Results of uvulopalatopharyngoplasty after diagnostic workup with polysomnography and sleep endoscopy: a report of 136 snoring patients

Hessel, N.S.; Vries, Nico de

doi:10.1007/s00405-002-0511-9

Cited by 98 publications

(42 citation statements)

References 17 publications

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“…Drug-induced sleep endoscopy (DISE) is a procedure that enables a dynamic evaluation of the localization and pattern of upper airway collapse [88]. This technique has shown its value in optimizing the selection of patients for surgical interventions of the upper airway [89]. In addition, it has been suggested as a valuable prognostic indicator of successful MAD therapy in the individual patient [90,91].…”

Section: Patient Selectionmentioning

confidence: 99%

Oral Appliances in Obstructive Sleep Apnea

Dieltjens

Vanderveken

2019

Healthcare

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Oral appliance therapy is increasingly prescribed as a non-invasive treatment option for patients diagnosed with obstructive sleep apnea. The custom-made titratable mandibular advancement devices (MAD) are the recommended type of oral appliances. Mandibular advancement devices are efficacious in reducing the severity of obstructive sleep apnea, however, only to a lesser extent than standard therapy using continuous positive airway pressure (CPAP). Although oral appliance therapy is known to reduce the severity of obstructive sleep apnea in most of the patients, one out of three patients still show negligible improvement under MAD therapy. Therefore, the selection of the appropriate candidates for this therapy is imperative and several upfront prediction tools are described. Overall, the health outcome of mandibular advancement device therapy is similar to that of CPAP, probably due to the inferior compliance of CPAP compared to MAD therapy, resulting in similar clinical effectiveness.

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Section: Patient Selectionmentioning

confidence: 99%

Oral Appliances in Obstructive Sleep Apnea

Dieltjens

Vanderveken

2019

Healthcare

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“…Professor Evert Hamans is a consultant for Philips Healthcare (compensation to cover travel and hotel costs It has shown its value in optimizing patient selection for non-CPAP therapies. 8,9 Its validity and reliability have been reported in literature, although initial training by an experienced ENT surgeon is recommended. [10][11][12] Recently, it was demonstrated that DISE has a relevant influence on recommendations for treatment location, especially when considering mandibular advancement device (MAD) treatment or tongue base interventions.…”

Section: Introductionmentioning

confidence: 99%

Drug‐induced sleep endoscopy in sleep‐disordered breathing: Report on 1,249 cases

et al. 2013

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“…In several large series of patients with SDB, DISE has been shown to be easy to perform and cost‐effective without reported complications 5, 6. Furthermore, UPPP may be effective in up to 75% of patients selected for the procedure after DISE compared to a 40% success rate in unselected SDB patients 7, 8. Although initial studies on the safety and utility of DISE are promising, additional investigation is needed to determine if DISE provides clinical information above and beyond routine clinical evaluation and improves long‐term patient outcomes.…”

Section: Introductionmentioning

confidence: 99%