Publication
Upper airway assessment in obstructive sleep apnea patients: can computed tomography with lateral cephalometry replace drug-induced sleep endoscopy (DISE)?
| dc.contributor.author | Campos, Ana | |
| dc.contributor.author | Cebola, Pedro | |
| dc.contributor.author | Dias, Sara Simões | |
| dc.contributor.author | Pais, José Pedro | |
| dc.contributor.author | Sousa, Susana | |
| dc.contributor.author | Cardoso, Sérgio | |
| dc.contributor.author | Paço, João | |
| dc.contributor.author | Caroça, Cristina | |
| dc.date.accessioned | 2023-12-13T16:53:41Z | |
| dc.date.available | 2023-12-13T16:53:41Z | |
| dc.date.issued | 2022-10-23 | |
| dc.description.abstract | Objective: To evaluate the association between results from drug-induced sleep endoscopy (DISE) and computed tomography with lateral cephalometry (CTLC) of the pharynx in obstructive sleep apnea (OSA) patients, regarding the same anatomic level, in order to understand if CTLC could replace DISE in selected patients. Study design: Cross-sectional. Setting: Tertiary hospital. Methods: A total of 71 patients who attended the Sleep Medicine Consultation in the Otorhinolaryngology Department of Hospital CUF Tejo between 1.6.2019 and 30.9.2021, performed a polysomnographic sleep study and were elected to undergo DISE and CTLC of the pharynx for diagnostic purposes were selected. Obstructions at the same anatomic levels – tongue base, epiglottis and velum - were compared in both exams. Results: Patients with reduction of epiglottis-pharynx space on CTLC had also a complete obstruction at epiglottis level on the VOTE classification of DISE (p = 0,027). Reduction of velum-pharynx space or tongue base-pharynx space were not related to complete obstruction of the velum (P = 0,623) or the tongue base (p = 0,594) found in DISE. Those with two or more space reductions had a tendency to multilevel obstruction observed in DISE (p = 0.089). Conclusion: When evaluating the obstruction level(s) of an OSA patient, efforts should be made to perform DISE, since CTLC measures, though regarding at the same structures, don´t correlate completely with obstructions observed in DISE. © 2023 Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello | pt_PT |
| dc.description.version | info:eu-repo/semantics/acceptedVersion | pt_PT |
| dc.identifier.citation | Campos A, Cebola P, Dias SS, Pedro Pais J, Sousa S, Cardoso S, Paço J, Caroça C. Upper airway assessment in obstructive sleep apnea patients: can computed tomography with lateral cephalometry replace drug-induced sleep endoscopy (DISE)? Acta Otorrinolaringol Esp (Engl Ed). 2023 Sep-Oct;74(5):290-297. doi: 10.1016/j.otoeng.2023.03.006. | pt_PT |
| dc.identifier.doi | https://doi.org/10.1016/j.otorri.2022.10.004 | pt_PT |
| dc.identifier.eissn | 1988-3013 | |
| dc.identifier.issn | 0001-6519 | |
| dc.identifier.uri | http://hdl.handle.net/10400.8/9087 | |
| dc.language.iso | eng | pt_PT |
| dc.peerreviewed | yes | pt_PT |
| dc.publisher | Elsevier | pt_PT |
| dc.relation.ispartofseries | 5; | |
| dc.relation.publisherversion | https://www.sciencedirect.com/science/article/pii/S2173573523000352?via%3Dihub | pt_PT |
| dc.rights.uri | http://creativecommons.org/licenses/by-nd/4.0/ | pt_PT |
| dc.subject | Obstructive sleep | pt_PT |
| dc.subject | Apnea | pt_PT |
| dc.subject | Drug-induced sleep endoscopy | pt_PT |
| dc.subject | DISE | pt_PT |
| dc.subject | Computed tomography with lateral cephalometry | pt_PT |
| dc.title | Upper airway assessment in obstructive sleep apnea patients: can computed tomography with lateral cephalometry replace drug-induced sleep endoscopy (DISE)? | pt_PT |
| dc.title.alternative | Evaluación de la vía aérea superior en pacientes con apnea obstructiva del sueño: ¿puede la tomografía computarizada con cefalometría lateral reemplazar endoscopia del sueño inducida por fármacos por fármacos? | pt_PT |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.citation.endPage | 297 | pt_PT |
| oaire.citation.startPage | 290 | pt_PT |
| oaire.citation.title | Acta Otorrinolaringológica Española | pt_PT |
| oaire.citation.volume | 74 | pt_PT |
| person.familyName | Dias | |
| person.givenName | Sara | |
| person.identifier.ciencia-id | AA1F-9375-B5E6 | |
| person.identifier.orcid | 0000-0001-6782-7481 | |
| person.identifier.rid | I-9965-2018 | |
| person.identifier.scopus-author-id | 33367487300 | |
| rcaap.rights | openAccess | pt_PT |
| rcaap.type | article | pt_PT |
| relation.isAuthorOfPublication | a49e0bc6-cfea-4033-aebf-a1ef9e4c5e7b | |
| relation.isAuthorOfPublication.latestForDiscovery | a49e0bc6-cfea-4033-aebf-a1ef9e4c5e7b |