engleski

DISE - DRUG INDUCED SEDATION ENDOSCOPY.

Drug-induced sedation endoscopy (DISE) was first described in 1991 and today represents one of the basic diagnostic procedures in the treatment of patients with obstructive sleep apnea (OSA). The current literature and our experience have shown that DISE is a reliable diagnostic procedure, easy to perform and safe for the patient. The patient is sedated with continuous intravenous administration of propofol and mandatory brain activity monitoring. During endoscopy location of the obstruction, mechanism and degree of obstruction are observed. The most common are multilevel obstruction, whereas circular mechanism of obstruction is associated with a more severe form of OSA. DISE significantly impact the planning of surgical therapy and success of surgical treatment. The modified mandibular maneuver during DISE simulate treatment with mandibular advancement splint (MAS) and MAS can be used during DISE to correct the treatment. Therefore, DISE represents one of the basic diagnostic procedures, not only before the surgery but also before conservative treatment of patients with OSA.

DISE ; OSA

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