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VOLUME 12 , ISSUE 2 ( April-June, 2021 ) > List of Articles

Original Article

Comprehensive Evaluation of the Surgical OSAS: In Office and DISE

Marina Carrasco-Llatas, Paula Martínez-Ruiz de Apodaca, Jose Dalmau-Galofre

Citation Information : Carrasco-Llatas M, Martínez-Ruiz de Apodaca P, Dalmau-Galofre J. Comprehensive Evaluation of the Surgical OSAS: In Office and DISE. Int J Head Neck Surg 2021; 12 (2):51-57.

DOI: 10.5005/jp-journals-10001-1417

License: CC BY-NC 4.0

Published Online: 01-06-2021

Copyright Statement:  Copyright © 2021; The Author(s).


Abstract

Obstructive sleep apnea is a multifactorial disease whose prevalence is increasing over the years. Due to different mechanism, the upper airway (UA) collapses during sleep. The ENT is the specialty that plays an important role in the exploration of the UA and also in the treatment of OSA, because the UA is our domain and in our hands is the ability to explore and to treat the disease. Nevertheless, the exploration of the UA in an obstructive sleep apnea syndrome (OSAS) patient is not the same as the exploration of other pathologies, one has to pay attention to small details that are not important in everyday exploration but in OSAS can change the treatment plan. In this article, the most important tips of the UA exploration awake and sleep will be discussed to provide a guide that can help the ENT to choose the best treatment for every patient.

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  1. Eckert DJ. Phenotypic approaches to obstructive sleep apnoea - new pathways for targeted therapy. Sleep Med Rev 2018;37:45–59. DOI: 10.1016/j.smrv.2016.12.003.
  2. Kushida CA, Littner MR, Hirshkowitz M, et al. Practice parameters for the use of continuous and bilevel positive airway pressure devices to treat adult patients with sleep-related breathing disorders. Sleep 2006;29(3):375–380. DOI: 10.1093/sleep/29.3.375.
  3. Rotenberg BW, Murariu D, Pang KP. Trends in CPAP adherence over twenty years of data collection: a flattened curve. J Otolaryngol Head Neck Surg 2016;45(1):43. DOI: 10.1186/s40463-016-0156-0.
  4. McEvoy RD, Antic NA, Heeley E, et al. CPAP for Prevention of cardiovascular events in obstructive sleep apnea. N Engl J Med 2016;375(10):919–931. DOI: 10.1056/NEJMoa1606599.
  5. Weaver TE, Maislin G, Dinges DF, et al. Relationship between hours of CPAP use and achieving normal levels of sleepiness and daily functioning. Sleep 2007;30(6):711–719. DOI: 10.1093/sleep/30.6.711.
  6. Kim AM, Keenan BT, Jackson N, et al. Tongue fat and its relationship to obstructive sleep apnea. Sleep 2014;37(10):1639–1648. DOI: 10.5665/sleep.4072.
  7. Vilaseca I, Plaza G, ENT assesmente in obstructive sleep apnea-hypopnea syndrome (OSAHS) consultations. Chapter 7. Sleep-disordered breathing. ISBN:978-84-617-8314-4.
  8. Camacho M, Riaz M, Capasso R, et al. The effect of nasal surgery on continuous positive airway pressure device use and therapeutic treatment pressures: a systematic review and meta-analysis. Sleep 2015;38(2):279–286. DOI: 10.5665/sleep.4414.
  9. Angle E. Haskell's prosthetics laboratory book 1890.
  10. Friedman M, Tanyeri H, La Rosa M, et al. Clinical predictors of obstructive sleep apnea. Laryngoscope 1999;109(12):1901–1907. DOI: 10.1097/00005537-199912000-00002.
  11. Friedman M, Ibrahim H, Bass L. Clinical staging for sleep-disordered breathing. Otolaryngol Head Neck Surg 2002;127(1):13–21. DOI: 10.1067/mhn.2002.126477.
  12. Woodson BT. A method to describe the pharyngeal airway. Laryngoscope 2015;125(5):1233–1238. DOI: 10.1002/lary.24972.
  13. Friedman M, Yalamanchali S, Gorelick G, et al. A standardized lingual tonsil grading system: interexaminer agreement. Otolaryngol Head Neck Surg 2015;152(4):667–672. DOI: 10.1177/0194599815568970.
  14. Vroegop AVMT, Vanderveken OM, Dieltjens M, et al. Sleep endoscopy with simulation bite for prediction of oral appliance treatment outcome. J Sleep Res 2013;22(3):348–355. DOI: 10.1111/jsr.12008.
  15. Friedman M, Hwang MS. Evaluation of the patient with obstructive sleep apnea: friedman tongue position and staging. Operat Techniq Otolaryngol 2015;26(2):85–89. DOI: 10.1016/j.otot.2015.03.007.
  16. Pang KP, Kishore S, Kit JC, et al. Pang-Rotenberg sign-snoring surgery prognosticator: a prospective clinical trial of 153 patients. Laryngoscope 2016;126(1):260–265. DOI: 10.1002/lary.25392.
  17. Friedman M, Ibrahim H, Joseph NJ. Staging of obstructive sleep apnea/hypopnea syndrome: a guide to appropriate treatment. Laryngoscope 2004;114(3):456. DOI: 10.1097/00005537-200403000-00013.
  18. Croft CB, Pringle M. Sleep nasendoscopy: a technique of assessment in snoring and obstructive sleep apnoea. Clin Otolaryngol Allied Sci 1991;16(5):504–509. DOI: 10.1111/j.1365-2273.1991.tb01050.x.
  19. De Vito A, Carrasco Llatas M, Vanni A, et al. European position paper on drug-induced sedation endoscopy (DISE). Sleep Breath 2014;18(3):453–465. DOI: 10.1007/s11325-014-0989-6.
  20. Genta PR, Eckert DJ, Gregorio MG, et al. Critical closing pressure during midazolam-induced sleep. J Appl Physiol 2011;111(5):1315–1322. DOI: 10.1152/japplphysiol.00508.2011.
  21. Sadaoka T, Kakitsuba N, Fujiwara Y, et al. The value of sleep nasendoscopy in the evaluation of patients with suspected sleep-related breathing disorders. Clin Otolaryngol Allied Sci 1996;21(6):485–489. DOI: 10.1111/j.1365-2273.1996.tb01095.x.
  22. Rabelo FAW, Braga A, Küpper DS, et al. Propofol-induced sleep:polysomnographic evaluation of patients with obstructive sleep apnea and controls. Otolaryngol Head Neck Surg 2010;142(2):218–224. DOI: 10.1016/j.otohns.2009.11.002.
  23. Babar-Craig H, Rajani NK, Bailey P, et al. Validation of sleep nasendoscopy for assessment of snoring with bispectral index monitoring. Eur Arch Otorhinolaryngol 2012;269(4):1277–1279. DOI: 10.1007/s00405-011-1798-1.
  24. Abdullah VJ, Lee DLY, Ha SCN, et al. Sleep endoscopy with midazolam: Sedation level evaluation with bispectral analysis. Otolaryngol Head Neck Surg 2013;148(2):331–337. DOI: 10.1177/0194599812464865.
  25. Carrasco-Llatas M, Dalmau- Galofre J, Zerpa-Zerpa V, et al. Exploración videoendoscópica con sue˜no inducido, utilidad clínica y revisión de la literatura. Acta Otorrinolaringol Esp 2014;65(3):183–190. DOI: 10.1016/j.otorri.2013.06.004.
  26. Vroegop AV, Vanderveken OM, Wouters K, et al. Observer variation in drug-induced sleep endoscopy: experienced versus nonexperienced ear, nose, and throat surgeons. Sleep 2013;36(6):947–953. DOI: 10.5665/sleep.2732.
  27. Rodriguez-Bruno K, Goldberg AN, McCulloch CE, et al. Test-retest reliability of drug-induced sleep endoscopy. Otolaryngol Head Neck Surg 2009;140(5):646–651. DOI: 10.1016/j.otohns.2009.01.012.
  28. Victores AJ, Takashima M. Effects of nasal surgery on the upper airway: a drug-induced sleep endoscopy study. Laryngoscope 2012;122(11):2606–2610. DOI: 10.1002/lary.23584.
  29. Kellner P, Herzog B, Plößl S, et al. Depth-dependent changes of obstruction patterns under increasing sedation during drug-induced sedation endoscopy: results of a German monocentric clinical trial. Sleep Breath 2016;20(3):1035–1043. DOI: 10.1007/s11325-016- 1348-6.
  30. Heiser C, Fthenakis P, Hapfelmeier A, et al. Drug-induced sleep endoscopy with target-controlled infusion using propofol and monitored depth of sedation to determine treatment strategies in obstructive sleep apnea. Sleep Breath 2017;21(3):737–744. DOI: 10.1007/s11325-017-1491-8.
  31. Victores AJ, Olson K, Takashima M. Interventional drug-induced sleep endoscopy: a novel technique to guide surgical planning for obstructive sleep apnea. J Clin Sleep Med 2017;13(2):169–174. DOI: 10.5664/jcsm.6438.
  32. Blumen M, Bequignonc E, Chabollea F. Drug-induced sleep endoscopy: a new gold standard for evaluating OSAS? part II: Results. Eur Ann Otorhinolaryngol, Head and Neck diseases 2017;134:101–107.
  33. Koutsourelakis I, Saffirudin F, Ravesloot, et al. Surgery for obstructive sleep apnea: Sleep endoscopy determinants of outcome. Laryngoscope 2012;122(11):2587–2591. DOI: 10.1002/lary.23462.
  34. Kezirian EJ, Hohenhorst W, de Vries N. Drug-induced sleep endoscopy: the VOTE classification. Eur Arch Otorhinolaryn 2011;268(8):1233–1236. DOI: 10.1007/s00405-011-1633-8.
  35. Certal VF, Pratas R, Guimaraes L, et al. Awake examination versus DISE for surgical decision making in patients with OSA: a systematic review. Laryngoscope 2016;126(3):768–774. DOI: 10.1002/lary.25722.
  36. Vanderveken OM, Maurer JT, Hohenhorst W, et al. Evaluation of drug-induced sleep endoscopy as a patient selection tool for implanted upper airway stimulation for obstructive sleep apnea. J Clin Sleep Med 2013;9(05):433–438. DOI: 10.5664/jcsm.2658.
  37. Hsu YS, Jacobowitz O. Does sleep endoscopy staging pattern correlate with outcome of advanced palatopharyngoplasty for moderate to severe obstructive sleep apnea? J Clin Sleep Med 2017;13(10):1137–1144. DOI: 10.5664/jcsm.6756.
  38. Kezirian EJ. Nonresponders to pharyngeal surgery for obstructive sleep apnea: insights from drug-induced sleep endoscopy. Laryngoscope 2011;121(6):1320–1326. DOI: 10.1002/lary.21749.
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