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Date Published: 18/10/2021
Abstract Views: 374
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DOI: https://doi.org/10.51298/vmj.v506i1.1167
Issue
Vol. 506 No. 1 (2021)
Section
Các bài báo
How to Cite
Thị Hoa, T. ., Trần Anh, P. ., Trung Anh, N. ., Đình Thi, Đào ., & Nhật Linh, N. . (2021). DRUG INDUCED SLEEP ENDOSCOPY IN OBSTRUCTIVE SLEEP APNEA SYNDROME. Vietnam Medical Journal, 506(1). https://doi.org/10.51298/vmj.v506i1.1167

DRUG INDUCED SLEEP ENDOSCOPY IN OBSTRUCTIVE SLEEP APNEA SYNDROME

Trần Thị Hoa1,, Phạm Trần Anh1, Nguyễn Trung Anh2, Đào Đình Thi3, Nguyễn Nhật Linh3
1 Hanoi Medical University
2 National Geriatric Hospital
3 National ENT Hospital

Main Article Content

Abstract

Objectives: Upper airway characteristics in obstructive sleep apnea syndrome. Methods: In vivo study performed on 12 patients with severe OSA syndrome in PSG. All objects underwent upper airway endoscopy with a soft trans-nasal endoscope during sleep induced with the anesthetic. Evaluation of the location, profile and degree of collapse according to the VOTE classification of Kerizian et al 2011[1]. Results: The mean index of AHI 53.18±15.75/h, BMI 25.33±1.95 kg/m(2), Age 45.75±13.53 year old. After analysis, up to 7 patients (58.3%) had more than one stage collapse in the upper airway and multistage collapse had a statistically significant higher AHI and BMI than single-stage collapse with p<0.05 (56.54±16.67 compared with 51.64±16.39 and 25.83±1.75 compared with 24.98±2.14) and the sites of epiglottis cartilage collapse or collapse of the pharynx, pharynx, and bottom of the tongue had no significant difference in AHI index and the difference in age and gender difference between the group of patients with multistage and single-stage collapse was not statistically significant (p>0.05). Conclusion: The implementation of DISE found a high rate of multistage collapse of the upper airway in patients with severe obstructive apnea. Therefore, we recommend DISE as the tool of choice for upper airway assessment in patients with severe obstructive sleep apnea who are indicated for surgery.

Article Details

Keywords

DISE, OSAS surgery, assessment of the upper airway during sleep, endoscopic medication

References

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