Comparison of Drug-Induced Sleep Endoscopy Ver2
Comparison of Drug-Induced Sleep Endoscopy Ver2
Comparison of Drug-Induced Sleep Endoscopy Ver2
Presented by :
dr. Belly Sutopo Wijaya
Mentors :
dr. Puspa Zuleika, Sp.T.H.T.K.L.(K), M.Kes., FICS
dr. Erial Bahar, M.Sc
INTRODUCTION
Section Break
PLACE
Department of Otorhinolaryngology – Head and Neck Surgery,
Bakirkoy Dr. Sadi Konuk Training and Research Hospital,
Istanbul, Turkey
INCLUSION CRITERIA EXCLUSION CRITERIA
MM DISE
VOTE Classification
k= 0.414
k = 0.107
k = 0.026
k = 0.383
DISCUSSION
Kezirian EJ, Hohenhorst W, de Vries N Uvula & soft palate are the main fact
or involved in the collapse of the velopharyngeal level in patient with OSAS
Koo SK, Choi JW, Myung NS, et al. Tongue-related obstruction is a common
finding in OSAS and mainly identified in an antero-posterior configuration.
In this study, the presence & degree of tongue obstruction differed by method,
with MM indicating severe collapse in 20 patients and DISE indicating severe
collapse in 51 patients in the anteroposterior configuration at the tongue level.
DISCUSSION
• Gregorio, et al ↑ retroglossal obstructions detect during DISE compare to MM
In this study, DISE is not a natural sleeping state. During propofol unconscious
sedation, reductions in genioglossus tone also occur and can contribute to tongue
base collapse.
Lee CH, Kim DK, Kim SY, Rhee CS, Won TB Tonsils, lateral pharyngeal wall &
adjacent parapharyngeal fat pads contribute to the collapse of the oropharyngeal
The obstruction occur via collapse in the lateral & concentric configuration.
In this study, statistically significant concordance in the diagnosis of
oropharyngeal-related obstructions in the lateral configuration ~ DISE & MM
CONCLUSION
Infographic Style
Significant concordance
in the diagnoses of DISE + VOTE Classification
obstructions related to valid, safe, easy-to-use
the velum and for identifying the severity
oropharynx between of upper airway collapse
MM and DISE
YES
What is the objective of this research ?
YES
Was the diagnostic test evaluated in an
appropriate spectrum of patients (like those in
whom it would be used in practice)?
YES
Was the reference standard applied regardless of
the diagnostic test result?
YES
Was the test (or cluster of tests) validated in a
second, independent group of patients?
YES
Is the diagnostic test available, affordable,
accurate, and precise in your setting?
YES
Is it unlikely that the disease possibilities or
probabilities have changed since the evidence
was gathered?
NO
Was the validity of the data can be verified?
YES
What kind of association analysis was obtained?
• Significant concordance in the diagnoses of obstructions related to
the velum & oropharynx between MM & DISE
There is lack concordance between MM & DISE on degree of
tongue obstruction, MM indicating severe collapse in 20 patients &
DISE severe collapse in 51 patients in the anteroposterior
configuration at the tongue level.
• DISE + VOTE Classification valid, safe, easy-to-use for
identifying the severity of upper airway collapse
CONCLUSION
Degree of obstruction:
(0) no obstruction (no vibration, <50%);
(1) partial obstruction (vibration 50-75%);
(2) complete obstruction (collapse, >75%);
(x) not visualized
Friedmann Classification
D.I.S.E. M.M.
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Uvulopalatopharyngoplasty