Related Experiment Video

Updated: Aug 20, 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

Drug-induced sleep endoscopy in the identification of obstruction sites causing obstructive sleep apnea-hypopnea

M Demoures-Patris de Breuil1, F Chatelet2, N Leboulanger3

  • 1Service d'Otorhinolaryngologie Pédiatrique, AP-HP, Hôpital Necker-Enfants Malades, 75015 Paris, France.

European Annals of Otorhinolaryngology, Head and Neck Diseases
|August 18, 2026
PubMed

Insights

Drug-induced sleep endoscopy (DISE) identified more airway obstruction sites than clinical exams in children with obstructive sleep apnea (OSA). This led to significant changes in surgical plans and improved outcomes.

Area of Science:

  • Pediatric Otolaryngology
  • Sleep Medicine
  • Surgical Planning

Background:

  • Limited evidence compares drug-induced sleep endoscopy (DISE) with clinical examination for guiding multilevel surgery in pediatric obstructive sleep apnea (OSA).
  • Accurate identification of obstruction sites is crucial for effective surgical intervention in children with OSA.

Purpose of the Study:

  • To evaluate the surgical contribution of DISE compared to traditional clinical examination in pediatric OSA patients.
  • To determine if DISE alters surgical strategy and improves outcomes compared to clinical assessment alone.

Main Methods:

  • Retrospective cohort study of 240 children with OSA undergoing DISE.
  • Comparison of pre-operative clinical examination findings with intraoperative anatomic data from DISE.
  • Analysis of surgical strategy changes and post-operative apnea-hypopnea index (AHI) improvement.

Main Results:

  • DISE prompted surgical strategy changes in 75% of cases, increasing planned procedures from 597 to 803.
  • Agreement between DISE and clinical exam was moderate to weak for most sites, especially tongue base and laryngeal vestibule.
  • DISE revealed a significantly higher total anatomic obstruction score and led to significant AHI improvement post-surgery.

Conclusions:

  • DISE is superior to clinical examination in identifying multiple obstruction sites in children with OSA.
  • DISE significantly impacts surgical planning and contributes to better patient outcomes in pediatric OSA.
Abstract

Keywords:
Drug-induced sleep endoscopyObstructive sleep apnea-hypopnea syndromePediatricsTreatment

More Related Videos

Image Acquisition using Portable Sonography for Emergency Airway Management07:31

Image Acquisition using Portable Sonography for Emergency Airway Management

Published on: September 28, 2022

Related Concept Videos

Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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...
Endoscopic Procedures III: Video Capsule Endoscopy01:28

Endoscopic Procedures III: Video Capsule Endoscopy

Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers, unexplained...
Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Esophageal Strictures-I: Introduction01:30

Esophageal Strictures-I: Introduction

Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...