Vito Andrea De, Cammaroto Giovanni, Chong Khai Beng, Carrasco-Llatas Marina, Vicini Claudio
Head and Neck Department, ENT unit, Morgagni-Pierantoni Hospital, AUSL of Romagna, Forlì 47121, Italy.
Department of Otorhinolaryngology, Tan Tock Seng Hospital, 308433, Singapore.
Healthcare (Basel). 2019 Aug 25;7(3):100. doi: 10.3390/healthcare7030100.
The visualization of the level and pattern of apnea and hypopnea events is of pivotal importance in the diagnosis and therapeutic decision-making for sleep-disordered breathing (SDB). There are numerous techniques available to assess upper airway obstruction, which include imaging, acoustic analysis, pressure transducer recording, and endoscopic evaluation. Drug-induced sleep endoscopy (DISE) is a diagnostic tool that allows the dynamic, three-dimensional evaluation of the patterns of vibration and collapse of the upper airway of SDB patients. DISE may change the initial surgical planning in a high percentage of cases. A universally accepted and methodologically standardized DISE could provide significant insight into its role to improve surgical outcomes. However, up to now the ideal DISE protocol remains an open question.
睡眠呼吸暂停和低通气事件的水平及模式可视化对于睡眠呼吸障碍（SDB）的诊断和治疗决策至关重要。有多种技术可用于评估上气道阻塞，包括成像、声学分析、压力传感器记录和内镜评估。药物诱导睡眠内镜检查（DISE）是一种诊断工具，可对SDB患者上气道的振动和塌陷模式进行动态三维评估。DISE在很大比例的病例中可能会改变初始手术规划。一种普遍接受且方法标准化的DISE可以为其改善手术效果的作用提供重要见解。然而，到目前为止，理想的DISE方案仍然是一个悬而未决的问题。
