Predictors of Success of Pharyngeal Surgery in the Treatment of Obstructive Sleep Apnea: A Narrative Review

Nunes, Heloisa dos Santos Sobreira; Vaz de Castro, Joana; Favier, Valentin; Carsuzaa, Florent; Kim, Marina He Ryi; Mira, Felipe Ahumada; Meccariello, Giuseppe; Vicini, Claudio; De Vito, Andrea; Lechien, Jerome R.; Chiesa Estomba, Carlos; Maniaci, Antonino; Iannella, Giannicola; Cammaroto, Giovanni

doi:10.3390/jcm12216773

Cited by 1 publication

(1 citation statement)

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“…As reported above, Green et al highlighted that in 35% of patients who underwent isolated palatal surgery after DISE [ 35 ]. A recent literature review on predictors of the success of pharyngeal surgery in OSA treatment concluded that there is a lack of an accurate protocol for the indication of pharyngeal surgery [ 44 ]. Our goal for the current review was to obtain comprehensive literature data on DISE.…”

Section: Discussionmentioning

confidence: 99%

A Critical Analysis of Pharyngeal Patterns of Collapse in Obstructive Sleep Apnea: Beyond the Endoscopic Classification Systems

De Vito,

Olszewska,

Kotecha

et al. 2023

JCM

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(1) Background: Drug-Induced Sleep Endoscopy (DISE) enables the three-dimensional and dynamic visualization of the upper airway (UA) during sleep, which is useful in selecting the best treatment option for obstructive sleep apnea (OSA) patients, particularly for surgical procedures. Despite international consensus statements or position papers, a universally accepted DISE methodology and classification system remain a controversial open question. (2) Methods: A review of the English scientific literature on DISE related to endoscopic classification systems and surgical outcome predictors (3) Results: Of the 105 articles, 47 were included in the analysis based on their content’s relevance to the searched keywords. (4) Conclusions: A final report and scoring classification system is not universally accepted; the most internationally applied endoscopic classification system during DISE does not cover all patterns of events that occur simultaneously during the endoscopic examination, highlighting that several configurations of collapse and obstruction at different UA levels could be observed during DISE, which should be described in detail if DISE has to be considered in the decision-making process for the UA surgical treatment in OSA patients and if DISE has to have a role as a predictive factor for surgical outcomes analysis.

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Section: Discussionmentioning

confidence: 99%