Eur Arch Otorhinolaryngol DOI 10.1007/s00405-014-3162-8
Head and Neck
The role of drug-induced sleep endoscopy in surgical planning for obstructive sleep apnea syndrome Ozturk Aktas · Omer Erdur · Ahmet Adnan Cirik · Fatma Tulin Kayhan
Received: 29 March 2014 / Accepted: 15 June 2014 © Springer-Verlag Berlin Heidelberg 2014
Abstract This study investigated the role of drug-induced sleep endoscopy (DISE) in the surgical treatment planning of patients with obstructive sleep apnea syndrome (OSAS). This study was conducted using patients diagnosed with OSAS between January 2007 and March 2009, who were scheduled for surgical treatment. DISE was performed using propofol in patients considered to have upper respiratory tract obstruction as indicated by Muller’s maneuver. After completing the sleep endoscopy, the patient was intubated and surgery was performed (tonsillectomy and uvulopalatopharyngoplasty). A successful operation was defined as a decrease in the respiratory disturbance index to below 5 or a decrease of ≥50 % following the operation. The study included 20 patients (4 female and 16 male) aged 19–57 years. No statistically significant correlation between modified Mallampati class and operation success or between the polysomnographic stage of disease and
O. Aktas Department of Otorhinolaryngology, Kocaeli State Hospital, Kocaeli, Turkey O. Erdur (*) Department of Otorhinolaryngology, Konya Training and Research Hospital, Konya, Turkey e-mail:
[email protected] O. Erdur Necip Fazıl Mah. Ates¸bazı Sok. Meram Yeniyol, 42040 Konya, Turkey A. A. Cirik Department of Otorhinolaryngology, Umraniye Training and Research Hospital, Istanbul, Turkey F. T. Kayhan Department of Otorhinolaryngology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey
operation success was identified. A significantly high operation success rate was found in the group with obstruction of the upper airway according to DISE (p