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Date Published: 18/10/2021
Abstract Views: 219
Views PDF: 126
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

1. Kezirian EJ, Hohenhorst W, de Vries N (2011). Drug-induced sleep endoscopy: the VOTE classifica- tion. Eur Arch Otorhinolaryngol. 2011;268:1233.
2. SeppäJM Tuomilehto HP, Partinen MM, et al (2009). Lifestyle intervention with weight reduction: first-line treatment in mild obstructive sleep apnea. American Journal Respiratory Critical Care Medicine, 179(4):320.
3. Zaghi S Certal VF, Riaz M, et al (2015 ). Hypoglossal nerve stimulation in the treatment of obstructive sleep apnea: A systematic review and meta-analysis. Laryngoscope, 125, 1254-1264.
4. Blumen M, Bequignon E, Chabolle F (2017). Drug-induced sleep endoscopy: A new gold standard for evaluating OSAS? Part I: Technique. Eur Ann Otorhinolaryngol Head Neck Dis. 2017 Apr;134(2):101-107.
5. Dempsey JA, Veasey SC, Morgan BJ, O’Donnel CP (2010). Pathophysiology of sleep apnea. Physiol Rev. 2010;90:47
6. Salam O. Salman, 2019 Modern Management of Obstructive Sleep Apnea.
7. Kushida C Li KK, Powell NB, et al (2000). Obstructive sleep apnea syndrome: a comparison between Far-East Asian and white men. Laryngoscope, 110, 1689-1693.
8. Palta M Young T, Dempsey J, et al (2009). Burden of sleep apnea: rationale, design, and major findings of the Wisconsin Sleep Cohort study. Wisconsin Medical Journal, 108(5), 246-249
9. Vanderveken OM, Maurer JT, Hohenhorst W, et al (2013) Evaluation of drug-induced sleep endoscopy as a patient selection tool for implanted upper airway stimulation for obstructive sleep apnea. J Clin Sleep Med. 2013;9(5):433-438.