Effect of Drug-Induced Sedation Endoscopy on the Decision of Treatment Plan in Patients with Obstructive Sleep Apnea.
10.3342/kjorl-hns.2017.00836
- Author:
Sung Min LEE
1
;
Sung Hee BAE
;
Kang Hyun LEE
;
Ho Jun LEE
;
Hae Sang PARK
;
Jun Ho LEE
;
Chan Hum PARK
;
Dong Kyu KIM
Author Information
1. Department of Otorhinolaryngology-Head and Neck Surgery, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, Korea. doctordk@naver.com
- Publication Type:Original Article
- Keywords:
Endoscopy;
Obstructive sleep apnea;
Oral appliance;
Positive airway pressure;
Surgery
- MeSH:
Airway Obstruction;
Cohort Studies;
Compliance;
Endoscopy*;
Hand;
Humans;
Methods;
Physical Examination;
Sleep Apnea, Obstructive*
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2018;61(6):295-299
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND AND OBJECTIVES: Drug-induced sedation endoscopy (DISE) has recently gained popularity among otolaryngologists because it can provide direct information of upper airway obstruction in patients with obstructive sleep apnea (OSA). In that regard, we examined how DISE examination affected the decision of clinician's treatment plan and the consequent patient's compliance in OSA patients. SUBJECTS AND METHOD: All enrolled patients were classified into two groups according to the method of upper airway evaluation employed: a physical examination only group and a physical examination combined with DISE group. The clinician's treatment plan was categorized into the following four groups: sleep surgery, positive airway pressure, oral appliance, and sleep surgery combined with oral appliance. The change of patient's compliance was also evaluated. RESULTS: There were several differences in how DISE evaluation affected the decision of clinician's treatment plan and patient's compliance between the two groups. The rate for sleep surgery fell from 69.6% to 15.9%; on the other hand, the rate for positive airway pressure, oral appliance and sleep surgery combined with oral appliance all increased from 13.0% to 36.2%, 14.5% to 26.6%, and 2.9% to 21.3%, respectively. The patient's compliance also changed after DISE evaluation: sleep surgery, positive airway pressure, oral appliance and sleep surgery combined with oral appliance all increased from 78.1% to 87.9%, 16.7% to 76.0%, 25.0% to 87.3%, and 50.0% to 91.03%, respectively. CONCLUSION: We found that DISE examination influences the decision of clinician's treatment plan and patient's compliance. We suggest additional cohort studies to confirm these findings.
