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Drug-Induced Sleep Endoscopy as a Tool for Surgical Planning

  • Marina Carrasco-LlatasEmail author
  • Paula Martínez-Ruiz de Apodaca
  • Joana Vaz de Castro
  • Silvia Matarredona-Quiles
  • José Dalmau-Galofre
Sleep Apnea (B Rotenberg, Section Editor)
  • 25 Downloads
Part of the following topical collections:
  1. Sleep Apnea
  2. Sleep Apnea

Abstract

Purpose of Review

To review whether drug-induced sleep endoscopy (DISE) aids in obstructive sleep apnea surgical planning, if it changes the initial proposal, and if so, does it contribute to increased surgical success or unnecessary morbidity?

Recent Findings

A DISE and surgical outcomes multicenter cohort study (n = 275) reported no association for surgical outcomes with velopharyngeal and epiglottic collapse. Oropharyngeal and tongue base collapse on the other hand were associated with lower odds of surgical response.

Summary

DISE changes surgical planning mainly in regard to the approach of the tongue base and epiglottis, as these structures usually do not collapse in the awake state. The decision of velopharyngeal surgery usually does not change, as the vast majority demonstrate velopharyngeal collapse in DISE. Whether DISE increases or not, surgical success is controversial, with conflicting published data. However, poorer surgical outcomes have been associated with velopharyngeal concentric, oropharyngeal lateral wall, and tongue base collapse.

Keywords

Drug-induced sleep endoscopy DISE Upper airway exploration Obstructive sleep apnea Predictors of surgical success Surgical planning 

Notes

Compliance with Ethical Standards

Conflicts of Interests

The authors declare that they have no conflict of interests.

Human and Animal Rights and Informed Consent

All reported studies with human subjects performed by the authors have been previously published and complied with all applicable ethical standards.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Marina Carrasco-Llatas
    • 1
    Email author
  • Paula Martínez-Ruiz de Apodaca
    • 1
  • Joana Vaz de Castro
    • 2
  • Silvia Matarredona-Quiles
    • 1
  • José Dalmau-Galofre
    • 1
  1. 1.Department of OtorhinolaryngologyHospital Universitario Doctor PesetValenciaSpain
  2. 2.Sleep Medicine CentreCentro de Electroencefalografia e Neurofisiologia ClínicaLisbonPortugal

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