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Pinpoint Sleep Apnea Blockages

Drug-induced sleep endoscopy with 3D video analysis for personalised OSA solutions

Book Sleep Endoscopy
30 mins
Procedure Duration
Average DISE time in procedure suite
94%
Localization Accuracy
Precise obstruction site identification
48 hrs
Treatment Planning
Surgery plan ready within two days

When to Consult

  • Loud snoring with witnessed apneas
  • CPAP intolerance or non-compliance
  • Daytime sleepiness affecting work performance
  • Failed prior snoring surgery or oral appliance
  • BMI-controlled patients considering targeted OSA surgery
  • Elite professionals requiring quiet sleep (pilots, executives)

Understanding Sleep Endoscopy in the Indian Context

Obstructive sleep apnea (OSA) is rising in Telangana due to sedentary jobs, late-night schedules, and rising obesity. Drug-induced sleep endoscopy (DISE) lets Ajuda specialists watch your airway collapse in real time, enabling targeted interventions beyond CPAP.

When to Consult Our Sleep Endoscopy Experts

⚠️ Seek urgent attention if you experience:

  • ✓ Severe daytime sleepiness leading to accidents
  • ✓ Pauses in breathing observed by family
  • ✓ Worsening hypertension or arrhythmias due to untreated OSA

Elective DISE helps when CPAP feels intolerable, snoring persists after surgery, or you are evaluating Inspire or mandibular devices.

Our Diagnostic Approach

1️⃣ Sleep Clinic Assessment Detailed history, polysomnography, and comorbidity mapping set the stage for DISE.

2️⃣ Controlled Sedation An anesthetist induces light sleep mimicking natural airway collapse while monitoring oxygen saturation.

3️⃣ Dynamic Airway Video Flexible scope records obstruction at velum, tongue base, epiglottis, or lateral walls using the VOTE system.

4️⃣ Collaborative Planning Surgeons, sleep physicians, orthodontists, and nutritionists review footage to select surgery, devices, or lifestyle pathways.

Treatment Pathways

Plans include targeted palate surgery, tongue base reduction, epiglottic stabilisation, and weight optimisation. DISE also confirms suitability for hypoglossal nerve stimulation or mandibular advancement devices.

What to Expect: Your Care Journey

  • Week 0: Pre-anesthesia check, DISE scheduling, insurance coordination.
  • Day of DISE: 30-minute procedure, video recording, recovery in 2 hours.
  • 48 Hours: Consultation to review footage and agree on next steps.
  • 6-12 Weeks: Post-intervention follow-up with home sleep tests and tele coaching.

Technology & Innovation

Ajuda integrates Olympus HD systems with synchronized audio to correlate snore intensity with site of collapse. Videos feed into our sleep board to plan multi-level interventions precisely.

Preventing Complications

Targeted interventions prevent uncontrolled OSA complications such as hypertension, diabetes progression, and cardiovascular events. Early mapping reduces repeated ineffective surgeries.

Why Ajuda for DISE?

🧠 Multidisciplinary Board

Sleep physicians, ENT surgeons, dental sleep experts collaborate.

🎥 HD Recording

Video shared securely with patients and referring doctors.

📍 Telangana Outreach

Tele follow-ups support Nalgonda, Warangal, Karimnagar residents.

Take the First Step

Stop guessing why snoring or apnea persists. Call 9010550550 to schedule DISE at Ajuda Hospitals and wake up refreshed again.

Diagnosis Approach

1

Sleep Clinic Evaluation

Polysomnography review, ESS scoring, and comorbidity assessment as per Indian Sleep Disorders Association.

2

Sedation Protocol

Propofol-induced sleep under anesthetist monitoring with BIS index guidance.

3

Dynamic Airway Visualization

Flexible scope tracks velum, tongue base, epiglottis, and lateral walls using VOTE classification.

4

Multidisciplinary Planning

ENT, sleep physician, and orthodontist review footage to finalise surgical or device pathway.

Treatment Options

Weight & Lifestyle Optimisation

Nutritionist-guided diet, positional therapy, and alcohol avoidance before surgical decisions.

Reduces AHI by up to 25% in mild cases
8-12 weeks

Targeted Soft Palate Surgery

DISE-guided uvulopalatopharyngoplasty variants tailored to obstruction site.

70% success for velum-dominant collapse
Day-care; 2-week recovery

Tongue Base Reduction

Radiofrequency ablation or robotic surgery for tongue base collapse identified on DISE.

AHI reduction by 45% in selected patients
Procedure + 4 week healing

Epiglottis & Lateral Wall Solutions

Partial epiglottoplasty and lateral pharyngoplasty for floppy epiglottis or lateral collapse.

Improves airway stability in 80%
Individual plan

Hypoglossal Nerve Stimulation Planning

DISE confirms pattern suitability for Inspire therapy; referral to partner center if indicated.

66% AHI reduction in eligible candidates
Post-approval implantation

Tele Sleep Coaching

Virtual follow-up, home sleep tests, and adherence checks for patients from Warangal, Karimnagar.

Maintains >85% adherence to postoperative protocols
6-12 months

Expected Outcomes

Treatment Timeline

Day 0

DISE completed with HD recording

48 Hours

Personalised surgical or device plan documented

6-8 Weeks

Post-intervention sleep quality improves

3-6 Months

Repeat sleep study confirms AHI reduction

Success Metrics

  • Reduction in apnea-hypopnea index
  • Improved Epworth Sleepiness scores
  • Patient-reported snoring reduction