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 maneuver awake, and during DISE by Propofol with boluses refracted technique. RESULTS: In the majority of our patients, we detected an obstruction due to nasal septal deviation (91%) and turbinate hypertrophy (100%). The pattern of the obstruction caused by the soft palate and the tongue base was similar in DISE and Müller's maneuver, whereas the registered degree was significantly higher in DISE. Concerning the larynx, 22.7% of patients showed an involvement of the epiglottis during sedation that was not assessable during wakefulness. CONCLUSIONS: DISE is a simple additional tool to plan surgical treatment in patients with OSAHS, and in our hands has proven to be more accurate and precise than endoscopy with Müller's maneuver.
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 maneuver awake, and during DISE by Propofol with boluses refracted technique. RESULTS: In the majority of our patients, we detected an obstruction due to nasal septal deviation (91%) and turbinate hypertrophy (100%). The pattern of the obstruction caused by the soft palate and the tongue base was similar in DISE and Müller's maneuver, whereas the registered degree was significantly higher in DISE. Concerning the larynx, 22.7% of patients showed an involvement of the epiglottis during sedation that was not assessable during wakefulness. CONCLUSIONS: DISE is a simple additional tool to plan surgical treatment in patients with OSAHS, and in our hands has proven to be more accurate and precise than endoscopy with Müller's maneuver.
Authors: Michael Herzog; Patrick Kellner; Sebastian Plößl; Alexander Glien; Christian Rohrmeier; Thomas Kühnel; Stefan Plontke; Beatrice Herzog Journal: Eur Arch Otorhinolaryngol Date: 2015-02-26 Impact factor: 2.503
Authors: Patrick Kellner; Beatrice Herzog; Sebastian Plößl; Christian Rohrmeier; Thomas Kühnel; Ramona Wanzek; Stefan Plontke; Michael Herzog Journal: Sleep Breath Date: 2016-04-25 Impact factor: 2.816
Authors: Melania Marques; Pedro R Genta; Scott A Sands; Ali Azarbazin; Camila de Melo; Luigi Taranto-Montemurro; David P White; Andrew Wellman Journal: Sleep Date: 2017-03-01 Impact factor: 5.849
Authors: V Roustan; M Barbieri; F Incandela; F Missale; H Camera; F Braido; R Mora; G Peretti Journal: Acta Otorhinolaryngol Ital Date: 2018-02 Impact factor: 2.124