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

作者：Viana Alonco da Cunha Jr^*; Santos Thuler Luiz Claudio; de Araujo Melo Maria Helena

来源：Brazilian Journal of Otorhinolaryngology, 2015, 81(4): 439-446.

DOI：10.1016/j.bjorl.2015.01.007

• Obstructive sleep apnea
• Steep disorders
• Steep
• Sleep medicine specialty
• Snoring
• Endoscopy

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.

• 出版日期2015-8