ArticleWorld journal of otorhinolaryngology - head and neck surgery2026
Surgical Success in Obstructive Sleep Apnea Patients Using Preoperative Drug-Induced Sleep Endoscopy and Awake Endoscopy Considering Disease Severity.
Article in World journal of otorhinolaryngology - head and neck surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Obstructive sleep apnea (OSA) is a prevalent disorder characterized by recurrent episodes of airway obstruction during sleep, leading to fragmented sleep and oxygen desaturation. Identifying the precise site and pattern of obstruction is essential for surgical success. Awake endoscopy with Müller's maneuver (AEMM) has long been used, but drug-induced sleep endoscopy (DISE) offers dynamic assessment under sleep-like conditions. Objective: To retrospectively compare surgical outcomes of OSA patients evaluated with DISE versus AEMM, stratified by disease severity, and to determine whether the comparative value of DISE over AEMM differs according to OSA severity as measured by AEMM (AHI). Methods: Records of 102 OSA patients undergoing sleep surgery between January 2022 and December 2024 at Hamad Medical Corporation were reviewed. Patients were grouped into AEMM-only ( Results: DISE group had higher surgical success compared to AEMM (62.5% vs. 40.7%, Conclusion: DISE-based surgical planning improves outcomes in moderate-to-severe OSA, while AEMM remains adequate for mild OSA cases. Disease severity should guide the choice of preoperative airway assessment method.
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