Exploración videoendoscópica con sueño inducido, utilidad clínica y revisión de la literatura

Carrasco-Llatas, Marina; Galofre, José Dalmau; Zerpa, Vanessa Zerpa; Acuña, Martín Marcano; Romero, Luis

doi:10.1016/j.otorri.2013.06.004

Cited by 9 publications

(3 citation statements)

References 65 publications

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“…DISE has been widely applied to detect areas of vibration and collapse for surgical planning and surgically failure reason, to adjust pressure with CPAP titration, and to fit a functional mandibular advancement device 21 22 23 . Even though the validity and reliability of DISE has been confirmed, standards of anaesthetic agents, sedation levels, and scoring methods are still under debate.…”

Section: Discussionmentioning

confidence: 99%

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Snoring Sounds Predict Obstruction Sites and Surgical Response in Patients with Obstructive Sleep Apnea Hypopnea Syndrome

Lee

et al. 2016

Sci Rep

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Snoring sounds generated by different vibrators of the upper airway may be useful indicators of obstruction sites in patients with obstructive sleep apnea hypopnea syndrome (OSAHS). This study aimed to investigate associations between snoring sounds, obstruction sites, and surgical responses (≥50% reduction in the apnea-hypopnea index [AHI] and <10 events/hour) in patients with OSAHS. This prospective cohort study recruited 36 OSAHS patients for 6-hour snoring sound recordings during in-lab full-night polysomnography, drug-induced sleep endoscopy (DISE), and relocation pharyngoplasty. All patients received follow-up polysomnography after 6 months. Fifteen (42%) patients with at least two complete obstruction sites defined by DISE were significantly, positively associated with maximal snoring sound intensity (40–300 Hz; odds ratio [OR], 1.25, 95% confidence interval [CI] 1.05–1.49) and body mass index (OR, 1.48, 95% CI 1.02–2.15) after logistic regression analysis. Tonsil obstruction was significantly, inversely correlated with mean snoring sound intensity (301–850 Hz; OR, 0.84, 95% CI 0.74–0.96). Moreover, baseline tonsil obstruction detected by either DISE or mean snoring sound intensity (301–850 Hz), and AHI could significantly predict the surgical response. Our findings suggest that snoring sound detection may be helpful in determining obstruction sites and predict surgical responses.

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Section: Discussionmentioning

confidence: 99%

“…The patients usually received oxygen supplementation with oximeter monitoring, intravenous fluids, and medications including antibiotics, steroids, and analgesics for a 4-day admission. We defined a surgical response to RP as a ≥50% reduction in the AHI and an AHI reduced to <10 events/hour 23 .…”

Section: Methodsmentioning

confidence: 99%

Snoring Sounds Predict Obstruction Sites and Surgical Response in Patients with Obstructive Sleep Apnea Hypopnea Syndrome

Lee

et al. 2016

Sci Rep

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“…Therefore, DISE is a valid technique to study OSAS patients as it gives information about the UA during non-rapid eye movement (NREM) sleep. 25 Although DISE is a subjective technique, it has proven good interobserver and intraobserver agreement, especially among experts. 26 It has good test-retest reliability 27 and, usually, the obstruction areas do not change after a septoplasty, so it can be performed together with the nasal surgery.…”

Section: Drug-induced Sleep Endoscopymentioning

confidence: 99%

Comprehensive Evaluation of the Surgical OSAS: In Office and DISE

Carrasco-Llatas¹,

Apodaca²,

Dalmau-Galofre³

2021

International Journal of Head and Neck Surgery

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Obstructive sleep apnea is a multifactorial disease whose prevalence is increasing over the years. Due to different mechanism, the upper airway (UA) collapses during sleep. The ENT is the specialty that plays an important role in the exploration of the UA and also in the treatment of OSA, because the UA is our domain and in our hands is the ability to explore and to treat the disease. Nevertheless, the exploration of the UA in an obstructive sleep apnea syndrome (OSAS) patient is not the same as the exploration of other pathologies, one has to pay attention to small details that are not important in everyday exploration but in OSAS can change the treatment plan. In this article, the most important tips of the UA exploration awake and sleep will be discussed to provide a guide that can help the ENT to choose the best treatment for every patient.

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Drug-induced sedation endoscopy versus clinical exploration for the diagnosis of severe upper airway obstruction in OSAHS patients

et al. 2015

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Exploración videoendoscópica con sueño inducido, utilidad clínica y revisión de la literatura

Cited by 9 publications

References 65 publications

Snoring Sounds Predict Obstruction Sites and Surgical Response in Patients with Obstructive Sleep Apnea Hypopnea Syndrome

Snoring Sounds Predict Obstruction Sites and Surgical Response in Patients with Obstructive Sleep Apnea Hypopnea Syndrome

Comprehensive Evaluation of the Surgical OSAS: In Office and DISE

Drug-induced sedation endoscopy versus clinical exploration for the diagnosis of severe upper airway obstruction in OSAHS patients

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