Journal of Dental Anesthesia and Pain Medicine

The Korean Dental Society of Anesthsiology (대한치과마취과학회)
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Anesthetic management for simultaneous drug-induced sleep endoscopy and maxillomandibular advancement in a patient with obstructive sleep apnea

  • Kuk, Tae Seong (Department of Oral and Maxillofacial Surgery, Seoul National University Dental Hospital) ;
  • So, Eunsun (Department of Dental Anesthesiology, Seoul National University Dental Hospital) ;
  • Karm, Myong-Hwan (Department of Dental Anesthesiology, Seoul National University Dental Hospital) ;
  • Kim, Jimin (Department of Dental Anesthesiology, Seoul National University Dental Hospital) ;
  • Chi, Seong In (Department of Dental Anesthesiology, Seoul National University Dental Hospital) ;
  • Kim, Hyun Jeong (Department of Dental Anesthesiology, Seoul National University Dental Hospital) ;
  • Seo, Kwang-Suk (Department of Dental Anesthesiology, Seoul National University Dental Hospital) ;
  • On, Sung Woon (Division of Oral and Maxillofacial surgery, Department of Dentistry, Dongtan Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Choi, Jin-Young (Department of Oral and Maxillofacial Surgery, Seoul National University Dental Hospital)
  • Received : 2017.03.03
  • Accepted : 2017.03.25
  • Published : 2017.03.30
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Abstract

Drug-induced sleep endoscopy (DISE) is used to identify areas of upper airway obstruction, which occurs when patients with obstructive sleep apnea (OSA) snore. DISE enables effective diagnosis and appropriate treatment of the obstruction site. Among surgical treatment methods for OSA, maxillomandibular advancement surgery (MMA) is performed to move a jaw forward; the surgery has a high success rate for OSA treatment. In DISE, anesthetics such as propofol and midazolam must be administered to induce snoring while the patient is deeply sedated for an accurate diagnosis to be made. When inducing deep sedation in a patient with OSA, airway obstruction may increase, causing oxygen saturation to drop; airway interventions are necessary in such cases. Effective DISE and MMA surgery can be performed by administering propofol through target-controlled infusion while monitoring the bispectral index (BIS).

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References

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