Anthropometric Predictors in Drug-Induced Sleep Endoscopy With Positive Airway Pressure.
Publication/Presentation Date
1-1-2026
Abstract
OBJECTIVE: Anthropometric measurements are key risk factors for obstructive sleep apnea (OSA), yet their role as predictors of surgical outcomes in continuous positive airway pressure (CPAP)-intolerant patients remains underexplored. This study examines the relationship between neck, waist, and hip circumferences, airway collapse patterns, and pharyngeal opening pressures (PhOPs) during drug-induced sleep endoscopy with positive airway pressure (DISE-PAP).
STUDY DESIGN: Retrospective cohort study.
SETTING: A single-institution tertiary care center.
METHODS: Patients with CPAP-intolerant OSA who underwent DISE between December 2023 and April 2024 were identified. Demographics, preoperative sleep studies, anthropometrics, and DISE findings were assessed. Spearman's correlations evaluated associations, with a sub-analysis comparing body roundness index (BRI) to body mass index (BMI).
RESULTS: In total, 73 patients (75.3% male; mean age 59.7; BMI 30.51 kg/m²) were included. Complete concentric collapse of the velum was associated with BMI, BRI, neck, waist, and hip circumferences, and waist:height ratio. Complete collapse at the lateral oropharyngeal wall was associated with BMI and neck and waist circumferences. Males with neck circumferences ≥42 cm had a significantly higher risk of lateral wall collapse (odds ratio [OR] 5.37 [2.03-15.2], P < .001). PhOP correlated with hip circumference (r
CONCLUSION: Neck, waist, and hip circumferences predict airway collapse in DISE-PAP, highlighting the role of central adiposity in airway resistance. These findings may inform preoperative assessments and surgical planning for CPAP-intolerant OSA patients.
Volume
174
Issue
1
First Page
272
Last Page
279
ISSN
1097-6817
Published In/Presented At
Sina, E. M., Robinson, J., Platukus, A., Wride, W., Kaki, P. C., DeKloe, J., Ideker, H., White, S., Creighton, E., Molin, N., Boon, M., & Huntley, C. (2026). Anthropometric Predictors in Drug-Induced Sleep Endoscopy With Positive Airway Pressure. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 174(1), 272–279. https://doi.org/10.1002/ohn.70037
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
41031645
Department(s)
Administration and Leadership
Document Type
Article