The relationship between AHI, Epworth scores and sleep endoscopy in patients with OSAS

Belgü, Ayfer Ulçay; Erdoğan, Barış; San, Turhan; Gürkan, Emre

doi:10.1007/s00405-014-3220-2

Cited by 13 publications

(14 citation statements)

References 13 publications

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“…This point was highlighted by Bachar et al, who noted that the Pringle and Croft scoring system lacked information regarding obstruction at the nasal passages, larynx, and hypopharynx and failed to quantify the degree of narrowing at each level. 34 Jones et al used both the Pringle and Croft 34 Prospective cohort 7 Belgu (2015) 39 Prospective cohort 6 Boudewyns (2014) 13 Cohort 6 Camilleri (1995) 28 Case-control 6 Chan (2014) 35 Retrospective cohort 7 Den Herder (2005) 40 Cohort 7 De Corso (2013) 16 Prospective cohort 7 De Corso (2015) 11 Prospective cohort 5 Doerga (2016) 14 Prospective cohort 8 Johal (2005) 29 Cohort 7 Jones (2006) 30 Cohort 5 Kezirian (2010) 31 Prospective cohort 8 Liu (2015) 19 Retrospective cohort 8 Liu (2016) 20 Retrospective cohort 9 Ong (2016) 21 Prospective cohort 7 Pringle (1993) 9 Cohort 6 Rodriguez-Bruno (2009) 43 Prospective cohort 8 Safiruddin (2015) 23 Cohort 8 Salamanca (2013) 12 Prospective cohort 7 Vanderveken (2013) 24 Cohort 7 Vroegop (2013) 26 Cohort 5 Vroegop (2013) 32 Cohort 7 Kezirian 18 Description of classification VOTE 2007 Kotecha 8 Case series 2485 44.1 6 10.6 OSAS Pringle and Croft 2015 Liu 19 Retrospective cohort 16 47 6 10.9 OSAS before and after MMA VOTE 2016 Liu 20 Retrospective cohort 20 44 6 12 OSAS before and after MMA VOTE 2015 Lovato 41 Case series 20 50. 8 42 Cross-sectional study 34 41.35 6 7.9 OSA Rabelo 2011 Ravesloot 22 Prospective case series 100 46.7 6 11.5 OSAS or habitual snorers VOTE 2009 Rodriguez-Bruno 43 Prospective cohort 32 42.7 6 9.7 AHI .5 3 analyses 2015 Safiruddin 23 Cohort 60 48.5 6 14.5 AHI .5 V O T E 2013 Salama 44 Prospective cro...…”

Section: Discussionmentioning

confidence: 99%

Systematic Review of Drug‐Induced Sleep Endoscopy Scoring Systems

Amos¹,

Durr

Nardone

et al. 2017

Otolaryngol.--head neck surg.

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Objective To systematically review the scoring systems used to report findings during drug-induced sleep endoscopy (DISE) for adults and children with obstructive sleep apnea. Data Sources PubMed, CINAHL, EBM Reviews, Embase, and Scopus databases. Review Methods This is a systematic review of all indexed years of publications referring to scoring of DISE for children and adults with obstructive sleep apnea. The type of DISE scoring system utilized was the primary outcome. PRISMA guidelines were followed to carry out this review; articles were independently reviewed by 2 investigators. All pediatric and adult studies that utilized ≥1 DISE grading systems were included. Results Of 492 identified abstracts, 44 articles (combined population, N = 5784) were ultimately included; 6 reported on children, 35 on adults, and 1 on children and adults. Twenty-one reporting methods were used in these studies, with the most common being the VOTE system (velum, oropharynx, tongue base, and epiglottis; 38.6%) and the Pringle and Croft classification (15.9%). The sites of obstruction most commonly included in a scoring system were the tongue base (62%), lateral pharynx/oropharynx (57%), palate (57%), epiglottis/supraglottis (38%), and hypopharynx (38%). Less commonly included sites were the larynx (29%), velum (23%), nose (23%), tongue (14%), adenoids (10%), and nasopharynx (10%). Conclusion There is no consensus regarding which scoring system should be utilized to report findings during DISE. The VOTE system and the Pringle and Croft classification were the most frequent scoring systems reported for patients undergoing DISE. Standardization of the reporting of DISE findings would improve comparability among studies.

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Section: Discussionmentioning

confidence: 99%

Systematic Review of Drug‐Induced Sleep Endoscopy Scoring Systems

Amos¹,

Durr

Nardone

et al. 2017

Otolaryngol.--head neck surg.

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“…Belgü et.al did not find a correlation between ESS and sleep endoscopy 19 . In the current study, a positive correlation was determined between Müller's maneuver in the uvulopalatal region, Müller's maneuver in the lateral pharyngeal band, and sleep endoscopy in the uvulopalatal region.…”

Section: Discussionmentioning

confidence: 91%

Horlama ile başvuran OSAS hastalarında üst hava yolu kollabsibilitesinin değerlendirilmesi

Bilal¹,

Selçuk²,

Bilal³

et al. 2018

Cukurova Medical Journal

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The aim of this study was to determine the most appropriate diagnostic method for the detection of the site and configuration of obstructed regions for the successful management of patients with obstructive sleep apnea. Materials and Methods: The study included 40 patients with snoring complaints who underwent septoplasty surgery followed by polysomnography. Evaluation was made in respect of age, gender, Epworth Sleepiness Scale, bodymass index (BMI), modified Mallampati scoring, Müller's maneuver, and sleep endoscopy data. Patients with collapse of >50% in Müller's maneuver and sleep endoscopy were considered as serious obstructions. Results: No significant difference was observed between the assessments of Mallampati scoring and sleep endoscopy in the laryngeal region. In the comparison of sleep endoscopy and Müller's maneuver, significant differences were observed in the lateral band, uvulapalatal region and tongue base. Conclusion: Sleep endoscopy is increasingly preferred since it enables the observation of important changes during sleep. The data of the current study support the view that sleep endoscopy is a more advantageous method at the upper levels as useful information is provided for upper airway evaluation. Amaç: Tıkayıcı uyku apnesi sendromu olan hastalarda başarılı cerrahi için obstrüksiyon alanlarının ve obstrüksiyon boyutunun değerlendirilmesi ve tesbiti için en uygun tanısal yöntemi saptamaktır. Gereç ve Yöntem: Çalışmamıza horlama şikayeti ile başvuran septoplasti operasyonu sonrası polisomnografisi de yapılan 40 hasta dahil edildi. Hastaların yaş, cinsiyet, Epworth uyku skalası, vücut kitle endeksi, modifiye Mallampati skoru, Müller manevrası ve uyku endoskopisi değerlendirildi. Hastaların Müller manevrasında ve uyku endoskopisinde tıkanıklığı %50 üzerinde olanlar ciddi obstrüksiyon olarak değerlendirildi. Bulgular: Laringeal bölgede uyku endoskopisi ile modifiye mallampati skorları arasında anlamlı farklılık tesbit edilmedi. Uyku endoskopisi ve Müller manevrası değerlendirildiğinde iki yöntem arasında uvulopalatal bölgede, lateral faringeal band ve dil kökünde anlamlı farklılık izlendi. Sonuç: Uyku sırasında önemli değişiklikleri gözlemlenmesinden dolayı uyku endoskopisi daha sık olarak tercih edilmektedir. Çalışmamızda üst seviyelerde uyku endoskopisinin avantajlarını destekleyen ve öğreten veriler elde edilmiştir. Uyku endoskopisi üst hava yollarının değerlendirilmesinde daha faydalı bilgiler verir.

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“…). The remaining 30 articles were retrieved for more detailed full‐article evaluation, and 23 were excluded because of the lack of a direct comparison between awake examination and DISE, or because of the lack of mention to the impact on surgical decision making . One study was included after a manual search of references of the included studies.…”

Section: Resultsmentioning

confidence: 99%

Awake examination versus DISE for surgical decision making in patients with OSA: A systematic review

et al. 2015

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Objective: Traditionally, upper airway examination is performed while the patient is awake. However, in the past two decades, drug-induced sleep endoscopy (DISE) has been used as a method of tridimensional evaluation of the upper airway during pharmacologically induced sleep. This study aimed to systematically review the evidence regarding the usefulness of DISE compared with that of traditional awake examination for surgical decision making in patients with obstructive sleep apnea (OSA).Data Sources: Scopus, PubMed, and Cochrane Library databases were searched. Review Methods: Only studies with a primary objective of evaluating the usefulness of DISE for surgical decision making in patients with OSA were selected. The included studies directly compared awake examination data with DISE outcome data in terms of possible influences on surgical decision making and operation success.Results: A total of eight studies with 535 patients were included in this review. Overall, the surgical treatment changed after DISE in 50.24% (standard deviation 8.4) cases. These changes were more frequently associated with structures contributing to hypopharyngeal or laryngeal obstruction. However, these differences do not automatically indicate a higher success rate.Conclusion: This review emphasized the direct impact of DISE compared with that of awake examination on surgical decision making in OSA patients. However, it is also clear that the available published studies lack evidence on the association between this impact and surgical outcomes.

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The relationship between AHI, Epworth scores and sleep endoscopy in patients with OSAS

Cited by 13 publications

References 13 publications

Systematic Review of Drug‐Induced Sleep Endoscopy Scoring Systems

Systematic Review of Drug‐Induced Sleep Endoscopy Scoring Systems

Horlama ile başvuran OSAS hastalarında üst hava yolu kollabsibilitesinin değerlendirilmesi

Awake examination versus DISE for surgical decision making in patients with OSA: A systematic review

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