Drug-induced sleep endoscopy in the identification of obstruction sites in patients with obstructive sleep apnea: a systematic review

Revista Brasileira de Otorrinolaringologia

Thuler, Luiz Claudio Santos¹  Viana Jr., Alonço da Cunha²  Araújo-Melo, Maria Helena de³ 

[1] Hospital Naval Marcílio Dias, Rio de Janeiro, BR;Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, BR;Universidade Federal do Rio de Janeiro, Rio de Janeiro, BR

关键词: Obstructive sleep apnea;    Sleep disorders;    Sleep;    Sleep medicine specialty;    Snoring;    Endoscopy.;   

DOI  :  10.1016/j.bjorl.2015.01.007

学科分类：医学（综合）

来源: Associacao Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial

【 摘 要 】

INTRODUCTION: Obstructive sleep apnea syndrome has multifactorial causes. Although indications for surgery are evaluated by well-known diagnostic tests in the awake state, these do not always correlate with satisfactory surgical results.OBJECTIVE: To undertake a systematic review on endoscopy during sleep, as one element of the diagnosis routine, aiming to identify upper airway obstruction sites in adult patients with OSAS.METHODS: By means of electronic databases, a systematic review was performed of studies using drug-induced sleep endoscopy to identify obstruction sites in patients with OSAS.RESULTS: Ten articles were selected that demonstrated the importance of identifying multilevel obstruction, especially in relation to retrolingual and laryngeal collapse in OSAS.CONCLUSION: DISE is an additional method to reveal obstruction sites that have not been detected in awake patients.

【 授权许可】

CC BY