Clinically small tonsils are typically not obstructive in children during drug-induced sleep endoscopy

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Drug-induced sleep endoscopy for upper airway evaluation in children with obstructive sleep apnea.

OBJECTIVES/HYPOTHESIS To evaluate sites and characteristics of upper airway obstruction, as detected with drug-induced sleep endoscopy (DISE) in children with obstructive sleep apnea (OSA). MATERIAL AND METHODS The medical records of children who underwent DISE were reviewed. Data pertaining to demographics, past medical history, body mass index, tonsil size, adenoid size, polysomnography, an...

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Analysis of the influence of head rotation during drug-induced sleep endoscopy in obstructive sleep apnea.

OBJECTIVES/HYPOTHESIS Currently, drug-induced sleep endoscopy (DISE) in obstructive sleep apnea (OSA) is predominantly performed in supine position. When positional therapy (avoidance of supine sleeping position in positional OSA (POSA) is implemented as (part of the) treatment, one should assess levels of obstruction in the other sleeping positions. Therefore, the current study examined the in...

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The Feeling of Obstructive Obstruction During Sleep in Children

آپنه انسدادی در خواب با تنفس غیر طبیعی در خواب مشخص می شود. تعریف استاندارد قطع تنفس، در عبارت از قطع جریان هوا در بینی و دهان مدت بیشتر از ده ثانیه و یا بیشتر از ۵ بار در ساعت می باشد. آپنه انسدادی در خواب هنگامیکه راههای هوایی فوقانی مسدود شده در حالیکه تلاش برای تنفس ادامه دارد، اتفاق می افتد. طبق این تعریف، همه کودکان، اختلالات تنفسی هنگام خواب طبقه بندی OSA قرار نمی گیرند.

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Drug-Induced Sleep Endoscopy Changes the Treatment Concept in Patients with Obstructive Sleep Apnoea

The present study evaluated whether drug-induced sleep endoscopy (DISE) helps identify the site of obstruction in patients with obstructive sleep apnoea (OSA). A total of 51 consecutive patients with polysomnography-confirmed OSA were enrolled in this prospective study. The presumed site of obstruction was determined according to history, otorhinolaryngologic examination, and polysomnography an...

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Awake versus drug-induced sleep endoscopy: evaluation of airway obstruction in obstructive sleep apnea/hypopnoea syndrome.

OBJECTIVES/HYPOTHESIS To compare the degree and patterns of upper airway obstruction, as detected by endoscopy with Müller's maneuver versus drug-induced sleep endoscopy (DISE). METHODS Sixty-six patients (60 males and 6 females), with a mean age of 49.59 ± 13.04 years, underwent videonasal-pharyngo-laryngoscopy to asses anatomy and dynamic behavior of upper airways during the Müller's maneuv...

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ژورنال

عنوان ژورنال: The Laryngoscope

سال: 2016

ISSN: 0023-852X

DOI: 10.1002/lary.26447