Systematic Review of the Effect of Upper Airway Surgery based on DISE findings in Adults with Obstructive Sleep Apnea

Introduction: Obstructive sleep apnea (OSA) is common among adults worldwide and is associated with an increased risk of both cardiac, metabolic, and mental disease and an increased risk of traffic accidents. However, evidence of the different types of upper airway surgery to relieve OSA symptoms is sparse. Whether Drug induced sedation endoscopy (DISE) can improve the outcome of the various surgical techniques in the upper airways (UA) is uncertain. The objective of this review was to evaluate the effectiveness of UA surgery in adults with OSA by change in apnea-hypopnea index (AHI) with minimum three months follow-up in studies where DISE was used.