Advanced Diagnostic Techniques in Obstructive Sleep Apnea - 26/04/24

Doi : 10.1016/j.otc.2024.02.002

Seckin O. Ulualp, MD, MBA ^a,^b,^⁎ , Eric J. Kezirian, MD, MPH ^c,^d
^a Department of Otolaryngology–Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA
^b Division of Pediatric Otolaryngology, Children’s Health, 2360 North Stemmons Freeway, F6.215, Dallas, TX 75207, USA
^c Department of Head and Neck Surgery, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA
^d Department of Head and Neck Surgery, 1131 Wilshire Boulevard, Suite 302, Santa Monica, CA 90401, USA

^∗Corresponding author. Division of Pediatric Otolaryngology, Children’s Health Dallas, 2360 North Stemmons Freeway, F6.215, Dallas, TX 75207.Division of Pediatric OtolaryngologyChildren’s Health Dallas2360 North Stemmons Freeway, F6.215DallasTX75207

Resumen

Optimal surgical and medical management of obstructive sleep apnea requires clinically reliable identification of patterns and sites of upper airway obstruction. A wide variety of modalities have been used to evaluate upper airway obstruction. Drug-induced sleep endoscopy (DISE) and cine MRI are increasingly used to identify upper airway obstruction sites, to characterize airway obstruction patterns, to determine optimum medical and surgical treatment, and to plan individualized surgical management. Here, we provide an overview of the applications of DISE and cine MRI in assessing upper airway obstruction in children and adults with obstructive sleep apnea.

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Keywords : Drug-induced sleep endoscopy, Cine MRI, Obstructive sleep apnea, Airway obstruction, Children, Adults