SynthesisOtolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery2026
Airway Changes After Sleep Apnea Surgery Using Drug-Induced Sedation Endoscopy: A Systematic Review and Meta-analysis.
Synthesis in Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Preservation Palatopharyngoplasty for Obstructive Sleep Apnea: Predictors and Clinical Outcomes.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo characterize drug-induced sleep endoscopy as a method of evaluating the efficacy of sleep apnea surgical procedures at different airway sites. DATA SOURCES: PubMed, Scopus, and CINAHL. REVIEW
methodsTwo independent investigators selected studies on sleep apnea surgeries with presurgical and postsurgical drug-induced sedation endoscopy (DISE) evaluations. Primary research studies were included, and data that overlapped with another study were excluded. Investigators performed data extraction, quality rating, and risk-of-bias assessment using the ROBINS-I tool. Data were analyzed using a comparison of proportions and means.
resultsUltimately, 10 studies (N = 320) were included, with 81.2% male (95% CI: 72.0-88.9), and an average age of 46.8. Significant reductions in VOTE (velum, oropharynx, tongue, and epiglottis) scoring were observed in postsurgical DISE findings at the level of the velum and oropharynx within the palate group (P < .05), and at the velum, oropharynx, and tongue within the maxillomandibular advancement (MMA) group. There were also accompanying reductions in traditional measures such as apnea-hypopnea index (AHI) and Epworth sleepiness score (ESS). No significant reductions in VOTE scores at any level were observed within the nasal surgery group.
conclusionDISE allows clinicians a nuanced view in postoperative changes in upper airway collapse patterns and may provide a unique perspective in the evaluation of surgical outcomes in sleep apnea. Further research should be done to correlate these findings to existing outcome measures.
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