title: Drug-induced sleep endoscopy: A new gold standard for evaluating OSAS? Part I: Technique.
abstract: Surgical results in obstructive sleep apnea syndrome (OSAS) vary greatly, whatever the surgical technique or site treated. Most authors agree that rigorous patient selection is logical and mandatory. Drug-induced sleep endoscopy (DISE) was introduced in 1991 and has been rediscovered and used extensively since the 2000s. It mimics sleep in order to observe the upper airway on flexible endoscopy. A review of the DISE literature was performed, and is reported in two parts. The present first part describes the technique: drugs, practical anesthesiologic and ENT modalities, reproducibility, and limitations.
authors.affiliation: Service ORL, hôpital Foch, 40, rue Worth, 92140 Suresnes, France; Centre médical Veille Sommeil, 59, avenue de Villiers, 75017 Paris, France. Electronic address: blumen@cmvs.fr.
authors.forename: M
authors.initials: M
authors.lastname: Blumen
authors.affiliation: Service ORL, hôpital Mondor, 51, avenue du Général-de-Lattre-de-Tassigny, 94000 Créteil, France.
authors.forename: E
authors.initials: E
authors.lastname: Bequignon
authors.affiliation: Service ORL, hôpital Foch, 40, rue Worth, 92140 Suresnes, France.
authors.forename: F
authors.initials: F
authors.lastname: Chabolle
mesh_terms: D000402:Airway Obstruction / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D004724:Endoscopy / Q000379:methods; D006801:Humans; D006993:Hypnotics and Sedatives / Q000008:administration & dosage*; D018579:Patient Selection; D017286:Polysomnography; D012016:Reference Values; D015203:Reproducibility of Results; D012890:Sleep; D020181:Sleep Apnea, Obstructive / Q000150:complications / Q000175:diagnosis* / Q000628:therapy
chemical_list: D006993:Hypnotics and Sedatives
keywords: Diagnosis; Drug-induced sleep endoscopy; Exploration; Obstructive sleep apnea syndrome; Snoring