Related Experiment Video
Updated: Oct 13, 2025
Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
[Features of sleependoscopy in children]
Yu Yu Rusetsky1, E N Latysheva1, M S Kalugina1
1National Medical Research Center for Children's Health, Moscow, Russia.
Insights
Sleep endoscopy effectively identifies airway obstruction in children with obstructive sleep apnea (OSA). It reveals that adenoids and tonsils are common causes, guiding optimal surgical planning.
Area of Science:
- Pediatric Otolaryngology
- Sleep Medicine
- Diagnostic Imaging
Background:
- Obstructive sleep apnea (OSA) is a significant health concern in children.
- Accurate identification of airway obstruction is crucial for effective treatment planning.
Purpose of the Study:
- To detail the methodology of sleep endoscopy in pediatric patients.
- To establish the primary indications for performing sleep endoscopy in children.
- To correlate sleep endoscopy findings with polysomnography results.
Main Methods:
- A cohort of 35 children (average age 5 years 1 month) underwent polysomnography and sleep endoscopy.
- Sleep endoscopy was utilized to visualize the upper airway during sleep.
Main Results:
- Polysomnography indicated OSA severity: 21 severe, 8 moderate, 6 mild.
- In unoperated children, adenoids and palatine tonsils were the most frequent obstruction sites (approx. 70%).
- In post-surgical patients, residual obstruction often involved the soft palate and palatine tonsils. Other identified causes included hypertrophic tori tubarii and lingual tonsil hypertrophy.
Conclusions:
- Sleep endoscopy is a safe and valuable diagnostic tool for pediatric OSA.
- The procedure accurately localizes airway obstruction, aiding in surgical decision-making.
- It helps determine the optimal surgical approach for children with OSA.
Objective:
To describe the technique and determine the indications for sleep endoscopy in children.
Material And Methods:
This study included 35 children, the average age of 5 years 1 month ± 3 years 4 months (from 1 year 6 months to 14 years 5 months). All children underwent standard polysomnography and sleep endoscopy.
Results:
According to polysomnography, severe obstructive sleep apnea (OSA) was diagnosed in 21 children, moderate - in 8 children and mild - in 6 children. Sleep endoscopy revealed that in most cases in unoperated children (about 70%), adenoids and palatine tonsils were the cause of obstruction. In the group of children, who previously underwent surgery for OSA, the causes of residual apnea more often were soft palate and palatine tonsils. In 5 of 8 children, tonsils pharyngoscopy size did not exceed the 1st degree. In 1 child after adenotonsillectomy, the hypertrophic tori tubarii were the cause of obstruction. Another rare cause of upper airway obstruction, lingual tonsil hypertrophy, was found in 2 primary patients.
Conclusion:
Sleep endoscopy is a safe and useful method that makes it possible to determine the level of obstruction in children and to plan the optimal amount of surgical treatment.
Related Concept Videos
01:29Endoscopic Procedures I: Esophagogastroduodenoscopy
During an EGD, the endoscope can be used to:
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
01:28Endoscopic Procedures III: Video Capsule Endoscopy
01:26Endoscopic Procedures V: ERCP
Patient...
01:25Endoscopic Procedures II: Colonoscopy
01:30Endoscopic Studies I: Bronchoscopy and Thoracoscopy
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...