Sleep Endoscopy Versus Modified Mallampati Score in Sleep Apnea and Snoring

Herder, Cindy den; Tinteren, Harm van; Vries, Nico de

doi:10.1097/01.mlg.0000161347.07881.6d

Cited by 98 publications

(52 citation statements)

References 16 publications

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“…This study correlates with the study conducted by Herder et al 13 He reported that, of 127 patients, 63% had single level obstruction while only 37% had multilevel disease. But study conducted by Riley et al shows 93.3% (223 patients) were identified as having multilevel obstruction.…”

Section: Discussionsupporting

confidence: 91%

A study on evaluation of pre and postoperative polysomnography for obstructive sleep apnea patients

Mohankumar

Rajasekar

Veerasigamani

et al. 2017

Int J Otorhinolaryngol Head Neck Surg

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Background: Obstructive sleep apnea is the most common form of sleep-disordered breathing. However, obstructive sleep apnea has been associated with much more insidious conditions, including hypertension, diabetes, heart disease, stroke, and daytime somnolence can lead to a dramatically increased risk of motor vehicle accidents.Methods: This study was conducted in our institution in 34 OSA patients. After thorough evaluation with PSG, dynamic MRI, DISE patients were treated with various surgeries depending on the level of obstruction. Commonly UPPP, ESP, zetaplasty, tonsillectomy, tongue base reduction were done either alone or in combination. Results: Pre and postoperative polysomnograhpy for obstructive sleep apnea was evaluated and statistically analyzed. Significant proportion of patients improved both subjectively and objectively as determined by reduction in AHI from 41.73±13.94 to 15.77±9.13, reduction in ESS from 16.41+3.09 to 5.14±3.41 and reduction in snoring.Conclusions: OSA can be easily treated with proper preoperative investigations, appropriate surgery, prevention of complications and continued lifestyle modifications.

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Section: Discussionsupporting

confidence: 91%

A study on evaluation of pre and postoperative polysomnography for obstructive sleep apnea patients

Mohankumar

Rajasekar

Veerasigamani

et al. 2017

Int J Otorhinolaryngol Head Neck Surg

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“…The VOTE classification differs slightly from what we have developed independently for use in our practice [8,10,15,16] as it reflects the most fundamental aspects of the DISE evaluation. It does not prevent the addition of centerspecific assessments, but using a core classification and reporting the findings will advance our understanding of DISE, which has been limited to some extent by the wide diversity of systems in use around the world.…”

Section: Degree Of Airway Narrowingmentioning

confidence: 99%

Drug-induced sleep endoscopy: the VOTE classification

Kezirian

Hohenhorst²,

Vries

2011

Eur Arch Otorhinolaryngol

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562

433

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The surgical evaluation of obstructive sleep apnea is designed to characterize the pattern of upper airway obstruction in order to develop an effective treatment plan for an individual patient. Drug-induced sleep endoscopy (DISE) is one evaluation technique that involves assessment of individuals under pharmacologic sedation designed to simulate natural sleep, utilizing fiberoptic endoscopy to examine the upper airway. Developed in multiple centers throughout Europe, DISE was first described in 1991 and is performed widely around the world. Although multiple studies support a potential role for DISE in evaluation for treatment with surgery and mandibular repositioning appliances, important clinical questions remain unanswered. A major limitation in advancing our understanding of drug-induced sleep endoscopy has been the multiplicity and, in many cases, the complexity of classification systems that prevent the comparison of results across the studies and centers. We present the VOTE classification, a method for characterizing DISE findings that focuses on its core feature, the specific structures that contribute to obstruction.

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“…Subjects with an AHI below 30/h, or, to be more accurate, patients with a supine AHI below 30/h and with good health (ASA I or II), can undergo midazolam-induced sleep endoscopy in the clinic [23,31]. Patients with a higher ASA score and/or more severe OSA should have DISE performed in the operating room.…”

Section: Dise: Sedation Methods Contraindications and Complicationsmentioning

confidence: 99%

The Utility of Sleep Endoscopy in Adults with Obstructive Sleep Apnea: A Review of the Literature

Maanen

Ravesloot

Safiruddin

et al. 2013

Curr Otorhinolaryngol Rep

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Since history and physical examination alone cannot reliably diagnose obstructive sleep apnea (OSA), the gold standard for the diagnosis of OSA is polysomnography. When an oral device or surgery is considered, it is of utmost importance to examine an individual's pattern, degree and site(s) of upper airway obstruction. This article tries to evaluate recent literature published on the use of (drug-induced) sleep endoscopy in evaluating the individually tailored treatment. Different techniques, interrater reliability, test-retest reliability and currently available data on the relationship with treatment outcome are reviewed.

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Sleep Endoscopy Versus Modified Mallampati Score in Sleep Apnea and Snoring

Cited by 98 publications

References 16 publications

A study on evaluation of pre and postoperative polysomnography for obstructive sleep apnea patients

A study on evaluation of pre and postoperative polysomnography for obstructive sleep apnea patients

Drug-induced sleep endoscopy: the VOTE classification

The Utility of Sleep Endoscopy in Adults with Obstructive Sleep Apnea: A Review of the Literature

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