Patterns of Upper Airway Obstruction on Drug-Induced Sleep Endoscopy in Patients with Sleep-Disordered Breathing with AHI 5:

摘要

ObjectiveTo describe the patterns of upper airway obstruction in patients with sleep-disordered breathing with apnea-hypopnea index (AHI) 5 using drug-induced sleep endoscopy (DISE).Study DesignRetrospective study.SettingTertiary care center.Subjects and MethodsInclusion of patients with sleep-disordered breathing with AHI 5 on polysomnography who underwent DISE. Patients 18 years of age were excluded. DISE findings were reported with the VOTEL classification system: the level of collapse was described as occurring at the velum, oropharynx, tongue base, epiglottis, and the lingual tonsils. The degree of collapse was reported as complete, partial, or none. The pattern of the obstruction was described as anteroposterior, lateral, or concentric when applicable.ResultsA total of 54 patients with sleep-disordered breathing with AHI 5 underwent DISE. Ages ranged from 19 to 65 years. DISE was performed alone in 7% (n = 4) of patients and in conjunction with surgery in 93% (n = 50) of patients. The velum was ...