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Erschienen in: European Archives of Oto-Rhino-Laryngology 8/2011

01.08.2011 | Short Communication

Drug-induced sleep endoscopy: the VOTE classification

verfasst von: Eric J. Kezirian, Winfried Hohenhorst, Nico de Vries

Erschienen in: European Archives of Oto-Rhino-Laryngology | Ausgabe 8/2011

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Abstract

The surgical evaluation of obstructive sleep apnea is designed to characterize the pattern of upper airway obstruction in order to develop an effective treatment plan for an individual patient. Drug-induced sleep endoscopy (DISE) is one evaluation technique that involves assessment of individuals under pharmacologic sedation designed to simulate natural sleep, utilizing fiberoptic endoscopy to examine the upper airway. Developed in multiple centers throughout Europe, DISE was first described in 1991 and is performed widely around the world. Although multiple studies support a potential role for DISE in evaluation for treatment with surgery and mandibular repositioning appliances, important clinical questions remain unanswered. A major limitation in advancing our understanding of drug-induced sleep endoscopy has been the multiplicity and, in many cases, the complexity of classification systems that prevent the comparison of results across the studies and centers. We present the VOTE classification, a method for characterizing DISE findings that focuses on its core feature, the specific structures that contribute to obstruction.
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Metadaten
Titel
Drug-induced sleep endoscopy: the VOTE classification
verfasst von
Eric J. Kezirian
Winfried Hohenhorst
Nico de Vries
Publikationsdatum
01.08.2011
Verlag
Springer-Verlag
Erschienen in
European Archives of Oto-Rhino-Laryngology / Ausgabe 8/2011
Print ISSN: 0937-4477
Elektronische ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-011-1633-8

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