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

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Published on: December 6, 2016

Apnea obstructiva del sueño en adultos

M A J van Looij¹, S K Singh¹, G Aarab²

¹The ear, nose and throat department of the OLVG hospital in Amsterdam.

Nederlands tijdschrift voor tandheelkunde

|February 4, 2026

Resumen

La apnea obstructiva del sueño (AOS) es una afección común con síntomas como ronquidos y somnolencia diurna. El diagnóstico implica estudios del sueño y las opciones de tratamiento van desde cambios en el estilo de vida hasta cirugía.

Palabras clave:

apnea obstructiva del sueño diagnóstico tratamiento CPAP aparatos orales cirugía ronquidos somnolencia diurna

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Área de la Ciencia:

Medicina del Sueño; Otorrinolaringología

Sus antecedentes:

La apnea obstructiva del sueño (AOS) es un trastorno del sueño generalizado.
Los síntomas comunes incluyen ronquidos, apneas y somnolencia diurna excesiva.
Los problemas dentales como el bruxismo y la xerostomía son comorbilidades frecuentes.

Objetivo del estudio:

Describir las estrategias de diagnóstico y tratamiento de la apnea obstructiva del sueño.
Destacar la importancia de un enfoque integral que considere las preferencias del paciente.

Principales métodos:

El diagnóstico se basa en la historia clínica, el examen físico y la polisomnografía (estudio del sueño).
La endoscopia del sueño inducida por fármacos (DISE) ofrece información adicional para los candidatos a cirugía.
La planificación del tratamiento integra los hallazgos objetivos con las expectativas del paciente.

Principales resultados:

La AOS no tratada puede provocar graves complicaciones cardiovasculares y metabólicas.
Un enfoque multidisciplinario garantiza planes de tratamiento personalizados.
Existen estrategias de manejo eficaces.

Conclusiones:

La AOS requiere un diagnóstico exhaustivo y un tratamiento personalizado.
Las opciones de manejo son diversas, incluyendo modificaciones del estilo de vida, CPAP, aparatos orales y cirugía.
Abordar la AOS es crucial para prevenir problemas de salud a largo plazo.