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The Emerging Role of Drug-Induced Sleep Endoscopy in the Management of Obstructive Sleep Apnea
Crystal SJ Cheong,Weiqiang Loke,Mark Kim Thye Thong,Song Tar Toh,Chi-Hang Lee 대한이비인후과학회 2021 Clinical and Experimental Otorhinolaryngology Vol.14 No.2
Obstructive sleep apnea is a prevalent sleep disorder characterized by partial or complete obstruction of the upper airway. Continuous positive airway pressure is the first-line therapy for most patients, but adherence is often poor. Alternative treatment options such as mandibular advancement devices, positional therapy, and surgical interventions including upper airway stimulation target different levels and patterns of obstruction with varying degrees of success. Drug-induced sleep endoscopy enables the visualization of upper airway obstruction under conditions mimicking sleep. In the era of precision medicine, this additional information may facilitate better decision-making when prescribing alternative treatment modalities, with the hope of achieving better adherence and/or success rates. This review discusses the current knowledge and evidence on the role of drug-induced sleep endoscopy in the non-positive airway pressure management of obstructive sleep apnea.