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Updated: Jan 30, 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

20.6K

Comparative assessment of drug-induced sleep endoscopy scoring systems in pediatric sleep apnea

Joseph Tejan1, Melecio Medina1, Seckin O Ulualp1,2

  • 1Department of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, Texas.

The Laryngoscope
|January 24, 2019
PubMed

Insights

Current drug-induced sleep endoscopy (DISE) scoring systems do not differentiate obstructive sleep apnea (OSA) severity in children. Further research is needed to develop a universally accepted pediatric DISE scoring system for accurate OSA assessment.

Area of Science:

  • Pediatric Otolaryngology
  • Sleep Medicine
  • Respiratory Medicine

Background:

  • Drug-induced sleep endoscopy (DISE) is utilized to assess upper airway obstruction in obstructive sleep apnea (OSA).
  • Existing DISE scoring systems lack universal acceptance, particularly for pediatric populations.
  • A dedicated, universally accepted DISE scoring system for children with OSA is needed.

Purpose of the Study:

  • To evaluate the utility of current DISE scoring systems in assessing pediatric obstructive sleep apnea (OSA).
  • To determine if existing DISE scoring systems can differentiate between varying degrees of OSA severity in children.
  • To explore the influence of age, obesity, and OSA severity on DISE scores in pediatric patients.

Main Methods:

  • Retrospective chart review of surgically naive, healthy children diagnosed with OSA who underwent DISE.
  • Literature review to identify existing DISE scoring systems used in pediatric OSA.
  • Analysis of DISE recordings by blinded reviewers to assess the effect of age, obesity, OSA severity, and oxygen nadir on DISE scores.

Main Results:

  • Sixty-eight pediatric patients (19 months–18 years) were included; 43 were obese.
  • DISE scoring systems did not reveal significant differences across mild, moderate, and severe OSA categories (P > .05).
  • DISE scores showed no significant variation among different age and weight categories (P > .05).

Conclusions:

  • Current DISE scoring systems are insufficient to differentiate OSA severity in pediatric patients.
  • Findings suggest a need for a universally applicable pediatric-specific DISE scoring system.
  • Development of a standardized pediatric DISE scoring system is crucial for accurate OSA evaluation in children.
Abstract

Keywords:
Drug-induced sleep endoscopyobstructive sleep apneascoring scale

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