Introduction
DISE classification system
Methods
uDISE model
Classification referential mapping
Results
Structures | Degree of obstructiona
| Configuration |
---|---|---|
Nose | No obstruction | Anteroposterior |
Velum | ||
Tonsils | Partial obstruction | Lateral |
Lateral pharyngeal wall | ||
Tongue base | Complete obstruction | Concentric |
Epiglottis | ||
Larynx |
uDISE | Pringle [15] | Kezirian [21] | Vinci [22] | P-T-LTb-E [29] |
---|---|---|---|---|
N0
| X | X | Nv 1–2
| X |
N1
| X | X | Nv 3
| X |
N2
| X | X | Nv 4
| X |
V0 AP
| G1P
| Vk 0 AP
| OV 1–2 T
| PV 1
|
V1 AP
| G1P
| Vk 1 AP
| OV 3 T
| PV 2
|
V2 AP
| G2P
| Vk 2 AP
| OV 4 T
| PV 2
|
V0 L
| G1P
| Vk 0 L
| OV 1–2 L
| – |
V1 L
| G1P
| Vk 1 L
| OV 3 L
| – |
V2 L
| G2P
| Vk 2 L
| OV 4 L
| – |
V0 C
| G1P
| Vk 0 C
| OV 1–2 C
| PV 1
|
V1 C
| G1P
| Vk 1 C
| OV 3 C
| PV 3
|
V2 C
| G2P
| Vk 2 C
| OV 4 C
| PV 3
|
Ts0 L
| G1P
| Ok 0 L
| – | TV 1
|
Ts1 L
| G1P
| Ok 1 L
| – | TV 2
|
Ts2 L
| G2P
| Ok 2 L
| TSV 3, 4 T
| TV 3
|
O0 AP
| – | – | OV 1–2 T
| – |
O1 AP
| – | – | OV 3 T
| – |
O2 AP
| G3+P, G4+P
| – | OV 4 T
| – |
O0 L
| – | Ok 0 L
| OV 1–2 L
| LV 1
|
O1 L
| – | Ok 1 L
| OV 3 L
| LV 2
|
O2 L
| G3+P, G4+P
| Ok 2 L
| OV 4 L
| LV 3
|
O0 C
| – | – | OV 1–2 C
| – |
O1 C
| – | – | OV 3 C
| – |
O2 C
| G3+P, G4+P
| – | OV 4 C
| – |
Tb0 AP
| G5P
| Tk 0 AP
| HV 1–2 T
| TbV 1
|
Tb1 AP
| G5P
| Tk 1 AP
| HV 3 T
| TbV 2
|
Tb2 AP
| G5P
| Tk 2 AP
| HV 4 T
| TbV 3
|
Tb0 L
| G5P
| – | HV 1–2 L
| – |
Tb1 L
| G5P
| – | HV 3 L
| – |
Tb2 L
| G5P
| – | HV 4 L
| – |
Tb0 C
| G5P
| – | HV 1–2 C
| – |
Tb1 C
| G5P
| – | HV 3 C
| – |
Tb2 C
| G5P
| – | HV 4 C
| – |
E0 AP
| G5P
| Ek 0 AP
| LN
| EV 1
|
E1 AP
| G5P
| Ek 1 AP
| LP
| EV 2
|
E2 AP
| G5P
| Ek 2 AP
| LP
| EV 2
|
E0 L
| G5P
| Ek 0 L
| LN
| – |
E1 L
| G5P
| Ek 1 L
| LP
| – |
E2 L
| G5P
| Ek 2 L
| LP
| – |
L0
| X | X | LN
| X |
L1
| X | X | LP
| X |
L2
| X | X | LP
| X |
Discussion
uDISE model
Severity of obstruction
Configuration of obstruction
Anatomical structures
Obstruction scoring
Treatment planning
-
N0V1APTs0O0Tb0E0L0—uvulopalatopharyngoplasty.
-
N0V0Ts2LO0Tb2APE0L0—tonsillectomy and tongue base reduction.
Severity index
Relational mapping
Pringle et al. [15]
-
G1P → {V0–1, AP, L, C} U {Ts0–1, L}.
-
G2P → {V2, AP, L, C} U {Ts2, L,}.
-
G3+P → {O2, AP, L, C}.
-
G4+P → {O2, AP, L, C}.
-
G5p → {T0–2, AP, L, C: E0–2, AP, L}.
Kezirian et al. [21]
-
Vk 0–2, AP, L, C → {V0–2, AP, L, C}.
-
Ok 0–2, L → {O0–2, L} U {Ts0–2, L}.
-
Tk 0–2, AP → {T0–2, AP}.
-
Ek 0–2, AP, L → {E0–2, AP, L}.
Vicini et al. [22]
-
NV 1–4 → {N0–2}.
-
OV t, 1–2 → {O0, L}; OV t, 3 → {O1, L}; OV t, 4 → {O2, L}.
-
OV C, 1–2 → {O0, C}; OV c, 3 → {O1, C}; OV c, 4 → {O2, C}.
-
TsV 3, 4 → {Ts 2, L}.
-
HV AP, 1–2 → {T0, AP}; HV AP, 3 → {T1, AP}; HV AP, 4 → {T2, AP}.
-
HV L, 1–2 → {T0, l}; HV L, 3 → {T1, L}; HV L, 4 → {T2, L}.
-
HV C, 1–2 → {T0, l}; HV C, 3 → {T1, L}; HV C, 4 → {T2, L}.
-
LN → {E0, AP}; LP → {E1–2, AP}.
-
LN → {E0, L}; LP → {E1–2, L}.
-
V0, AP → {OV AP, 1–2}; V1, AP → {OV AP, 3}; V2, AP → {OV AP, 4},
-
V0, L → {OV t, 1–2}; V1, L → {OV t, 3}; V2, L → {OV t, 4},
-
V0, C → {OV C, 1–2}; V1, C → {OV C, 3}; V2, L → {OV C, 4}.
Veer [29]
-
PV 1 → {V0, AP, C}; PV 2 → {V1–2, AP}; PV 3 → {V1–2, C}.
-
TV 1 → {Ts0, L}; TV 2 → {Ts1, L}; TV 3 → {Ts2, L}.
-
LV 1 → {O0, L}; LV 2 → {O1, L}; LV 3 → {O2, L}.
-
TbV 1 → {T0, AP}; TbV 2 → {T1, AP}; TbV 3 → {T2, AP}.
-
EV 1 → {E0, AP}; EV 2 → {E1–2, AP}.