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L'endoscopie sous sommeil induit : un outil indispensable pour la prise en charge du ronflement et des apnées obstructives du sommeil

par Carlot, Sebastien
Référence Revue médicale de Bruxelles, 41, 6, page (449-454)
Publication Publié, 2020-12

Article révisé par les pairs

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Résumé :

Introduction : Obstructive sleep apnea (OSA) or simple snoring are common reasons for ENT consultation. OSA is characterized by a partial or complete collapse of the upper respiratory tract during sleep, with many consequences such as a decrease in quality of life or even cardiovascular diseases. It can be associated with snoring, causing social discomfort. The Drug Induced Sleep Endoscopy (DISE) evaluate the sites involved in obstruction or snoring. Method : DISE is perform in one day hospital in a silent operating room. The patient is installed in dorsal or lateral decubitus. Sedation is performed under cardiorespiratory monitoring. A dynamic assessment of the upper airways is done with endoscopic control. We use the VOTE classification to describe the configuration and severity of various obstructive sites. Results : The description of different collapsus allows us to choose the appropriate treatment for each patient. Some anatomical configurations have an increased risk for surgery like pharyngoplasty. The prescription of oral appliances is also based on the results of this endoscopy. In some cases, the maintenance of CPAP is recommended. Conclusion : DISE is essential in the management of OSA or snoring. It predicts the potential effectiveness of a treatment, depending on the collapse of the upper respiratory tract.