Cited 18 times in
Can drug-induced sleep endoscopy improve the success rates of tongue base surgery?
DC Field | Value | Language |
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dc.contributor.author | 김창훈 | - |
dc.contributor.author | 남재성 | - |
dc.contributor.author | 윤주헌 | - |
dc.contributor.author | 조형주 | - |
dc.contributor.author | 하종균 | - |
dc.contributor.author | 박정진 | - |
dc.date.accessioned | 2020-04-13T16:58:47Z | - |
dc.date.available | 2020-04-13T16:58:47Z | - |
dc.date.issued | 2020 | - |
dc.identifier.issn | 1916-0208 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/175595 | - |
dc.description.abstract | BACKGROUND: The purpose of this study was to determine the therapeutic value of drug-induced sleep endoscopy (DISE) by comparing the outcomes of tongue base surgery based on Muller's maneuver (MM) and those based on DISE in obstructive sleep apnea (OSA) patients. METHODS: Ninety-five patients who underwent the tongue base surgery in combination with palatal surgery for OSA at a tertiary referral hospital between March 2012 and March 2019 were enrolled in this retrospective comparative study. Forty-seven patients underwent MM for surgical decision and 48 patients underwent DISE in addition to MM for surgical decision. Surgical success was defined according to the Sher criteria (postoperative apnea-hypopnea index [AHI] < 20/h and ≥ 50% reduction in preoperative AHI), and AHI improvement (%) was defined as (preoperative AHI-postoperative AHI) × 100/preoperative AHI. For comparison between the MM and DISE groups, p-values were calculated using independent or paired t-tests for continuous variables and using chi-square test for categorical variables. RESULTS: By comparing the results of MM and DISE, consensus on the tongue base level showed insignificant concordance (kappa = 0.017, p = 0.865), whereas that on the oropharynx level showed fair agreement (kappa =0.241, p = 0.005). AHI, supine AHI, rapid eyeball movement (REM) AHI, non-REM AHI, and nadir oxygen saturation were all significantly improved after the tongue base surgery in both groups. The MM group showed a significant improvement in the Epworth sleepiness scale after the tongue base surgery (p = 0.014), whereas the DISE group did not (p = 0.165). However, there was no significant difference in the AHI improvement (MM group = 47.0 ± 32.0, DISE group = 48.3 ± 35.4, p = 0.852) and surgical success (MM group = 42.6%, DISE group = 45.8%, p = 0.748) between the groups. Tonsil grade (p < 0.05) and occlusion at the oropharynx lateral wall (p = 0.031) were significantly related to surgical success in the MM group. CONCLUSIONS: In the judgment of the tongue base surgery, MM and DISE findings showed poor agreement. DISE might affect the surgical decision on the tongue base surgery in OSA patients; however, there was a lack of evidence regarding the superiority of DISE over MM with respect to the surgical outcomes. | - |
dc.description.statementOfResponsibility | open | - |
dc.format | application/pdf | - |
dc.language | English | - |
dc.publisher | BioMed Central | - |
dc.relation.isPartOf | JOURNAL OF OTOLARYNGOLOGY-HEAD & NECK SURGERY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Can drug-induced sleep endoscopy improve the success rates of tongue base surgery? | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Otorhinolaryngology (이비인후과학교실) | - |
dc.contributor.googleauthor | Jong-Gyun Ha | - |
dc.contributor.googleauthor | Youngwoo Lee | - |
dc.contributor.googleauthor | Jae Sung Nam | - |
dc.contributor.googleauthor | Jeong Jin Park | - |
dc.contributor.googleauthor | Joo-Heon Yoon | - |
dc.contributor.googleauthor | Chang-Hoon Kim | - |
dc.contributor.googleauthor | Hyung-Ju Cho | - |
dc.identifier.doi | 10.1186/s40463-020-00405-w | - |
dc.contributor.localId | A01050 | - |
dc.contributor.localId | A05623 | - |
dc.contributor.localId | A02604 | - |
dc.contributor.localId | A03936 | - |
dc.contributor.localId | A04810 | - |
dc.relation.journalcode | J03786 | - |
dc.identifier.eissn | 1916-0216 | - |
dc.identifier.pmid | 32093777 | - |
dc.subject.keyword | Drug-induced sleep endoscopy | - |
dc.subject.keyword | Muller maneuver | - |
dc.subject.keyword | Obstructive sleep apnea | - |
dc.subject.keyword | Tongue base surgery | - |
dc.contributor.alternativeName | Kim, Chang Hoon | - |
dc.contributor.affiliatedAuthor | 김창훈 | - |
dc.contributor.affiliatedAuthor | 남재성 | - |
dc.contributor.affiliatedAuthor | 윤주헌 | - |
dc.contributor.affiliatedAuthor | 조형주 | - |
dc.contributor.affiliatedAuthor | 하종균 | - |
dc.citation.volume | 49 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | e8 | - |
dc.identifier.bibliographicCitation | JOURNAL OF OTOLARYNGOLOGY-HEAD & NECK SURGERY, Vol.49(1) : e8, 2020 | - |
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