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Updated: Aug 20, 2026

Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea
07:54

Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea

Published on: December 6, 2016

[Treatment of pediatric obstructive sleep apnea hypopnea syndrome]

Xiao-lan Cai1, Hong-ying Liu, Xian-liang Fan

  • 1Otorhinolaryngology Institute of Health Ministry, Shandong University, Jinan 250012, China. cxlsd@sdu.edu.cn

Zhonghua Er Bi Yan Hou Ke Za Zhi
|November 26, 2004
PubMed

Insights

Tonsillectomy and adenoidectomy are effective treatments for pediatric obstructive sleep apnea hypopnea syndrome (OSAHS). Transoral endoscopy offers clear visualization and complete removal, significantly improving children's quality of life.

Area of Science:

  • Otolaryngology
  • Pediatric Sleep Medicine
  • Surgical Oncology

Context:

  • Pediatric obstructive sleep apnea hypopnea syndrome (OSAHS) significantly impacts children's health and quality of life.
  • Enlarged tonsils and adenoids are common causes of upper airway obstruction in children.
  • Effective treatment strategies are crucial for managing pediatric OSAHS.

Purpose:

  • To evaluate the effectiveness of surgical interventions, specifically tonsillectomy and/or adenoidectomy, for pediatric OSAHS.
  • To assess the curative effects of transoral endoscopy-guided surgery.
  • To compare surgical outcomes with other treatment modalities like CPAP and conservative therapy.

Summary:

  • A study of 59 pediatric OSAHS patients found tonsillectomy/adenoidectomy effective in 54 cases.
  • Transoral endoscopy-guided surgery demonstrated clear visualization and complete removal of obstructing tissues.
  • Post-operative follow-up showed significant improvements in quality of life (76.3%), sleep disturbance (88.1%), and physical symptoms (67.8%) with no major complications.

Impact:

  • Surgical removal of tonsils and adenoids is a highly effective treatment for pediatric OSAHS.
  • Transoral endoscopy enhances surgical precision and patient outcomes.
  • Improved quality of life and reduced symptoms in pediatric OSAHS patients following surgical intervention.
Abstract

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