Drug-Induced Sleep Endoscopy (DISE)
Because the airway anatomy during wakefulness and sleep can be dramatically different in patients who suffer from Obstructive Sleep Apnea, an examination of the airway during the sleep state is required for those patients who wish to pursue surgical correction of their Obstructive Sleep Apnea. The procedure is called Drug Induced Sleep Endoscopy or DISE. By observing the airway in its obstructed state, Dr. Ludwick can devise a treatment plan for his patients that provides the greatest chances of success.
Office Laryngoscopy Exam while Awake in patient with Severe OSAS
Note that there is no obvious site of airway obstruction except some narrowing at the level of the epiglottis.
DISE examination
Notice the complete obstruction at the level of the soft palate.
DISE examination
Notice the retrolingual space remains patent.
DISE examination with Jaw Thrust Maneuver
Notice the minimal improvement in the retropalatal airway with Jaw Thrust Maneuver.
DISE examination with Jaw Thrust Maneuver
Notice the dramatic improvement in the retrolingual airway with Jaw Thrust Maneuver.
Call (209) 362-3311 now, or complete this form and our office will contact you within the next business day.
