Standardizing Drug-Induced Sleep Endoscopy Scoring by an Expert Review Panel: Our Experience in 81 Patients.
Assessment of pharyngeal collapse patterns by drug-induced sleep endoscopy (DISE) is often paramount to guide clinical decision-making in patients with obstructive sleep apnoea. Being a subjective investigation, DISE findings are prone to interindividual variation. The present study introduces the concept of an expert review panel to standardize DISE scoring. Comparing the ratings of the review panel with the original ratings revealed a substantial concordance at the level of the oropharynx and a fair to moderate concordance at the levels of the soft palate, tongue base, hypopharynx, and epiglottis. Several recommendations were made to address the observed discrepancies in DISE ratings.
View the full article @ Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery
Authors: Eli Van de Perck, Annelies E Verbruggen, Anneclaire V Vroegop, Marijke Dieltjens, Evert Hamans, Marc J Braem, Paul H Van de Heyning, Olivier M Vanderveken