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

Published on: December 6, 2016

Drug-induced sleep endoscopy: the VOTE classification.

Eric J Kezirian1, Winfried Hohenhorst2, Nico de Vries3

  • 1Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, 2233 Post Street, 3rd Floor, Campus Box 1225, San Francisco, CA, 94115, USA. ekezirian@ohns.ucsf.edu.

European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
|May 27, 2011
PubMed
Summary

Drug-induced sleep endoscopy (DISE) aids obstructive sleep apnea treatment planning. The new VOTE classification system simplifies DISE findings for better comparison across studies and centers.

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Area of Science:

  • Otolaryngology
  • Sleep Medicine
  • Surgical Evaluation

Background:

  • Obstructive sleep apnea (OSA) requires individualized treatment plans based on upper airway obstruction patterns.
  • Drug-induced sleep endoscopy (DISE) is a widely used diagnostic tool simulating natural sleep to assess airway obstruction.
  • Existing DISE classification systems are numerous and complex, hindering cross-study comparisons and clinical understanding.

Purpose of the Study:

  • To introduce the VOTE classification system for standardizing Drug-induced sleep endoscopy (DISE) findings.
  • To address the limitations posed by diverse and complex existing DISE classification systems.
  • To facilitate more consistent and comparable data collection in DISE research and clinical practice.

Main Methods:

  • Development of the VOTE classification system for characterizing upper airway obstruction during DISE.
  • Focus on specific anatomical structures contributing to obstruction as the core feature of the classification.
  • Application of the VOTE classification to analyze DISE findings.

Main Results:

  • The VOTE classification provides a focused method for characterizing DISE findings.
  • This system aims to overcome the limitations of previous complex and varied classification systems.
  • The VOTE classification facilitates comparison of results across different studies and centers.

Conclusions:

  • The VOTE classification offers a standardized approach to interpreting Drug-induced sleep endoscopy (DISE) results.
  • Standardization through the VOTE system is crucial for advancing the understanding and application of DISE in OSA management.
  • This classification promotes better clinical decision-making and research comparability in sleep apnea surgery.