Drug-Induced Sleep Endoscopy: A Guide for Treatment Selection
김진엽, 한승철, 임현정, 김현직, 김정훈, 이재서,
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김진엽 ( Kim Jin-Youp )
Seoul National University College of Medicine Department of Otorhinolaryngology-Head and Neck Surgery
한승철 ( Han Seung-Cheol )
Seoul National University College of Medicine Department of Otorhinolaryngology-Head and Neck Surgery
임현정 ( Lim Hyun-Jung )
Seoul National University College of Medicine Department of Otorhinolaryngology-Head and Neck Surgery
김현직 ( Kim Hyun-Jik )
Seoul National University College of Medicine Department of Otorhinolaryngology-Head and Neck Surgery
김정훈 ( Kim Jeong-Whun )
Seoul National University College of Medicine Department of Otorhinolaryngology-Head and Neck Surgery
이재서 ( Rhee Chae-Seo )
Seoul National University College of Medicine Department of Otorhinolaryngology-Head and Neck Surgery
Abstract
Identifying the sites, severity, and pattern of upper airway obstruction in obstructive sleep apnea is crucial for determining the treatment options, particularly the surgical plan. Although early methods of assessment, such as Muller’s maneuver, computed tomography, and magnetic resonance imaging in awake patients have been utilized to assess obstructive sites, the physiologic and anatomical differences between awake and sleeping patients showed a limited ability of those methods as diagnostic tools. Recently, drug-induced sleep endoscopy (DISE) was introduced as a useful diagnostic and evaluation tool to identify dynamic upper airway collapse during sedation that simulates natural sleep. In this article, we review all aspects of DISE, including the technique, evaluation methods, and clinical application.
키워드
Sleep apnea; Obstructive; Drug-induced sleep endoscopy; Sedation; Snoring
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