caa a22 4500 606186123 CHVBK 20210128100834.0 cr unu---uuuuu 210128e20150801xx s 000 0 eng 10.1007/s00405-014-3162-8 doi (NATIONALLICENCE)springer-10.1007/s00405-014-3162-8 The role of drug-induced sleep endoscopy in surgical planning for obstructive sleep apnea syndrome [Elektronische Daten] [Ozturk Aktas, Omer Erdur, Ahmet Cirik, Fatma Kayhan] This study investigated the role of drug-induced sleep endoscopy (DISE) in the surgical treatment planning of patients with obstructive sleep apnea syndrome (OSAS). This study was conducted using patients diagnosed with OSAS between January 2007 and March 2009, who were scheduled for surgical treatment. DISE was performed using propofol in patients considered to have upper respiratory tract obstruction as indicated by Muller's maneuver. After completing the sleep endoscopy, the patient was intubated and surgery was performed (tonsillectomy and uvulopalatopharyngoplasty). A successful operation was defined as a decrease in the respiratory disturbance index to below 5 or a decrease of ≥50% following the operation. The study included 20 patients (4 female and 16 male) aged 19-57years. No statistically significant correlation between modified Mallampati class and operation success or between the polysomnographic stage of disease and operation success was identified. A significantly high operation success rate was found in the group with obstruction of the upper airway according to DISE (p<0.05), whereas a significantly low operation success rate was found in the group with obstruction of the lower airway according to DISE (p<0.01). DISE may be used to identify the localization of obstruction for diagnostic purposes, and it can be helpful in selecting the treatment method. Springer-Verlag Berlin Heidelberg, 2014 Drug-induced sleep endoscopy nationallicence Polysomnography nationallicence Sleep apnea syndrome nationallicence Uvulopalatopharyngoplasty nationallicence Aktas Ozturk Department of Otorhinolaryngology, Kocaeli State Hospital, Kocaeli, Turkey aut Erdur Omer Department of Otorhinolaryngology, Konya Training and Research Hospital, Konya, Turkey aut Cirik Ahmet Department of Otorhinolaryngology, Umraniye Training and Research Hospital, Istanbul, Turkey aut Kayhan Fatma Department of Otorhinolaryngology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/8(2015-08-01), 2039-2043 0937-4477 272:8<2039 2015 272 405 https://doi.org/10.1007/s00405-014-3162-8 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-014-3162-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Aktas Ozturk Department of Otorhinolaryngology, Kocaeli State Hospital, Kocaeli, Turkey aut NATIONALLICENCE 700 1- Erdur Omer Department of Otorhinolaryngology, Konya Training and Research Hospital, Konya, Turkey aut NATIONALLICENCE 700 1- Cirik Ahmet Department of Otorhinolaryngology, Umraniye Training and Research Hospital, Istanbul, Turkey aut NATIONALLICENCE 700 1- Kayhan Fatma Department of Otorhinolaryngology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/8(2015-08-01), 2039-2043 0937-4477 272:8<2039 2015 272 405