Non-Cochrane · intervention · PM41221913
Airway Changes After Sleep Apnea Surgery Using Drug-Induced Sedation Endoscopy: A Systematic Review and Meta-analysis.
Patel Pranav A, Munhall C Cooper, Smith Carter D, et al. · Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026 · PubMed · doi:10.1002/ohn.70028
Findings
115 findings
| Population | ||||
|---|---|---|---|---|
| Adults with obstructive sleep apnea | Maxillomandibular advancement (MMA) surgery | Preoperative status (pre versus post surgery, no control group) | DISE tongue obstruction: partial obstruction (% of patients) Postoperative versus preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Tongue Unresolved: the two extractors disagree on this row. | RD 25.13 [1.52, 45.16] GRADE not reported 2 studies · 34 participants |
| Adults with obstructive sleep apnea undergoing maxillomandibular advancement (MMA) with pre and post surgical DISE | Maxillomandibular advancement | Pre-surgery baseline | Epworth sleepiness score (ESS) Post-surgery vs pre-surgery · Clinical (surgical patients undergoing DISE) | MD -7.96 [-15.09, -0.83] GRADE not reported 2 studies · 34 participants |
| Adults with obstructive sleep apnea | Maxillomandibular advancement (MMA) surgery | Preoperative status (pre versus post surgery, no control group) | DISE epiglottis obstruction: no obstruction (% of patients) Preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Epiglottis | Proportion 57.3 [32.07, 80.67] GRADE not reported 2 studies · 34 participants |
| Adults with obstructive sleep apnea | Maxillomandibular advancement (MMA) surgery | Preoperative status (pre versus post surgery, no control group) | DISE epiglottis obstruction: no obstruction (% of patients) Postoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Epiglottis | Proportion 71.69 [43.22, 92.95] GRADE not reported 2 studies · 34 participants |
| Adults with obstructive sleep apnea | Maxillomandibular advancement (MMA) surgery | Preoperative status (pre versus post surgery, no control group) | DISE tongue obstruction: complete obstruction (% of patients) Postoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Tongue | Proportion 16.28 [1.20, 43.57] GRADE not reported 2 studies · 34 participants |
| Adults with obstructive sleep apnea | Maxillomandibular advancement (MMA) surgery | Preoperative status (pre versus post surgery, no control group) | DISE epiglottis obstruction: partial obstruction (% of patients) Postoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Epiglottis | Proportion 16.2 [6.08, 32.26] GRADE not reported 2 studies · 34 participants |
| Adults with obstructive sleep apnea undergoing maxillomandibular advancement (MMA) with pre and post surgical DISE | Maxillomandibular advancement | Pre-surgery baseline | Oxygen desaturation index (ODI) Post-surgery vs pre-surgery · Clinical (surgical patients undergoing DISE) | MD -19.47 [-40.11, 1.18] GRADE not reported 2 studies · 34 participants |
| Adults with obstructive sleep apnea | Maxillomandibular advancement (MMA) surgery | Preoperative status (pre versus post surgery, no control group) | DISE tongue obstruction: no obstruction (% of patients) Postoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Tongue | Proportion 58.35 [40.77, 74.50] GRADE not reported 2 studies · 34 participants |
| Adults with obstructive sleep apnea | Maxillomandibular advancement (MMA) surgery | Preoperative status (pre versus post surgery, no control group) | DISE velum obstruction: partial obstruction (% of patients) Postoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Velum | Proportion 22.3 [3.92, 50.01] GRADE not reported 2 studies · 34 participants |
| Adults with obstructive sleep apnea | Maxillomandibular advancement (MMA) surgery | Preoperative status (pre versus post surgery, no control group) | DISE tongue obstruction: complete obstruction (% of patients) Postoperative versus preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Tongue | RD -8.65 [-27.42, 10.77] GRADE not reported 2 studies · 34 participants |
| Adults with obstructive sleep apnea | Maxillomandibular advancement (MMA) surgery | Preoperative status (pre versus post surgery, no control group) | DISE oropharynx obstruction: partial obstruction (% of patients) Postoperative versus preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Oropharynx | RD -14.76 [-33.24, 4.86] GRADE not reported 2 studies · 34 participants |
| Adults with obstructive sleep apnea | Maxillomandibular advancement (MMA) surgery | Preoperative status (pre versus post surgery, no control group) | DISE velum obstruction: partial obstruction (% of patients) Preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Velum | Proportion 10.9 [3.01, 25.82] GRADE not reported 2 studies · 34 participants |
| Adults with obstructive sleep apnea | Maxillomandibular advancement (MMA) surgery | Preoperative status (pre versus post surgery, no control group) | DISE tongue obstruction: no obstruction (% of patients) Postoperative versus preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Tongue | RD 39.08 [16.00, 56.92] GRADE not reported 2 studies · 34 participants |
| Adults with obstructive sleep apnea | Maxillomandibular advancement (MMA) surgery | Preoperative status (pre versus post surgery, no control group) | DISE velum obstruction: no obstruction (% of patients) Postoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Velum | Proportion 71.8 [54.38, 85.48] GRADE not reported 2 studies · 34 participants |
| Adults with obstructive sleep apnea | Maxillomandibular advancement (MMA) surgery | Preoperative status (pre versus post surgery, no control group) | DISE velum obstruction: no obstruction (% of patients) Preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Velum | Proportion 18 [2.44, 73.75] GRADE not reported 2 studies · 34 participants |
| Adults with obstructive sleep apnea | Maxillomandibular advancement (MMA) surgery | Preoperative status (pre versus post surgery, no control group) | DISE oropharynx obstruction: partial obstruction (% of patients) Preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Oropharynx | Proportion 28.4 [1.86, 69.75] GRADE not reported 2 studies · 34 participants |
| Adults with obstructive sleep apnea | Maxillomandibular advancement (MMA) surgery | Preoperative status (pre versus post surgery, no control group) | DISE velum obstruction: complete obstruction (% of patients) Preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Velum | Proportion 70 [21.78, 99.44] GRADE not reported 2 studies · 34 participants |
| Adults with obstructive sleep apnea | Maxillomandibular advancement (MMA) surgery | Preoperative status (pre versus post surgery, no control group) | DISE epiglottis obstruction: no obstruction (% of patients) Postoperative versus preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Epiglottis | RD 14.38 [-8.11, 34.99] GRADE not reported 2 studies · 34 participants |
| Adults with obstructive sleep apnea | Maxillomandibular advancement (MMA) surgery | Preoperative status (pre versus post surgery, no control group) | DISE epiglottis obstruction: complete obstruction (% of patients) Postoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Epiglottis | Proportion 12.76 [4.02, 28.12] GRADE not reported 2 studies · 34 participants |
| Adults with obstructive sleep apnea | Maxillomandibular advancement (MMA) surgery | Preoperative status (pre versus post surgery, no control group) | DISE epiglottis obstruction: partial obstruction (% of patients) Preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Epiglottis | Proportion 22.4 [3.92, 50.01] GRADE not reported 2 studies · 34 participants |
| Adults with obstructive sleep apnea | Maxillomandibular advancement (MMA) surgery | Preoperative status (pre versus post surgery, no control group) | DISE epiglottis obstruction: partial obstruction (% of patients) Postoperative versus preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Epiglottis | RD -6.15 [-24.74, 12.85] GRADE not reported 2 studies · 34 participants |
| Adults with obstructive sleep apnea | Maxillomandibular advancement (MMA) surgery | Preoperative status (pre versus post surgery, no control group) | DISE oropharynx obstruction: no obstruction (% of patients) Postoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Oropharynx | Proportion 86.3 [70.74, 95.45] GRADE not reported 2 studies · 34 participants |
| Adults with obstructive sleep apnea | Maxillomandibular advancement (MMA) surgery | Preoperative status (pre versus post surgery, no control group) | DISE oropharynx obstruction: complete obstruction (% of patients) Postoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Oropharynx | Proportion 1.4 [0.00, 12.28] GRADE not reported 2 studies · 34 participants |
| Adults with obstructive sleep apnea | Maxillomandibular advancement (MMA) surgery | Preoperative status (pre versus post surgery, no control group) | DISE oropharynx obstruction: partial obstruction (% of patients) Postoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Oropharynx | Proportion 13.7 [4.55, 29.26] GRADE not reported 2 studies · 34 participants |
| Adults with obstructive sleep apnea undergoing maxillomandibular advancement (MMA) with pre and post surgical DISE | Maxillomandibular advancement | Pre-surgery baseline | VOTE DISE: velum, no obstruction Post-surgery vs pre-surgery · Clinical (surgical patients undergoing DISE) | Percentage point difference 53.82 [30.74, 69.30] 18 vs 71.8 GRADE not reported 2 studies · 34 participants |
| Adults with obstructive sleep apnea | Maxillomandibular advancement (MMA) surgery | Preoperative status (pre versus post surgery, no control group) | DISE tongue obstruction: partial obstruction (% of patients) Postoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Tongue | Proportion 33.27 [18.51, 50.91] GRADE not reported 2 studies · 34 participants |
| Adults with obstructive sleep apnea | Maxillomandibular advancement (MMA) surgery | Preoperative status (pre versus post surgery, no control group) | DISE epiglottis obstruction: complete obstruction (% of patients) Postoperative versus preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Epiglottis | RD -9.39 [-27.39, 9.09] GRADE not reported 2 studies · 34 participants |
| Adults with obstructive sleep apnea | Maxillomandibular advancement (MMA) surgery | Preoperative status (pre versus post surgery, no control group) | DISE tongue obstruction: partial obstruction (% of patients) Preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Tongue | Proportion 58.4 [42.09, 73.73] GRADE not reported 2 studies · 34 participants |
| Adults with obstructive sleep apnea | Maxillomandibular advancement (MMA) surgery | Preoperative status (pre versus post surgery, no control group) | DISE velum obstruction: complete obstruction (% of patients) Postoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Velum | Proportion 8.8 [0.71, 40.09] GRADE not reported 2 studies · 34 participants |
| Adults with obstructive sleep apnea undergoing maxillomandibular advancement (MMA) with pre and post surgical DISE | Maxillomandibular advancement | Pre-surgery baseline | Apnea-hypopnea index (AHI) Post-surgery vs pre-surgery · Clinical (surgical patients undergoing DISE) | MD -37.65 [-51.14, -24.15] GRADE not reported 2 studies · 34 participants |
| Adults with obstructive sleep apnea | Maxillomandibular advancement (MMA) surgery | Preoperative status (pre versus post surgery, no control group) | DISE epiglottis obstruction: complete obstruction (% of patients) Preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Epiglottis | Proportion 22.2 [10.07, 39.07] GRADE not reported 2 studies · 34 participants |
| Adults with obstructive sleep apnea | Maxillomandibular advancement (MMA) surgery | Preoperative status (pre versus post surgery, no control group) | DISE velum obstruction: complete obstruction (% of patients) Postoperative versus preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Velum | RD -61.21 [-75.17, -39.29] GRADE not reported 2 studies · 34 participants |
| Adults with obstructive sleep apnea | Maxillomandibular advancement (MMA) surgery | Preoperative status (pre versus post surgery, no control group) | DISE oropharynx obstruction: no obstruction (% of patients) Postoperative versus preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Oropharynx | RD 61.49 [38.98, 75.38] GRADE not reported 2 studies · 34 participants |
| Adults with obstructive sleep apnea | Maxillomandibular advancement (MMA) surgery | Preoperative status (pre versus post surgery, no control group) | DISE tongue obstruction: no obstruction (% of patients) Preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Tongue | Proportion 19.3 [8.24, 33.55] GRADE not reported 2 studies · 34 participants |
| Adults with obstructive sleep apnea | Maxillomandibular advancement (MMA) surgery | Preoperative status (pre versus post surgery, no control group) | DISE oropharynx obstruction: no obstruction (% of patients) Preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Oropharynx | Proportion 24.8 [0.02, 73.46] GRADE not reported 2 studies · 34 participants |
| Adults with obstructive sleep apnea | Maxillomandibular advancement (MMA) surgery | Preoperative status (pre versus post surgery, no control group) | DISE oropharynx obstruction: complete obstruction (% of patients) Postoperative versus preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Oropharynx | RD -34.57 [-51.40, -16.74] GRADE not reported 2 studies · 34 participants |
| Adults with obstructive sleep apnea | Maxillomandibular advancement (MMA) surgery | Preoperative status (pre versus post surgery, no control group) | DISE velum obstruction: no obstruction (% of patients) Postoperative versus preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Velum | RD 53.82 [30.74, 69.30] GRADE not reported 2 studies · 34 participants |
| Adults with obstructive sleep apnea | Maxillomandibular advancement (MMA) surgery | Preoperative status (pre versus post surgery, no control group) | DISE tongue obstruction: complete obstruction (% of patients) Preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Tongue | Proportion 24.9 [12.38, 40.14] GRADE not reported 2 studies · 34 participants |
| Adults with obstructive sleep apnea undergoing maxillomandibular advancement (MMA) with pre and post surgical DISE | Maxillomandibular advancement | Pre-surgery baseline | VOTE DISE: velum, partial obstruction Post-surgery vs pre-surgery · Clinical (surgical patients undergoing DISE) Unresolved: the two extractors disagree on this row. | Percentage point difference -11.43 [-29.13, -6.76] 10.9 vs 22.3 GRADE not reported 2 studies · 34 participants |
| Adults with obstructive sleep apnea | Palate surgery (palatopharyngoplasty/UPPP/expansion pharyngoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE tongue obstruction: complete obstruction (% of patients) Postoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Tongue | Proportion 27.7 [9.57, 50.75] GRADE not reported 61 participants |
| Adults with obstructive sleep apnea | Palate surgery (palatopharyngoplasty/UPPP/expansion pharyngoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE velum obstruction: partial obstruction (% of patients) Postoperative versus preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Velum | RD 22.30 [16.71, 28.44] GRADE not reported 5 studies · 210 participants |
| Adults with obstructive sleep apnea | Palate surgery (palatopharyngoplasty/UPPP/expansion pharyngoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE oropharynx obstruction: no obstruction (% of patients) Postoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Oropharynx | Proportion 50.8 [19.34, 81.95] GRADE not reported 61 participants |
| Adults with obstructive sleep apnea | Palate surgery (palatopharyngoplasty/UPPP/expansion pharyngoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE epiglottis obstruction: complete obstruction (% of patients) Postoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Epiglottis | Proportion 9.8 [4.5, 20.2] GRADE not reported 5 studies · 210 participants |
| Adults with obstructive sleep apnea | Palate surgery (palatopharyngoplasty/UPPP/expansion pharyngoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE oropharynx obstruction: partial obstruction (% of patients) Postoperative versus preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Oropharynx | RD -4.93 [-20.98, 11.49] GRADE not reported 61 participants |
| Adults with obstructive sleep apnea | Palate surgery (palatopharyngoplasty/UPPP/expansion pharyngoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE epiglottis obstruction: partial obstruction (% of patients) Postoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Epiglottis | Proportion 15.7 [3.4, 50.1] GRADE not reported 5 studies · 210 participants |
| Adults with obstructive sleep apnea | Palate surgery (palatopharyngoplasty/UPPP/expansion pharyngoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE tongue obstruction: no obstruction (% of patients) Preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Tongue | Proportion 54 [41.07, 66.53] GRADE not reported 61 participants |
| Adults with obstructive sleep apnea | Palate surgery (palatopharyngoplasty/UPPP/expansion pharyngoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE velum obstruction: no obstruction (% of patients) Postoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Velum | Proportion 33.9 [5.83, 70.65] GRADE not reported 5 studies · 210 participants |
| Adults with obstructive sleep apnea | Palate surgery (palatopharyngoplasty/UPPP/expansion pharyngoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE velum obstruction: no obstruction (% of patients) Postoperative versus preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Velum | RD 33.38 [26.94, 40.03] GRADE not reported 5 studies · 210 participants |
| Adults with obstructive sleep apnea | Palate surgery (palatopharyngoplasty/UPPP/expansion pharyngoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE velum obstruction: no obstruction (% of patients) Preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Velum | Proportion 0.5 [0.01, 2.58] GRADE not reported 5 studies · 210 participants |
| Adults with obstructive sleep apnea | Palate surgery (palatopharyngoplasty/UPPP/expansion pharyngoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE epiglottis obstruction: no obstruction (% of patients) Postoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Epiglottis | Proportion 69.3 [32.7, 91.3] GRADE not reported 5 studies · 210 participants |
| Adults with obstructive sleep apnea | Palate surgery (palatopharyngoplasty/UPPP/expansion pharyngoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE velum obstruction: partial obstruction (% of patients) Postoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Velum | Proportion 22.8 [2.19, 56.12] GRADE not reported 5 studies · 210 participants |
| Adults with obstructive sleep apnea | Palate surgery (palatopharyngoplasty/UPPP/expansion pharyngoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE epiglottis obstruction: partial obstruction (% of patients) Postoperative versus preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Epiglottis | RD 3.90 [-1.07, 9.04] GRADE not reported 5 studies · 210 participants |
| Adults with obstructive sleep apnea | Palate surgery (palatopharyngoplasty/UPPP/expansion pharyngoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE epiglottis obstruction: no obstruction (% of patients) Postoperative versus preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Epiglottis | RD -15.43 [-30.13, 0.19] GRADE not reported 5 studies · 210 participants |
| Adults with obstructive sleep apnea | Palate surgery (palatopharyngoplasty/UPPP/expansion pharyngoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE oropharynx obstruction: no obstruction (% of patients) Preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Oropharynx | Proportion 26.9 [0.62, 71.83] GRADE not reported 61 participants |
| Adults with obstructive sleep apnea | Palate surgery (palatopharyngoplasty/UPPP/expansion pharyngoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE tongue obstruction: no obstruction (% of patients) Postoperative versus preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Tongue | RD -24.77 [-40.25, -7.28] GRADE not reported 61 participants |
| Adults with obstructive sleep apnea | Palate surgery (palatopharyngoplasty/UPPP/expansion pharyngoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE epiglottis obstruction: partial obstruction (% of patients) Preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Epiglottis Unresolved: the two extractors disagree on this row. | Proportion 8.9 [1.6, 3.6] GRADE not reported 5 studies · 210 participants |
| Adults with obstructive sleep apnea | Palate surgery (palatopharyngoplasty/UPPP/expansion pharyngoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE velum obstruction: complete obstruction (% of patients) Preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Velum | Proportion 99.5 [97.42, 99.99] GRADE not reported 5 studies · 210 participants |
| Adults with obstructive sleep apnea | Palate surgery (palatopharyngoplasty/UPPP/expansion pharyngoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE tongue obstruction: partial obstruction (% of patients) Postoperative versus preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Tongue | RD 11.62 [-5.17, 27.54] GRADE not reported 61 participants |
| Adults with obstructive sleep apnea | Palate surgery (palatopharyngoplasty/UPPP/expansion pharyngoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE epiglottis obstruction: complete obstruction (% of patients) Preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Epiglottis | Proportion 8.1 [3.1, 19.9] GRADE not reported 5 studies · 210 participants |
| Adults with obstructive sleep apnea | Palate surgery (palatopharyngoplasty/UPPP/expansion pharyngoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE oropharynx obstruction: partial obstruction (% of patients) Preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Oropharynx | Proportion 35 [12.95, 61.09] GRADE not reported 61 participants |
| Adults with obstructive sleep apnea | Palate surgery (palatopharyngoplasty/UPPP/expansion pharyngoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE oropharynx obstruction: complete obstruction (% of patients) Preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Oropharynx | Proportion 33.4 [15.50, 54.26] GRADE not reported 61 participants |
| Adults with obstructive sleep apnea | Palate surgery (palatopharyngoplasty/UPPP/expansion pharyngoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE oropharynx obstruction: no obstruction (% of patients) Postoperative versus preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Oropharynx | RD 23.94 [6.64, 39.34] GRADE not reported 61 participants |
| Adults with obstructive sleep apnea | Palate surgery (palatopharyngoplasty/UPPP/expansion pharyngoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE tongue obstruction: partial obstruction (% of patients) Postoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Tongue | Proportion 40.3 [11.31, 73.79] GRADE not reported 61 participants |
| Adults with obstructive sleep apnea | Palate surgery (palatopharyngoplasty/UPPP/expansion pharyngoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE velum obstruction: complete obstruction (% of patients) Postoperative versus preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Velum | RD -61.27 [-67.59, -54.52] GRADE not reported 5 studies · 210 participants |
| Adults with obstructive sleep apnea | Palate surgery (palatopharyngoplasty/UPPP/expansion pharyngoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE epiglottis obstruction: complete obstruction (% of patients) Postoperative versus preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Epiglottis | RD 1.7 [-9.2, 12.7] GRADE not reported 5 studies · 210 participants |
| Adults with obstructive sleep apnea | Palate surgery (palatopharyngoplasty/UPPP/expansion pharyngoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE tongue obstruction: complete obstruction (% of patients) Preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Tongue | Proportion 21.8 [12.47, 33.92] GRADE not reported 61 participants |
| Adults with obstructive sleep apnea | Palate surgery (palatopharyngoplasty/UPPP/expansion pharyngoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE oropharynx obstruction: complete obstruction (% of patients) Postoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Oropharynx | Proportion 16 [4.26, 33.41] GRADE not reported 61 participants |
| Adults with obstructive sleep apnea | Palate surgery (palatopharyngoplasty/UPPP/expansion pharyngoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE tongue obstruction: partial obstruction (% of patients) Preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Tongue | Proportion 28.7 [8.20, 55.52] GRADE not reported 61 participants |
| Adults with obstructive sleep apnea | Palate surgery (palatopharyngoplasty/UPPP/expansion pharyngoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE epiglottis obstruction: no obstruction (% of patients) Preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Epiglottis | Proportion 85.9 [43.1, 98.0] GRADE not reported 5 studies · 210 participants |
| Adults with obstructive sleep apnea | Palate surgery (palatopharyngoplasty/UPPP/expansion pharyngoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE velum obstruction: partial obstruction (% of patients) Preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Velum | Proportion 0.5 [0.01, 2.58] GRADE not reported 5 studies · 210 participants |
| Adults with obstructive sleep apnea | Palate surgery (palatopharyngoplasty/UPPP/expansion pharyngoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE tongue obstruction: complete obstruction (% of patients) Postoperative versus preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Tongue | RD 5.82 [-9.46, 20.78] GRADE not reported 61 participants |
| Adults with obstructive sleep apnea undergoing palate surgery with pre and post surgical DISE | Palate surgery (UPPP, palatopharyngoplasty, expansion pharyngoplasty) | Pre-surgery baseline | Apnea-hypopnea index (AHI) Post-surgery vs pre-surgery · Clinical (surgical patients undergoing DISE) | MD -18.68 [-20.88, -16.47] GRADE not reported 3 studies · 178 participants |
| Adults with obstructive sleep apnea | Palate surgery (palatopharyngoplasty/UPPP/expansion pharyngoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE oropharynx obstruction: complete obstruction (% of patients) Postoperative versus preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Oropharynx | RD -17.37 [-31.77, -2.01] GRADE not reported 61 participants |
| Adults with obstructive sleep apnea | Palate surgery (palatopharyngoplasty/UPPP/expansion pharyngoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE velum obstruction: complete obstruction (% of patients) Postoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Velum | Proportion 38.3 [15.44, 64.24] GRADE not reported 5 studies · 210 participants |
| Adults with obstructive sleep apnea | Palate surgery (palatopharyngoplasty/UPPP/expansion pharyngoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE tongue obstruction: no obstruction (% of patients) Postoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Tongue | Proportion 29.2 [7.96, 57.04] GRADE not reported 61 participants |
| Adults with obstructive sleep apnea | Palate surgery (palatopharyngoplasty/UPPP/expansion pharyngoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE oropharynx obstruction: partial obstruction (% of patients) Postoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Oropharynx | Proportion 30 [12.34, 51.58] GRADE not reported 61 participants |
| Adults with obstructive sleep apnea | Nasal surgery (functional septorhinoplasty/septoturbinoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE epiglottis obstruction: partial obstruction (% of patients) Postoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Epiglottis | Proportion 25.3 [6.24, 51.62] GRADE not reported 3 studies · 56 participants |
| Adults with obstructive sleep apnea | Nasal surgery (functional septorhinoplasty/septoturbinoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE oropharynx obstruction: partial obstruction (% of patients) Postoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Oropharynx | Proportion 37.2 [10.76, 68.67] GRADE not reported 3 studies · 56 participants |
| Adults with obstructive sleep apnea | Nasal surgery (functional septorhinoplasty/septoturbinoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE tongue obstruction: complete obstruction (% of patients) Postoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Tongue | Proportion 2.7 [0.20, 10.72] GRADE not reported 3 studies · 56 participants |
| Adults with obstructive sleep apnea | Nasal surgery (functional septorhinoplasty/septoturbinoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE tongue obstruction: no obstruction (% of patients) Preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Tongue | Proportion 27.8 [12.13, 47.06] GRADE not reported 3 studies · 56 participants |
| Adults with obstructive sleep apnea | Nasal surgery (functional septorhinoplasty/septoturbinoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE tongue obstruction: partial obstruction (% of patients) Preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Tongue | Proportion 57.3 [28.70, 83.49] GRADE not reported 3 studies · 56 participants |
| Adults with obstructive sleep apnea | Nasal surgery (functional septorhinoplasty/septoturbinoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE epiglottis obstruction: complete obstruction (% of patients) Postoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Epiglottis | Proportion 7.9 [1.15, 39.24] GRADE not reported 3 studies · 56 participants |
| Adults with obstructive sleep apnea | Nasal surgery (functional septorhinoplasty/septoturbinoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE velum obstruction: no obstruction (% of patients) Postoperative versus preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Velum | RD 6.47 [-6.52, 19.49] GRADE not reported 3 studies · 56 participants |
| Adults with obstructive sleep apnea | Nasal surgery (functional septorhinoplasty/septoturbinoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE oropharynx obstruction: no obstruction (% of patients) Preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Oropharynx | Proportion 46.4 [1.00, 97.09] GRADE not reported 3 studies · 56 participants |
| Adults with obstructive sleep apnea | Nasal surgery (functional septorhinoplasty/septoturbinoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE tongue obstruction: partial obstruction (% of patients) Postoperative versus preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Tongue | RD 14.83 [-2.81, 31.26] GRADE not reported 3 studies · 56 participants |
| Adults with obstructive sleep apnea | Nasal surgery (functional septorhinoplasty/septoturbinoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE velum obstruction: complete obstruction (% of patients) Postoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Velum | Proportion 44.8 [31.69, 58.40] GRADE not reported 3 studies · 56 participants |
| Adults with obstructive sleep apnea | Nasal surgery (functional septorhinoplasty/septoturbinoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE tongue obstruction: no obstruction (% of patients) Postoperative versus preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Tongue | RD -1.67 [-17.79, 14.57] GRADE not reported 3 studies · 56 participants |
| Adults with obstructive sleep apnea | Nasal surgery (functional septorhinoplasty/septoturbinoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE epiglottis obstruction: complete obstruction (% of patients) Preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Epiglottis | Proportion 13.5 [5.98, 25.09] GRADE not reported 3 studies · 56 participants |
| Adults with obstructive sleep apnea | Nasal surgery (functional septorhinoplasty/septoturbinoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE velum obstruction: complete obstruction (% of patients) Preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Velum | Proportion 60.4 [46.65, 72.97] GRADE not reported 3 studies · 56 participants |
| Adults with obstructive sleep apnea | Nasal surgery (functional septorhinoplasty/septoturbinoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE tongue obstruction: no obstruction (% of patients) Postoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Tongue | Proportion 26.2 [8.64, 49.06] GRADE not reported 3 studies · 56 participants |
| Adults with obstructive sleep apnea | Nasal surgery (functional septorhinoplasty/septoturbinoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE epiglottis obstruction: no obstruction (% of patients) Preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Epiglottis | Proportion 65.5 [51.89, 77.52] GRADE not reported 3 studies · 56 participants |
| Adults with obstructive sleep apnea | Nasal surgery (functional septorhinoplasty/septoturbinoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE oropharynx obstruction: no obstruction (% of patients) Postoperative versus preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Oropharynx | RD 3.80 [-14.27, 21.52] GRADE not reported 3 studies · 56 participants |
| Adults with obstructive sleep apnea | Nasal surgery (functional septorhinoplasty/septoturbinoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE tongue obstruction: partial obstruction (% of patients) Postoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Tongue | Proportion 72.2 [52.94, 87.87] GRADE not reported 3 studies · 56 participants |
| Adults with obstructive sleep apnea | Nasal surgery (functional septorhinoplasty/septoturbinoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE oropharynx obstruction: no obstruction (% of patients) Postoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Oropharynx | Proportion 50.2 [4.48, 95.72] GRADE not reported 3 studies · 56 participants |
| Adults with obstructive sleep apnea undergoing nasal surgery with pre and post surgical DISE | Nasal surgery (functional septorhinoplasty) | Pre-surgery baseline | Epworth sleepiness score (ESS) Post-surgery vs pre-surgery · Clinical (surgical patients undergoing DISE) | MD -4.08 [-7.21, -0.94] GRADE not reported 2 studies · 56 participants |
| Adults with obstructive sleep apnea | Nasal surgery (functional septorhinoplasty/septoturbinoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE oropharynx obstruction: complete obstruction (% of patients) Preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Oropharynx | Proportion 18.9 [4.24, 40.42] GRADE not reported 3 studies · 56 participants |
| Adults with obstructive sleep apnea | Nasal surgery (functional septorhinoplasty/septoturbinoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE oropharynx obstruction: partial obstruction (% of patients) Postoperative versus preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Oropharynx | RD 3.67 [-13.70, 20.74] GRADE not reported 3 studies · 56 participants |
| Adults with obstructive sleep apnea | Nasal surgery (functional septorhinoplasty/septoturbinoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE oropharynx obstruction: complete obstruction (% of patients) Postoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Oropharynx | Proportion 9.8 [1.07, 45.67] GRADE not reported 3 studies · 56 participants |
| Adults with obstructive sleep apnea | Nasal surgery (functional septorhinoplasty/septoturbinoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE velum obstruction: partial obstruction (% of patients) Postoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Velum | Proportion 37.2 [10.76, 68.67] GRADE not reported 3 studies · 56 participants |
| Adults with obstructive sleep apnea | Nasal surgery (functional septorhinoplasty/septoturbinoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE velum obstruction: partial obstruction (% of patients) Postoperative versus preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Velum | RD 6.22 [-11.10, 23.04] GRADE not reported 3 studies · 56 participants |
| Adults with obstructive sleep apnea undergoing nasal surgery with pre and post surgical DISE | Nasal surgery (functional septorhinoplasty) | Pre-surgery baseline | Apnea-hypopnea index (AHI) Post-surgery vs pre-surgery · Clinical (surgical patients undergoing DISE) | MD -13.81 [-26.64, -0.98] GRADE not reported 2 studies · 56 participants |
| Adults with obstructive sleep apnea | Nasal surgery (functional septorhinoplasty/septoturbinoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE velum obstruction: no obstruction (% of patients) Preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Velum | Proportion 10.1 [3.72, 20.82] GRADE not reported 3 studies · 56 participants |
| Adults with obstructive sleep apnea | Nasal surgery (functional septorhinoplasty/septoturbinoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE velum obstruction: no obstruction (% of patients) Postoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Velum | Proportion 16.5 [8.08, 28.62] GRADE not reported 3 studies · 56 participants |
| Adults with obstructive sleep apnea | Nasal surgery (functional septorhinoplasty/septoturbinoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE tongue obstruction: complete obstruction (% of patients) Postoperative versus preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Tongue | RD -12.40 [-24.16, -1.61] GRADE not reported 3 studies · 56 participants |
| Adults with obstructive sleep apnea | Nasal surgery (functional septorhinoplasty/septoturbinoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE epiglottis obstruction: no obstruction (% of patients) Postoperative versus preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Epiglottis | RD -3.42 [-20.58, 14.02] GRADE not reported 3 studies · 56 participants |
| Adults with obstructive sleep apnea | Nasal surgery (functional septorhinoplasty/septoturbinoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE oropharynx obstruction: complete obstruction (% of patients) Postoperative versus preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Oropharynx | RD -8.93 [-22.18, 4.37] GRADE not reported 3 studies · 56 participants |
| Adults with obstructive sleep apnea | Nasal surgery (functional septorhinoplasty/septoturbinoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE epiglottis obstruction: complete obstruction (% of patients) Postoperative versus preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Epiglottis | RD -5.66 [-17.90, 6.38] GRADE not reported 3 studies · 56 participants |
| Adults with obstructive sleep apnea | Nasal surgery (functional septorhinoplasty/septoturbinoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE epiglottis obstruction: no obstruction (% of patients) Postoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Epiglottis | Proportion 62.1 [48.41, 74.52] GRADE not reported 3 studies · 56 participants |
| Adults with obstructive sleep apnea | Nasal surgery (functional septorhinoplasty/septoturbinoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE velum obstruction: partial obstruction (% of patients) Preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Velum | Proportion 30.9 [19.45, 44.44] GRADE not reported 3 studies · 56 participants |
| Adults with obstructive sleep apnea | Nasal surgery (functional septorhinoplasty/septoturbinoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE epiglottis obstruction: partial obstruction (% of patients) Preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Epiglottis | Proportion 22.2 [12.39, 35.11] GRADE not reported 3 studies · 56 participants |
| Adults with obstructive sleep apnea | Nasal surgery (functional septorhinoplasty/septoturbinoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE oropharynx obstruction: partial obstruction (% of patients) Preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Oropharynx | Proportion 33.5 [2.63, 77.06] GRADE not reported 3 studies · 56 participants |
| Adults with obstructive sleep apnea | Nasal surgery (functional septorhinoplasty/septoturbinoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE tongue obstruction: complete obstruction (% of patients) Preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Tongue | Proportion 15.1 [7.03, 26.89] GRADE not reported 3 studies · 56 participants |
| Adults with obstructive sleep apnea | Nasal surgery (functional septorhinoplasty/septoturbinoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE velum obstruction: complete obstruction (% of patients) Postoperative versus preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Velum | RD -15.59 [-32.57, 2.81] GRADE not reported 3 studies · 56 participants |
| Adults with obstructive sleep apnea | Nasal surgery (functional septorhinoplasty/septoturbinoplasty) | Preoperative status (pre versus post surgery, no control group) | DISE epiglottis obstruction: partial obstruction (% of patients) Postoperative versus preoperative · Adults with obstructive sleep apnea undergoing sleep surgery, drug-induced sedation endoscopy (DISE) · VOTE level: Epiglottis | RD 3.04 [-12.66, 18.56] GRADE not reported 3 studies · 56 participants |
| Adults with obstructive sleep apnea in all included surgical studies | Sleep apnea surgery (all types) | None | Proportion of male participants Clinical (surgical patients undergoing DISE) | Proportion 81.2 [72.0, 88.9] GRADE not reported 10 studies · 320 participants |
Included primary studies 10
Open in Studies| Study | Year | Also included by | Outcomes it informs here | Trial data |
|---|---|---|---|---|
| Chiu 2021 Post-Operative Sleep Endoscopy with Target-Controlled Infusion After Palatopharyngoplasty for Obstructive Sleep Apnea: Anatomical and… PMID:34321943 | 2021 | this review only | Apnea-hypopnea index (AHI); PM41221913-P2-O13 | not extracted yet |
| Hasselbacher 2018 Complete concentric collapse at the soft palate in sleep endoscopy: what change is possible after UPPP in patients with CPAP failure? PMID:29766410 | 2018 | this review only | Apnea-hypopnea index (AHI); PM41221913-P2-O13 | not extracted yet |
| Heiser 2017 Palatoglossus coupling in selective upper airway stimulation. PMID:28105667 | 2017 | this review only | not stated | not extracted yet |
| Kastoer 2020 Drug-Induced Sleep Endoscopy Upper Airway Collapse Patterns and Maxillomandibular Advancement. PMID:31034634 | 2020 | this review only | DISE velum obstruction: no obstruction (% of patients); PM41221913-P1-O13 | not extracted yet |
| Khode 2023 Can functional septoturbinoplasty, with or without nasal valve suspension suture (FSTVS), alter the initial findings of drug-induced sleep… PMID:37537392 | 2023 | this review only | DISE velum obstruction: no obstruction (% of patients); PM41221913-P3-O13 | not extracted yet |
| Liu 2016 Efficacy of Maxillomandibular Advancement Examined with Drug-Induced Sleep Endoscopy and Computational Fluid Dynamics Airflow Modeling. PMID:26740522 | 2016 | this review only | DISE velum obstruction: no obstruction (% of patients); PM41221913-P1-O13 | not extracted yet |
| Liu 2020 Palatopharyngoplasty Resolves Concentric Collapse in Patients Ineligible for Upper Airway Stimulation. PMID:32109324 | 2020 | this review only | not stated | not extracted yet |
| Nikisha 2022 Modified Uvulopalatopharyngoplasty with Tonsillectomy in Treatment of Obstructive Sleep Apnoea. PMID:36213474 | 2022 | this review only | Apnea-hypopnea index (AHI); PM41221913-P2-O13 | not extracted yet |
| Victores 2012 Effects of nasal surgery on the upper airway: a drug-induced sleep endoscopy study. PMID:22886986 | 2012 | this review only | DISE velum obstruction: no obstruction (% of patients); PM41221913-P3-O13 | not extracted yet |
| Weidenbecher 2022 Efficacy of expansion pharyngoplasty and hypoglossal nerve stimulation in treating sleep apnea. PMID:35973270 | 2022 | this review only | not stated | not extracted yet |
Review question
| Element | Planned (methods) | Found (results) |
|---|---|---|
| Population | Adults (older than 18 years) with obstructive sleep apnea | Adults with OSA undergoing sleep surgery (n=320; 10 studies) |
| Intervention | Sleep surgery for OSA (MMA, palate surgery, hypoglossal nerve stimulator, nasal surgery) with pre- and postoperative DISE | MMA (n=34; 2 studies); palate surgery (n=210; 5 studies); nasal surgery (n=56; 3 studies); hypoglossal nerve stimulation (n=20; 1 study, descriptive only) |
| Comparison | Preoperative versus postoperative status | Preoperative versus postoperative DISE and clinical measures |
| Outcomes | VOTE (velum, oropharynx, tongue, epiglottis) obstruction on DISE; resolution of obstruction and management of complete obstruction; AHI, ODI, ESS | VOTE obstruction at velum, oropharynx, tongue and epiglottis; AHI; ODI (MMA only); ESS |
| Study designs | Primary research studies (clinical trials, observational studies), English language | Nonrandomized studies, Joanna Briggs level 3e (prospective and retrospective cohort, cross-sectional) (n=10) |
| Timing | Not specified | Not specified |