Videoendoscopia do sono: Caracterização e comparação com manobra de Müller
DOI:
https://doi.org/10.34631/sporl.955Palavras-chave:
DISE, Manobra de Muller, SAOSResumo
Objetivos: Caracterização da população com Síndrome de Apneia Obstrutiva do Sono submetida a videoendoscopia do sono (DISE) e comparação com a manobra de Müller.
Desenho do estudo: Retrospetivo.
Material e Métodos: Revisão dos processos clínicos dos doentes submetidos a DISE de 2014 até 2019, com recolha de dados demográficos, antropométricos e do exame físico.
Resultados: 28 doentes realizaram DISE no período estudado. O local mais frequente de colapso da via aérea foi a nível da velofaringe (92%), sendo multinível em 64% dos casos. A manobra de Müller e a DISE foram razoavelmente concordantes quanto à presença de colapso a nível da velofaringe.
Conclusões: A DISE permite identificar os locais de colapso da via aérea e destacar alterações que possam não ser evidentes no exame objetivo, nomeadamente aquando da realização da manobra de Müller, sendo aconselhável a sua realização quando se consideram alternativas ao CPAP.
Referências
Heinzer R, Vat S, Marques-Vidal P, Marti-Soler H, Andries D, Tobback N. et al. Prevalence of sleep-disordered breathing in the general population: the HypnoLaus study. Lancet Respir Med. 2015 Apr;3(4):310-8. doi: 10.1016/S2213-2600(15)00043-0
Peppard PE, Young T, Barnet JH, Palta M, Hagen EW, Hla KM. Increased prevalence of sleep-disordered breathing in adults. Am J Epidemiol. 2013 May 1;177(9):1006-14. doi: 10.1093/aje/kws342.
Viana Ada C Jr, Thuler LC, Araújo-Melo MH. Drug-induced sleep endoscopy in the identification of obstruction sites in patients with obstructive sleep apnea: a systematic review Braz J Otorhinolaryngol. Jul-Aug 2015;81(4):439-46. doi: 10.1016/j.bjorl.2015.01.007.
Gillespie MB, Reddy RP, White DR, Discolo CM, Overdyk FJ, Nguyen SA. A trial of drug-induced sleep endoscopy in the surgical management of sleep-disordered breathing. Laryngoscope. 2013 Jan;123(1):277-82. doi: 10.1002/lary.23506.
- Qaseem A, Holty JE, Owens DK, Dallas P, Starkey M, Shekelle P. Management of obstructive sleep apnea in adults: A clinical practice guideline from the American College of Physicians. Ann Intern Med. 2013 Oct 1;159(7):471-83. doi: 10.7326/0003-4819-159-7-201310010-00704.
Qureshi A, Ballard RD. Obstructive sleep apnea. J Allergy Clin Immunol. 2003 Oct;112(4):643-51; quiz 652. doi: 10.1016/j.jaci.2003.08.031.
Pringle MB, Croft CB. A comparison of sleep nasendoscopy and the Muller manoeuvre. Clin Otolaryngol Allied Sci. 1991 Dec;16(6):559-62. doi: 10.1111/j.1365-2273.1991.tb00974.x.
Sleep-related breathing disorders in adults: recommendations for syndrome definition and measurement techniques in clinical research. The Report of an American Academy of Sleep Medicine Task Force. Sleep. 1999 Aug 1;22(5):667-89.
Kezirian EJ, Hohenhorst W, de Vries N. Drug-induced sleep endoscopy: the VOTE classification. Eur Arch Otorhinolaryngol. 2011 Aug;268(8):1233-1236. doi: 10.1007/s00405-011-1633-8.
Vicini C, De Vito A, Benazzo M, Frassineti S, Campanini A, Frasconi P. et al. The nose oropharynx hypopharynx and larynx (NOHL) classification: a new system of diagnostic standardized examination for OSAHS patients. Eur Arch Otorhinolaryngol. 2012 Apr;269(4):1297-300. doi: 10.1007/s00405-012-1965-z.
Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977 Mar;33(1):159-74. Biometrics. 1977;33(1):159-74.
Friedman M, Salapatas AM, Bonzelaar LB. Updated Friedman staging system for obstructive sleep apnea. Adv Otorhinolaryngol. 2017;80:41-48. doi: 10.1159/000470859.
Carrasco-Llatas M, Matarredona-Quiles S, De Vito A, Chong KB, Vicini C. Drug-induced sleep endoscopy: technique, indications, tips and pitfalls. Healthcare (Basel). 2019 Jul 24;7(3):93. doi: 10.3390/healthcare7030093.
Shteamer JW, Dedhia RC. Sedative choice in drug-induced sleep endoscopy: A neuropharmacology-based review. Laryngoscope. 2017 Jan;127(1):273-279. doi: 10.1002/lary.26132.
Marais J. The value of sedation nasendoscopy: a comparison between snoring and non-snoring patients. Clin Otolaryngol Allied Sci. 1998 Feb;23(1):74-6. doi: 10.1046/j.1365-2273.1998.00097.x.
- De Vito A, Carrasco Llatas M, Ravesloot MJ, Kotecha B. et al. European position paper on drug-induced sleep endoscopy: 2017 Update. Clin Otolaryngol. 2018 Dec;43(6):1541-1552. doi: 10.1111/coa.13213.
Certal VF, Pratas R, Guimarães L, Lugo R, Tsou Y, Camacho M. et al. Awake examination versus DISE for surgical decision making in patients with OSA: A systematic review. Laryngoscope. 2016 Mar;126(3):768-74. doi: 10.1002/lary.25722.
Cavaliere M, Russo F, Iemma M. Awake versus drug-induced sleep endoscopy: evaluation of airway obstruction in obstructive sleep apnea/hypopnoea syndrome. Laryngoscope. 2013 Sep;123(9):2315-8. doi: 10.1002/lary.23881.
Vroegop AV, Vanderveken OM, Boudewyns AN, Scholman J, Saldien V, Wouters K. et al. Drug-induced sleep endoscopy in sleep-disordered breathing: report on 1,249 cases. Laryngoscope. 2014 Mar;124(3):797-802. doi: 10.1002/lary.24479.
Pilaete K, De Medts J, Delsupehe KG. Drug-induced sleep endoscopy changes snoring management plan very significantly compared to standard clinical evaluation. Eur Arch Otorhinolaryngol. 2014 May;271(5):1311-9. doi: 10.1007/s00405-013-2795-3.
Salamanca F, Costantini F, Bianchi A, Amaina T, Colombo E, Zibordi F. Identification of obstructive sites and patterns in obstructive sleep apnoea syndrome by sleep endoscopy in 614 patients. Acta Otorhinolaryngol Ital. [Internet] 2013 Aug;33(4):261-6. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3773958/pdf/0392-100X-33-261.pdf
Agrawal S, Stone P, McGuinness K, Morris J, Camilleri AE. Sound frequency analysis and the site of snoring in natural and induced sleep. Clin Otolaryngol Allied Sci. 2002 Jun;27(3):162-6. doi: 10.1046/j.1365-2273.2002.00554.x.
Askar SM, Quriba AS, Hassan EM, Awad AM. Positional Awake Endoscopy Versus DISE in Assessment of OSA: A Comparative Study. Laryngoscope. 2020 Sep;130(9):2269-2274. doi: 10.1002/lary.28391
Yilmaz YF, Kum RO, Ozcan M, Gungor V, Unal A. Drug-induced sleep endoscopy versus Müller maneuver in patients with retropalatal obstruction. Laryngoscope. 2015 Sep;125(9):2220-5. doi: 10.1002/lary.25160.
Soares D, Folbe AJ, Yoo G, Badr MS, Rowley JA, Lin HS. Drug-induced sleep endoscopy vs awake Müller's maneuver in the diagnosis of severe upper airway obstruction. Otolaryngol Head Neck Surg. 2013 Jan;148(1):151-6. doi: 10.1177/0194599812460505.
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Direitos de Autor (c) 2021 Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
Este trabalho encontra-se publicado com a Licença Internacional Creative Commons Atribuição-NãoComercial-SemDerivações 4.0.
