약물유도 수면내시경검사가 폐쇄성 수면무호흡증 환자의 치료 방침 결정에 미치는 영향 (Effect of Drug-Induced Sedation Endoscopy on the Decision of Treatment Plan in Patients with Obstructive Sleep Apnea)

서지정보

· 발행기관 : 대한이비인후과학회
· 수록지 정보 : 대한이비인후-두경부외과학회지 / 61권 / 6호 / 295 ~ 299페이지
· 저자명 : 이성민, 배승희, 이강현, 이호준, 박혜상, 이준호, 박찬흠, 김동규

초록

Background and Objectives Drug-induced sedation endoscopy (DISE) has recently gainedpopularity among otolaryngologists because it can provide direct information of upper airwayobstruction in patients with obstructive sleep apnea (OSA). In that regard, we examined howDISE examination affected the decision of clinician’s treatment plan and the consequent patient’scompliance in OSA patients.
Subjects and Method All enrolled patients were classified into two groups according to themethod of upper airway evaluation employed: a physical examination only group and a physicalexamination combined with DISE group. The clinician’s treatment plan was categorized intothe following four groups: sleep surgery, positive airway pressure, oral appliance, and sleep surgerycombined with oral appliance. The change of patient’s compliance was also evaluated.
Results There were several differences in how DISE evaluation affected the decision of clinician’streatment plan and patient’s compliance between the two groups. The rate for sleep surgeryfell from 69.6% to 15.9%; on the other hand, the rate for positive airway pressure, oralapplianceand sleep surgery combined with oral appliance all increased from 13.0% to 36.2%,14.5% to 26.6%, and 2.9% to 21.3%, respectively. The patient’s compliance also changed afterDISE evaluation: sleep surgery, positive airway pressure, oral appliance and sleep surgery combinedwith oral appliance all increased from 78.1% to 87.9%, 16.7% to 76.0%, 25.0% to 87.3%,and 50.0% to 91.03%, respectively.
Conclusion We found that DISE examination influences the decision of clinician’s treatmentplan and patient’s compliance. We suggest additional cohort studies to confirm these findings.

영어초록

Background and Objectives Drug-induced sedation endoscopy (DISE) has recently gainedpopularity among otolaryngologists because it can provide direct information of upper airwayobstruction in patients with obstructive sleep apnea (OSA). In that regard, we examined howDISE examination affected the decision of clinician’s treatment plan and the consequent patient’scompliance in OSA patients.
Subjects and Method All enrolled patients were classified into two groups according to themethod of upper airway evaluation employed: a physical examination only group and a physicalexamination combined with DISE group. The clinician’s treatment plan was categorized intothe following four groups: sleep surgery, positive airway pressure, oral appliance, and sleep surgerycombined with oral appliance. The change of patient’s compliance was also evaluated.
Results There were several differences in how DISE evaluation affected the decision of clinician’streatment plan and patient’s compliance between the two groups. The rate for sleep surgeryfell from 69.6% to 15.9%; on the other hand, the rate for positive airway pressure, oralapplianceand sleep surgery combined with oral appliance all increased from 13.0% to 36.2%,14.5% to 26.6%, and 2.9% to 21.3%, respectively. The patient’s compliance also changed afterDISE evaluation: sleep surgery, positive airway pressure, oral appliance and sleep surgery combinedwith oral appliance all increased from 78.1% to 87.9%, 16.7% to 76.0%, 25.0% to 87.3%,and 50.0% to 91.03%, respectively.
Conclusion We found that DISE examination influences the decision of clinician’s treatmentplan and patient’s compliance. We suggest additional cohort studies to confirm these findings.

참고자료

· 없음