Royal National Throat, Nose & Ear Hospital, Gray's Inn Road, London, UK.
Royal National Throat, Nose & Ear Hospital, Gray's Inn Road, London, UK.
Sleep Med Rev. 2018 Oct;41:141-148. doi: 10.1016/j.smrv.2018.02.001. Epub 2018 Feb 24.
Sleep disordered breathing (SDB) comprises a spectrum of disorders, ranging from simple snoring to severe obstructive sleep apnoea (OSA), with a significant burden to health care systems in high income countries. If left untreated, OSA has significant cumulative, long-term health consequences. In the 1990s drug induced sedation endoscopy (DISE) has been developed to become a primary tool in the diagnosis and management of OSA. It allows meticulous endoscopic evaluation of the airway and identifies areas of collapse, thereby informing both on the selection of surgical techniques, where efficacy depends entirely on success at relieving obstruction at a certain level and on the usefulness of conservative measures, such as mandibular advancement splints. This article provides a review of the literature on DISE, covering different grading systems and techniques, explaining different rationales and discussing controversies.
睡眠呼吸障碍（SDB）包括一系列疾病，从单纯打鼾到严重阻塞性睡眠呼吸暂停（OSA），给高收入国家的医疗保健系统带来了重大负担。如果不治疗，OSA 会产生严重的累积性、长期性健康后果。20 世纪 90 年代，药物诱导镇静内镜检查（DISE）已发展成为诊断和治疗 OSA 的主要工具。它允许对气道进行细致的内镜评估，并确定塌陷区域，从而为手术技术的选择提供信息，手术的疗效完全取决于在特定水平上缓解阻塞的成功程度，以及保守治疗措施的有用性，如下颌前伸夹板。本文综述了 DISE 的文献，涵盖了不同的分级系统和技术，解释了不同的原理，并讨论了争议。
