DRUG-INDUCED SLEEP ENDOSCOPY

Dr. Kevin Ende • February 10, 2020

Drug-Induced Sleep Endoscopy (DISE)

Drug-induced sleep endoscopy or DISE is not a new idea, but its popularity amongst surgeons has increased recently. Performing an endoscopy in the office of the upper airway along with a careful exam can give the surgeon us some idea of what structures are blocking your airway and causing sleep apnea. But to see those structures while you are actually sleeping helps guide us that much more. In the past, this was performed with standard drugs like propofol but we have come to realize that this does not mimic normal sleep. A recent article outlined a better choice that is more representative of your airway during sleep. This procedure takes a few minutes in the operating room but is technically not a real surgery and you aren't even intubated for the procedure (no breathing tube). Once this has been performed, we would have a discussion on whether additional surgery may be right for your specific sleep apnea condition rather than guessing at what would be best by looking at you while you are awake. If you suffer from sleep apnea and are not doing well with your CPAP device, come for a consultation so we can evaluate you and we may recommend DISE.

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