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Updated: Jul 10, 2025

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

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

Published on: December 6, 2016

Obstructive sleep apnea for the rhinologist.

Juan C Nogues¹, Nikhita Jain, Courtney T Chou

¹Department of Otolaryngology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.

Current Opinion in Otolaryngology & Head and Neck Surgery

|November 24, 2023

Summary

This summary is machine-generated.

Obstructive sleep apnea (OSA) management is evolving. Nasal and sinus surgery can improve sleep quality and CPAP tolerance in OSA patients, with special perioperative considerations for rhinologists.

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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

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Published on: June 20, 2018

Area of Science:

Otolaryngology
Sleep Medicine
Surgical Innovation

Background:

Obstructive sleep apnea (OSA) involves upper airway collapse during sleep.
Otolaryngologists are central to evolving OSA management, including new surgical techniques and devices.
This review focuses on OSA treatments, particularly for patients undergoing nasal, sinus, and skull base surgery.

Approach:

Review of current nonsurgical and surgical treatment options for OSA.
Emphasis on perioperative management for OSA patients undergoing specific head and neck surgeries.
Discussion of unique considerations for rhinologists managing OSA patients.

Key Points:

Positive airway pressure (PAP) therapy is first-line, with oral appliances and positional therapy as alternatives.
Surgical options include pharyngeal/tongue base procedures, hypoglossal nerve stimulation, and skeletal surgery.
Nasal and sinus surgery can enhance sleep quality and CPAP adherence.

Conclusions:

OSA patients require special consideration from rhinologists, especially those with moderate to severe OSA undergoing surgery.
Overnight observation may be beneficial for high-risk OSA patients post-ambulatory surgery.
CPAP can be resumed perioperatively, with timing dependent on individual patient and surgical factors.