AI Article Synopsis
- A study assessed the effectiveness of various drug-induced sleep endoscopy (DISE) scoring systems for evaluating obstructive sleep apnea (OSA) in children, revealing a lack of universally accepted methods for this age group.
- The research involved a review of medical records for 68 healthy, surgically naïve children with OSA, analyzing demographics and the impact of factors like age and weight on DISE scores.
- Results indicated no significant differences in DISE scores across varying severities of OSA, suggesting a need for a standardized pediatric DISE scoring system.
Article Abstract
Objectives/hypothesis: A wide variety of drug-induced sleep endoscopy (DISE) scoring systems has been used to evaluate sites of upper airway obstruction in children and adults; however, a universally accepted DISE scoring system dedicated to children has not been developed. We evaluated the utility of DISE scoring systems in the assessment of obstructive sleep apnea (OSA) using a single cohort of pediatric patients.
Study Design: Retrospective chart review.
Methods: The medical records of surgically naïve-healthy children with OSA who had undergone DISE were reviewed. Information about demographics, past medical history, and severity of OSA were obtained. A literature review was conducted to identify DISE scoring systems used in children with OSA. Recordings of DISE were analyzed without knowledge of patient information and severity of OSA. The effect of age, obesity, severity of OSA, and oxygen nadir on DISE score was assessed.
Results: Sixty-eight patients (46 male, 22 female, age range: 19 months-18 years) were included. Forty-three patients were obese and 25 were nonobese. The severity of OSA was mild in 12 patients, moderate in 13 patients, and severe in 43 patients. DISE scoring systems did not document differences among the groups of patients with mild OSA, moderate OSA, and severe OSA (P > .05). DISE scores were not different among the studied age and weight categories (P > .05).
Conclusions: The DISE scoring systems did not show differences in DISE scores in surgically naïve-healthy children with varying age, weight, and OSA severity categories. Our findings provide preliminary evidence for the need of a universally applicable pediatric DISE scoring system for OSA.
Level Of Evidence: 4 Laryngoscope, 129:2195-2198, 2019.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1002/lary.27829 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Lateral epiglottic collapse in obstructive sleep apnea is associated with laterally directed pharyngeal collapse.
J Clin Sleep Med
December 2024
Division of Sleep and Circadian Disorders, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.
Study Objectives: Epiglottic collapse can obstruct the airway in obstructive sleep apnea (OSA) patients in an anteroposterior (E-ap) or lateral direction (E-lat). The present study investigates the concept that lateral or concentric pharyngeal collapse patterns may remodel the epiglottis and predispose it to lateral collapse. To do so, we hypothesized that the presence of-any form of laterally directed pharyngeal collapse, e.
View Article and Find Full Text PDFInterrater reliability of different scoring systems for drug-induced sleep endoscopy.
Sleep Breath
November 2024
Department of Otorhinolaryngology, Head and Neck Surgery, Kantonsspital Baselland, Liestal, Switzerland.
Purpose: To explore the interobserver reliability of drug-induced sleep endoscopy (DISE) for patients with obstructive sleep apnea syndrome (OSAS) of two classification systems.
Methods: DISE examinations were recorded digitally for all patients and were evaluated independently by five examiners blinded to all patient data. Areas of obstruction were rated using VOTE (velum, oropharynx lateral wall, tongue base, epiglottis) classification and PTLTbE (palate, tonsils, lateral pharyngeal wall, tongue base, epiglottis) classification.
Purpose: Lateral pharyngeal wall collapse, linked to weak pharyngeal wall stability, is characteristic of severe obstructive sleep apnea (OSA) patients. Soft palate webbing flap palatopharyngoplasty (SPWFPP) has been introduced to enhance the stability of the lateral pharyngeal wall with minimal postoperative complications by eliminating the need for tonsillectomy. This study analyzed the anatomic findings of oropharynx for determination of outcome in OSA patients requiring SPWFPP.
View Article and Find Full Text PDFArticle Synopsis
- A study evaluated a new streamlined approach for hypoglossal nerve stimulator (HGNS) implantation, comparing it to a traditional method.
- The streamlined pathway reduced hospital costs by an average of $9,258 and decreased time to surgery by about 3.82 months without compromising clinical outcomes.
- The findings suggest that this new approach could be beneficial for certain patients, but more research is needed to refine patient selection and assess long-term effects.
Pharyngeal Manometry and Upper Airway Collapse During Drug-Induced Sleep Endoscopy.
JAMA Otolaryngol Head Neck Surg
October 2024
Department of Otorhinolaryngology-Head & Neck Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia.
Importance: Drug-induced sleep endoscopy (DISE) is used to guide therapeutic management of obstructive sleep apnea (OSA), depending on the levels and patterns of pharyngeal collapse. However, the collapsibility of specific pharyngeal sites remains unknown.
Objective: To assess collapse sites in patients with OSA undergoing DISE and whether number and location are associated with differences in airway collapsibility; and to quantify differences in collapsibility between primary and secondary sites in multilevel collapse.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!