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Updated: Oct 23, 2025

Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
Pediatric drug-induced sleep endoscopy: An updated review of the literature
Jill M Arganbright1,2, Jason C Lee3, Robert A Weatherly1,2
1Children's Mercy Kansas City, Division of Otolaryngology, Kansas City, MO, USA.
Insights
Drug-induced sleep endoscopy (DISE) is increasingly used in children. This review details its application for pediatric airway obstruction, particularly concerning adenotonsillar enlargement.
Area of Science:
- Pediatric Otolaryngology
- Sleep Medicine
- Airway Management
Background:
- Drug-induced sleep endoscopy (DISE) has seen significant growth over the past 10-15 years.
- The application of DISE has expanded to include pediatric populations.
- Adenotonsillar enlargement is a common cause of airway obstruction in children.
Purpose of the Study:
- To review the utility of drug-induced sleep endoscopy (DISE) in pediatric patients.
- To outline a specific approach for using DISE in children with airway obstruction.
- To focus on the management of pediatric airway obstruction related to adenotonsillar hypertrophy.
Main Methods:
- This is a review article.
- The article outlines a practical approach to performing DISE in children.
- The focus is on diagnostic criteria and interpretation in the pediatric population.
Main Results:
- DISE is a valuable tool for evaluating pediatric airway obstruction.
- It aids in identifying the specific sites and patterns of obstruction.
- The technique is particularly useful when adenotonsillar enlargement is suspected or confirmed.
Conclusions:
- Drug-induced sleep endoscopy (DISE) is an effective method for diagnosing the causes of airway obstruction in children.
- The findings from DISE can guide surgical and non-surgical management strategies.
- This approach is especially beneficial for children with suspected or known adenotonsillar enlargement.
Abstract:
The field of drug-induced sleep endoscopy (DISE) has grown considerably over the last 10∼15 years, to now include its use in pediatric patients. In this review article, we outline our approach to the use of this technology in Children with Airway Obstruction, most specifically in the management of children with airway obstruction and known or suspected adenotonsillar enlargement.
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