Journal Reviews

Otolaryngologic Clinics journal cover image

What to do if adenotonsillectomy does not cure sleep apnoea in children?

30 April 2020 | | Paediatric ENT | DISE, Pediatric obstructive sleep apnea, Persistent OSA, Tongue base obstruction

This article reviews the management of children with persistent obstructive sleep apnoea (OSA) following adenotonsillectomy (AT). Risk factors for patients to have persistent disease include obesity, being Afro-Caribbean and existing co-morbidities such as craniofacial and neuromuscular disorders. Initial assessment of...

The sleep nasendoscopy learning curve

1 July 2017 | | DISE, Drug-induced sedation endoscopy, Obstructive sleep apnea hypoapnea syndrome, Sleep disordered breathing, Sleep endoscopy, VOTE classification

There seems to be no accepted way of surgically assessing patients with sleep disordered breathing (SDB). Because of this, clinicians fall roughly into three camps: those who just use one operation for all patients, those who have given up surgery...

Describing the most useful OSA assessment?

1 January 2017 | | sleep endoscopy, drug-induced sleep endoscopy, DISE, sleep nasendoscopy

This article sets out to comprehensibly describe drug induced sleep endoscopy and its role in determining the level of obstruction in patients with OSA. The advantages described include the fact that other techniques, including Muller’s manoeuvre, have significant variation in...

Surgical options for children with OSA

1 January 2017 | | Sleep-disordered breathing, Sleep apnea, Obstructive sleep apnea, Pediatric, Adenotonsillectomy, Lingual tonsillectomy, Midline glossectomy, Supraglottoplasty, Turbinoplasty, Tracheostomy, Drug-induced sleep endoscopy, DISE, Distraction osteogenesis

This paper looks at the surgical management of OSA in children and approaches the method of patient selection initially. They discuss the role of polysomnography in that it is part of the AAOHNS criteria in those patients with OSA symptoms...

Variations in obstructive level with increasing depth of sedation in DISE

1 November 2016 | | BIS, DISE, Drug-induced sedation endoscopy, Propofol, Sedation depth, Simulated snoring

This study highlights some of the controversies surrounding DISE (Drug Induced Sedation Endoscopy, or otherwise known as sleep nasendoscopy in the UK). On one hand it provides some evidence that the BIS (BiSpectral Index), recordings of patients while they are...