Sleep medicine in otolaryngology units: an international survey

Giovanni Cammaroto, Giulia Bianchi, Henry Zhang, Vik Veer, Bhik Kotecha, Ofer Jacobowitz, Marina Carrasco Llatas, Paula Martínez Ruiz de Apodaca, Rodolfo Lugo, Giuseppe Meccariello, Giannicola Iannella, Riccardo Gobbi, Song Tar Toh, Ying Shuo Hsu, Ahmed Yassin Baghat, Jerome R. Lechien, Christian Calvo-Henriquez, Carlos Chiesa-Estomba, Maria Rosaria Barillari, Badr IbrahimTareck Ayad, Nicolas Fakhry, Paul Hoff, Eric Rodrigues Thuler, Lyndon Chan, Chloe Kastoer, Madeline Ravesloot, Andrea De Vito, Filippo Montevecchi, Claudio Vicini

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Purpose: No study to date has described the overall landscape of sleep disorders management and training in otolaryngology departments of different countries. The aim of our study was to investigate and compare settings, diagnostic and therapeutic approaches and training programmes. Methods: An international online survey was developed with the collaboration of the YO-IFOS (Young Otolaryngologists-International Federation of Otorhinolaryngological Societies) to assess the current practice of otolaryngologists in the management of sleep disorders. The survey also included a session dedicated to training. Results: A total of 126 otolaryngologists completed the survey. The larger part of responses was collected from Central/South America and Europe. The majority of responders from South/Central America (97%) declared to be certified as sleep specialist while 49% of Europeans stated the opposite. Of responders 83% perform a drug-induced sleep endoscopy (DISE) before planning a possible surgical intervention. Soft palate and base of tongue interventions were the most common procedure, respectively performed in 94% and 79% of the cases. Residents were allowed to perform soft palate surgery in 77% of the cases. Upper airway stimulation (26% vs 10%), trans-oral robotic surgery (36% vs 11%) and radiofrequency of the base of the tongue (58% vs 25%) were preferred more frequently by European responders. The highest caseloads of soft palate surgery and bi-maxillary advancement were registered in the academic institutions. Conclusion: Significant concordance and few interesting divergences in diagnosis and treatment of sleep disorders were observed between nationalities and types of institution. Economic resources might have played a significant role in the therapeutic choice. Trainees’ lack of exposure to certain interventions and to a sufficient caseload appeared to be the main burden to overcome.

Original languageEnglish
Pages (from-to)2141-2152
Number of pages12
JournalSleep and Breathing
Volume25
Issue number4
DOIs
StatePublished - Dec 2021
Externally publishedYes

Keywords

  • DISE
  • OSA
  • Otolaryngology
  • Sleep surgery
  • Survey

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