Drug-Induced Sleep Endoscopy Changes the Treatment Concept in Patients with Obstructive Sleep Apnoea
Joint Authors
Hybášková, Jaroslava
Jor, Ondřej
Novák, Vilém
Zeleník, Karol
Matoušek, Petr
Kominek, Pavel
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-12-14
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
The present study evaluated whether drug-induced sleep endoscopy (DISE) helps identify the site of obstruction in patients with obstructive sleep apnoea (OSA).
A total of 51 consecutive patients with polysomnography-confirmed OSA were enrolled in this prospective study.
The presumed site of obstruction was determined according to history, otorhinolaryngologic examination, and polysomnography and a therapeutic plan designed before DISE.
In 11 patients with severe OSA and/or previously failed continuous positive airway pressure (CPAP) treatment, DISE with simultaneous CPAP was performed.
Multilevel collapse was noted in 49 patients (96.1%).
The most frequent multilevel collapse was palatal, oropharyngeal, and tongue base collapse (n=17, 33.3%), followed by palatal and oropharyngeal collapse (n=12, 23.5%).
Pathology of the larynx (epiglottis) was observed in 16 patients (31.4%).
The laryngeal obstruction as a reason for intolerance of CPAP was observed in 3/11 (27.3%) patients.
After DISE, the surgical plan was changed in 31 patients (60.8%).
The results indicate that DISE helps identify the site of obstruction in the upper airways in patients with OSA more accurately and that the larynx plays an important role in OSA.
American Psychological Association (APA)
Hybášková, Jaroslava& Jor, Ondřej& Novák, Vilém& Zeleník, Karol& Matoušek, Petr& Kominek, Pavel. 2016. Drug-Induced Sleep Endoscopy Changes the Treatment Concept in Patients with Obstructive Sleep Apnoea. BioMed Research International،Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1098515
Modern Language Association (MLA)
Hybášková, Jaroslava…[et al.]. Drug-Induced Sleep Endoscopy Changes the Treatment Concept in Patients with Obstructive Sleep Apnoea. BioMed Research International No. 2016 (2016), pp.1-5.
https://search.emarefa.net/detail/BIM-1098515
American Medical Association (AMA)
Hybášková, Jaroslava& Jor, Ondřej& Novák, Vilém& Zeleník, Karol& Matoušek, Petr& Kominek, Pavel. Drug-Induced Sleep Endoscopy Changes the Treatment Concept in Patients with Obstructive Sleep Apnoea. BioMed Research International. 2016. Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1098515
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1098515