the connection region 106 lies along an axis that is substantially perpendicular with an anterior posterior axis of the tongue the leading and trailing legs of the first and second fibers 105 109 107 111 preferably extend toward to a substantially common fixation point.