Role of DISE in the surgical outcome for patients with obstructive sleep apnea

被引：9

作者：

Askar, Sherif M. ^{[1
]}

Khazbak, Alaa O. ^{[1
]}

Mobasher, Mohamed A. ^{[1
]}

Abd Al Badea, Amany M. ^{[1
]}

Abu Sharkh, Ameer A. ^{[1
]}

Awad, Ali M. ^{[1
]}

机构：

[1] Zagazig Univ, Fac Med, Head & Neck Surg Dept, Head & Neck Surg,Otorhinolaryngol, Zagazig, Egypt

来源：

AMERICAN JOURNAL OF OTOLARYNGOLOGY | 2023年 / 44卷 / 04期

关键词：

Obstructive sleep apnea; DISE; Sleep endoscopy; Snoring; ENDOSCOPY; OSA;

D O I：

10.1016/j.amjoto.2023.103869

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Purpose: To investigate and compare the surgical outcomes of DISE and non-DISE-guided surgery in cases with obstructive sleep apnea. Methods: Sixty-three patients with severe OSA and BMI & LE;35 kg/m2 were included in the study. Patients were randomly divided into group A where surgical intervention was performed without DISE, and group B where surgery was planned according to the findings of DISE. Results: In group A, the mean AHI, LO2, and Snoring index showed a highly significant improvement (P < 0.0001). Group B had highly significant improvements as regards PSG data (P < 0.0001). High significant differences exist when comparing the operative time of both groups (P < 0.0001). On comparing the success rates in both groups, no statistically significant differences were reported (p = 0.6885). Conclusion: Preoperative topo-diagnosis with DISE does not significantly affect the surgical outcomes in OSA. Primary OSA cases could benefit from a no-DISE cost-effective surgical protocol that entails multilevel surgical interventions in a reasonable time.

引用

页数：6

共 25 条

[1] The role of drug-induced sleep endoscopy in surgical planning for obstructive sleep apnea syndrome [J].