Comparing Diagnostic Efficacy of Imaging During Muller's Maneuver Versus Drug Induced Sleep Endoscopy in Obstructive Sleep Apnoea

Kanika Arora; Sandeep Bansal; Divya Jain; Vivek Gupta; Ramandeep Singh Virk

doi:10.1007/s12070-022-03365-x

Comparing Diagnostic Efficacy of Imaging During Muller's Maneuver Versus Drug Induced Sleep Endoscopy in Obstructive Sleep Apnoea

Indian J Otolaryngol Head Neck Surg. 2023 Jun;75(2):624-631. doi: 10.1007/s12070-022-03365-x. Epub 2022 Dec 19.

Authors

Kanika Arora¹, Sandeep Bansal¹, Divya Jain², Vivek Gupta³, Ramandeep Singh Virk¹

Affiliations

¹ Department of Otolaryngology, Head and Neck Surgery, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, 160012 India.
² Department of Anaesthesia and Intensive Care, PGIMER, Chandigarh, India.
³ Department of Radiodiagnosis, PGIMER, Chandigarh, India.

Abstract

The aim of the study was to compare the diagnostic efficacy of quantitative computed tomography (CT) based upper airway analysis using the Muller's maneuver (MM) and compare the findings with drug induced sleep endoscopy (DISE). A prospective observational study was conducted on 50 adult patients with symptoms of OSA and having apnoea-hypopnea index more than 5. They further underwent CT during normal breathing and during MM; findings of which were compared with DISE. Collapse at velum had statistically significant correlation with collapse at retropalatal level in CT (in MM) (P value = 0.001; r = 0.536). Base of tongue in DISE correlates significantly with retroglossal collapse on CT (P value = 0.002; r = 0.423). Epiglottic and oropharyngeal collapse had no correlation with any CT parameter. Collapse in CT as measured during MM shows significant correlation with DISE findings at velum and tongue base but cannot solely predict all levels without the aid of DISE.

Keywords: Airway collapse; CT with Muller's maneuver; OSA; Sleep endoscopy; Snoring.

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