Drug-induced sleep endoscopy in children

Q3 Medicine
Ariel Omiunu MD , Marta Kulich MD , Alison Ma MS , Mohamed Elrakhawy MD , Michele Carr DDS, MD, PhD
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引用次数: 0

Abstract

Drug-induced sleep endoscopy (DISE) has become an essential diagnostic tool in children with persistent obstructive sleep apnea (OSA) after adenotonsillectomy or those at high risk of persistent OSA. Utilizing either propofol or dexmedetomidine intravenous sedation to model sleep in the operating room, a flexible laryngoscope is used to look for obstruction at each level of the airway. Several pediatric-specific DISE scoring systems have been published in an effort to provide a thorough and reproducible airway assessment. Although they all assign severity grades, the scoring systems differ depending on which anatomic subsites they include. DISE-directed surgery encompasses a set of procedures which target areas of airway obstruction identified during sleep endoscopy.

儿童药物诱导睡眠内镜
药物诱导睡眠内镜(Drug-induced sleep endoscopy, dis)已成为儿童腺扁桃体切除术后持续性阻塞性睡眠呼吸暂停(OSA)或持续性OSA高危人群的重要诊断工具。利用异丙酚或右美托咪定静脉镇静在手术室模拟睡眠,使用柔性喉镜寻找气道各层的阻塞。一些儿科特定的疾病诊断评分系统已经发表,以提供彻底和可重复的气道评估。尽管它们都分配了严重程度等级,但评分系统的不同取决于它们所包含的解剖亚位点。dis指导的手术包括一套针对睡眠内窥镜检查中发现的气道阻塞区域的手术。
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来源期刊
CiteScore
0.70
自引率
0.00%
发文量
46
审稿时长
43 days
期刊介绍: This large-size, atlas-format journal presents detailed illustrations of new surgical procedures and techniques in otology, rhinology, laryngology, reconstructive head and neck surgery, and facial plastic surgery. Feature articles in each issue are related to a central theme by anatomic area or disease process. The journal will also often contain articles on complications, diagnosis, treatment or rehabilitation. New techniques that are non-operative are also featured.
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