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OSAS Assessment by Endoscopy
Endoscopic Assessment
 
The endoscopic examination is a very important part in the assessment of patient suspected or diagnosed to have obstructive sleep aponea. The endoscopic examination typically start with the examination of the nasal cavity, then the velopharynx and lastly the hypopharynx. This will allow the identifcation of any significant nasal, velopharyngeal or hypopharyngeal pathology that may contribute or cause the obstructive sleep aponea and will also help our consultant to decide on the treatment plan for each individual patient.

Flexible Laryngoscopy + Muller Maneuver
 
 

This is the most common endoscopic assessment performed in our clinic for patients suspected or diagnosed to have obstructive sleep aponea. This is a very well tolerated procedure, no hospitalization required and usually only a small amount of local anesthetics will needed to be applied to the nose and throat regions. A flexible videolaryngoscope will be introduced through the nostril to examine the whole nasal cavity for local pathology of the nose and possible sites of obstruction. Then the videoendoscope will examine the area of the velopharynx and hypopharynx. The whole procedure will be recorded and images captured.

        Muller maneuver is a special technique that by consciously generating a negative pressure state within the upper airway, we would be able to estimate and possibly identify the possible locations and pattern of obstruction. However, since the patient is still fully conscious and is not in sleep, the accuracy of correctly identify the locations in about 80-85%
Sleep Endoscopy
 

This is the most accurate endoscopic assessment in identifying the locations and pattern of obstruction in OSA patient. This is an procedure to be performed in hospital, where the patient will be induced into a sleep state by medications. Endoscopic assessment will then be performed and the sites of obstruction and patterns of obstruction will then be accurately diagnose. Since this is a procedures performed in the operative theatre of hospital, it is then more time consuming for the patient and comes with a higher cost.

 


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