Awake endoscopic assessment of the upper airway during tidal breathing: Definition of anatomical features and comparison with drug‐induced sleep endoscopy

2020 ◽  
Vol 46 (1) ◽  
pp. 234-242
Author(s):  
Eli Van de Perck ◽  
Anneclaire V. Vroegop ◽  
Sara Op de Beeck ◽  
Marijke Dieltjens ◽  
Annelies E. Verbruggen ◽  
...  
Keyword(s):  
Upper Airway ◽  
Sleep Endoscopy ◽  
Tidal Breathing ◽  
Drug Induced ◽  
Anatomical Features ◽  
Drug Induced Sleep Endoscopy ◽  
Definition Of ◽  
Endoscopic Assessment

scholarly journals Drug-Induced Sleep Endoscopy: Clinical Application and Surgical Outcomes

Healthcare ◽  
2019 ◽  
Vol 7 (3) ◽  
pp. 100 ◽  
Author(s):  
Vito ◽  
Cammaroto ◽  
Chong ◽  
Carrasco-Llatas ◽  
Vicini
Keyword(s):  
Surgical Outcomes ◽  
Acoustic Analysis ◽  
Three Dimensional ◽  
Upper Airway ◽  
Sleep Endoscopy ◽  
Drug Induced ◽  
Drug Induced Sleep Endoscopy ◽  
Therapeutic Decision Making ◽  
Open Question ◽  
Insight Into

The visualization of the level and pattern of apnea and hypopnea events is of pivotal importance in the diagnosis and therapeutic decision-making for sleep-disordered breathing (SDB). There are numerous techniques available to assess upper airway obstruction, which include imaging, acoustic analysis, pressure transducer recording, and endoscopic evaluation. Drug-induced sleep endoscopy (DISE) is a diagnostic tool that allows the dynamic, three-dimensional evaluation of the patterns of vibration and collapse of the upper airway of SDB patients. DISE may change the initial surgical planning in a high percentage of cases. A universally accepted and methodologically standardized DISE could provide significant insight into its role to improve surgical outcomes. However, up to now the ideal DISE protocol remains an open question.

scholarly journals Application of drug-induced sleep endoscopy in patients treated with upper airway stimulation therapy

2017 ◽  
Vol 3 (2) ◽  
pp. 92-96 ◽  
Author(s):  
Adrian A. Ong ◽  
Christopher M. Ayers ◽  
Eric J. Kezirian ◽  
B. Tucker Woodson ◽  
Nico de Vries ◽  
...  
Keyword(s):  
Upper Airway ◽  
Sleep Endoscopy ◽  
Drug Induced ◽  
Upper Airway Stimulation ◽  
Drug Induced Sleep Endoscopy

scholarly journals Patogenesis dan diagnosis gangguan napas saat tidur dengan Drug Induce Sleep Endoscopy (DISE)

2018 ◽  
Vol 47 (2) ◽  
pp. 193
Author(s):  
Elvie Zulka Kautzia Rachmawati ◽  
Wresty Arief ◽  
Susyana Tamin ◽  
Rahmanofa Yunizaf ◽  
Fauziah Fardizza
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Excessive Daytime Sleepiness ◽  
Daytime Sleepiness ◽  
Upper Airway ◽  
Sleep Endoscopy ◽  
Drug Induced ◽  
Drug Induced Sleep Endoscopy ◽  
Obstructive Sleep ◽  
Muller’S Maneuver

Latar belakang: Obstructive sleep apnea (OSA) ialah penyakit kronis yang terjadi akibat episode intermiten sumbatan jalan napas komplit atau sebagian saat tidur. OSA dapat menimbulkan komplikasi seperti hipertensi, diabetes melitus, stroke dan excessive daytime sleepiness yang dapat berakibat fatal. OSA merupakan bagian dari gangguan napas saat tidur. Tujuan: Mengindentifikasi letak atau level dan konfigurasi sumbatan pada saat tidur. Tinjauan pustaka: Cara untuk mendiagnosis OSA adalah nasofaringolaringoskopi dengan Muller`s maneuver, pemeriksaan polisomnography (PSG), dan drug induce sleep endoscopy (DISE). Pemeriksaan PSG merupakan standar baku emas untuk mendapakan nilai apnea-hipopnea index (AHI) yang menentukan derajat OSA. Pemeriksaan untuk mengidentifikasi lokasi sumbatan jalan napas yang menyebabkan peningkatan resistensi aliran udara adalah Muller`s maneuver dan DISE. Pada pemeriksaan DISE, digunakan propofol atau midazolam secara intravena untuk menstimulasi keadaan sumbatan pada saat tidur, dilanjutkan dengan pemeriksaan nasofaringolaringoskopi. Kesimpulan: Pemeriksaan ini merupakan cara yang sangat terpercaya untuk menentukan level sumbatan pada keadaan tidur, sehingga jenis tindakan operasi yang dilakukan menjadi lebih tepat. Kata kunci: Drug induced sleep endoscopy, midazolam, propofol, manuver Muller’s, obstructive sleep apnea, polisomnografi  ABSTRACT Background: Obstructive sleep apnea (OSA) is a common chronic disorder caused by intermittent episodes of complete or partial upper airway obstruction during sleep. It may lead to complications such as hypertension, diabetes mellitus, stroke, as well as excessive daytime sleepiness which can be fatal. OSA is a part of sleep disorder breathing. Purpose: To identify the sites or the levels of obstruction and its configuration. Literature review: Muller’s maneuver upon nasopharyngoscopy, polysomnography (PSG), and drug-induced sleep endoscopy (DISE) are the modalities for diagnosing OSA. Polysomnography is the gold standard examination for OSA, one of the variables; the apnea-hipopnea index (AHI) is used to determine the presence and severity of OSA. Muller’s maneuver and DISE are the examination to identify the sites responsible for increase in airflow resistance. DISE technique uses intravena injection of propofol or midazolam to produce obstruction in a “natural sleep” condition followed by nasopharyngolaryngoscopy examination. Conclusion: DISE is considered as a very reliable means to define the level of obstruction during sleeping, thus could help to determine appropriate surgery. Keywords: Drug induced sleep endoscopy, midazolam, propofol, Muller’s maneuver, obstructive sleep apnea, polisomnography

Drug‐Induced Sleep Endoscopy Upper Airway Collapse Patterns and Maxillomandibular Advancement

2020 ◽  
Vol 130 (4) ◽  
Author(s):  
Chloé Kastoer ◽  
Sara Op de Beeck ◽  
Marc Dom ◽  
Thérèse Neirinckx ◽  
Johan Verbraecken ◽  
...  
Keyword(s):  
Upper Airway ◽  
Sleep Endoscopy ◽  
Drug Induced ◽  
Drug Induced Sleep Endoscopy ◽  
Maxillomandibular Advancement ◽  
Airway Collapse ◽  
Upper Airway Collapse

Upper airway structural changes induced by CPAP in OSAS patients: a study using drug-induced sleep endoscopy

2016 ◽  
Vol 274 (1) ◽  
pp. 247-252 ◽  
Author(s):  
Sung Hoon Jung ◽  
Soo Kweon Koo ◽  
Jang Won Choi ◽  
Ji Seung Moon ◽  
Sang Hoon Lee
Keyword(s):  
Structural Changes ◽  
Upper Airway ◽  
Sleep Endoscopy ◽  
Drug Induced ◽  
Drug Induced Sleep Endoscopy

Drug-Induced Sleep Endoscopy

2021 ◽  
pp. 93-108
Author(s):  
Eric J. Kezirian ◽  
Madeline J. L. Ravesloot ◽  
Winfried Hohenhorst ◽  
Nico de Vries
Keyword(s):  
Treatment Outcomes ◽  
Three Dimensional ◽  
Upper Airway ◽  
Evaluation Technique ◽  
Sleep Endoscopy ◽  
Drug Induced ◽  
Upper Airway Stimulation ◽  
Drug Induced Sleep Endoscopy ◽  
Test Characteristics ◽  
Vote Classification

Drug-induced sleep endoscopy (DISE) is an upper airway evaluation technique in which fiberoptic examination is performed under conditions of unconscious sedation. Unique information obtained from this three-dimensional examination of the airway potentially provides additive benefits to other evaluation methods to guide treatment selection. This chapter presents recommendations regarding DISE technique. It presents the Velum, Oropharynx, Tongue Base, Epiglottis (VOTE) classification for reporting DISE findings, which incorporates the four major structures that contribute to airway obstruction in most patients. The authors review the evidence concerning DISE test characteristics and the association between DISE findings and treatment outcomes, including for upper airway stimulation.

Obstructive sleep apnoea as a late complication after tracheostomy

2019 ◽  
Vol 133 (7) ◽  
pp. 632-635
Author(s):  
D Đanić ◽  
N Mrzljak Vučinić ◽  
A Đanić Hadžibegović
Keyword(s):  
Obstructive Sleep Apnoea ◽  
Upper Airway ◽  
Vocal Folds ◽  
Sleep Apnoea ◽  
Sleep Endoscopy ◽  
Drug Induced ◽  
Pressure Therapy ◽  
Drug Induced Sleep Endoscopy ◽  
Obstructive Sleep ◽  
Cervical Trachea

AbstractBackgroundObstructive sleep apnoea occurs consequent to partial or complete upper airway obstruction, caused mostly by the collapse of upper airway musculature. Drug-induced sleep endoscopy represents the ‘gold standard’ in identifying the obstruction site, from the palatal level to laryngeal entry. Breathing impairment in sleep caused by the collapse of cervical trachea after previous tracheostomy has not yet been described in the literature.MethodsThis report presents two patients with severe obstructive sleep apnoea, in whom pre-operative drug-induced sleep endoscopy revealed upper airway and cervical trachea collapse at the level of previous tracheostomy.ResultsThe female patient was successfully treated with resection of hypertrophic tissue of the tongue base via lateral pharyngectomy, and resection of the collapsed segment of the trachea with primary reconstruction of the trachea by end-to-end anastomosis. The male patient was recommended continuous positive airway pressure therapy because of serious co-morbidities and high operative risk.ConclusionDrug-induced sleep endoscopy should always be used for visualisation of anatomical structures below the vocal folds in patients with a history of cervical trachea surgery. These two cases demonstrate the importance of drug-induced sleep endoscopy in planning conservative and surgical treatments, contributing significantly to operative success.

The Influence of Drug-Induced Sleep Endoscopy on Determining Candidacy for Upper Airway Stimulation Therapy

2014 ◽  
Vol 151 (1_suppl) ◽  
pp. P133-P134
Author(s):  
Christopher M. Ayers ◽  
Eric J. Kezirian ◽  
B. Tucker Woodson ◽  
Nico de Vries ◽  
Shaun A. Nguyen ◽  
...  
Keyword(s):  
Upper Airway ◽  
Sleep Endoscopy ◽  
Drug Induced ◽  
Upper Airway Stimulation ◽  
Drug Induced Sleep Endoscopy
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