{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T23:09:05Z","timestamp":1787785745079,"version":"build-2784847793"},"reference-count":38,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2014,2,10]],"date-time":"2014-02-10T00:00:00Z","timestamp":1391990400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2014,8]]},"abstract":"<jats:sec><jats:title>Objective\/Hypothesis<\/jats:title><jats:p>This study examined correlations between surgical recommendations based on either drug\u2010induced sleep endoscopy (DISE) or common awake examination methods in patients with obstructive sleep apnea syndrome (OSAS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Prospective, blinded, clinical trial at a university hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An otorhinolaryngologist designed surgical plans for patients with OSAS after clinical examination, lateral cephalometry, the M\u00fcller maneuver, and Friedman staging. A second otorhinolaryngologist blinded to the previous plans made surgical recommendations after DISE. A third person tested agreement between the two sets of plans using Cohen's kappa statistic and the chi\u2010squared test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred and sixty\u2010two patients (15 females, 147 males) completed the protocol. Good correlation was observed between DISE and Friedman staging regarding recommendations for isolated oropharyngeal or multilevel surgery (kappa\u2009=\u20090.61). Correlations between DISE and clinical examination, lateral cephalometry, and the M\u00fcller maneuver regarding surgical procedures on specific structures contributing to upper airway obstruction ranged from fair for velum\/tonsil surgery (<jats:italic>k<\/jats:italic>\u2009=\u20090.41\u20130.60) to poor (<jats:italic>k<\/jats:italic>\u2009=\u20090.01\u20130.20) for tongue\u2010base, lateral pharyngeal wall, and epiglottal surgery. The most informative value was DISE versus clinical evaluation, lateral cephalometry, and the M\u00fcller maneuver, which changed surgical recommendations concerning the structures contributing to hypopharyngeal or laryngeal obstruction in\u2009&gt;\u200940% of patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our results indicate that DISE provides more information about the anatomical locations and pattern of obstruction, particularly regarding the specific structures contributing to hypopharyngeal and laryngeal obstruction. DISE changes surgical decision making compared to awake evaluation methods.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4. <jats:italic>Laryngoscope<\/jats:italic>, 124:1970\u20131974, 2014<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.24577","type":"journal-article","created":{"date-parts":[[2014,1,2]],"date-time":"2014-01-02T08:42:57Z","timestamp":1388652177000},"page":"1970-1974","source":"Crossref","is-referenced-by-count":82,"title":["Surgical planning after sleep versus awake techniques in patients with obstructive sleep apnea"],"prefix":"10.1002","volume":"124","author":[{"given":"Enrique","family":"Fern\u00e1ndez\u2010Juli\u00e1n","sequence":"first","affiliation":[{"name":"Otorhinolaryngology Department University of Valencia Valencia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel \u00c1ngel","family":"Garc\u00eda\u2010P\u00e9rez","sequence":"additional","affiliation":[{"name":"Institute of Health Research INCLIVA and Department of Genetics University of Valencia Valencia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javier","family":"Garc\u00eda\u2010Callejo","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology Department University of Valencia Valencia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felipe","family":"Ferrer","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology Department University of Valencia Valencia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco","family":"Mart\u00ed","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Hospital Cl\u00ednico Universitario; University of Valencia Valencia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaime","family":"Marco","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology Department University of Valencia Valencia 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