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RECRUITING
NCT05050383
NA

DISE: Phenotyping Obstruction Patterns

Sponsor: University of Pennsylvania

View on ClinicalTrials.gov

Summary

Drug-induced sleep endoscopy (DISE) represents an opportunity to evaluate the upper airway in sleep-like conditions. In its current clinical form, however, DISE does not routinely determine the functional impact of anatomic and neuromuscular factors on airflow obstruction. The investigators will apply nasal pressure (CPAP) during DISE to generate pressure-flow and pressure-area relationships, deriving functional determinants of upper airway obstruction during sleep. In addition, they will use objective anatomic measurements from computerized tomography (CT) and submental ultrasound. The findings will allow the investigators to streamline the upper airway exam during DISE, and will further the goal of developing personalized solutions that address specific pathogenic mechanisms of pharyngeal collapse and airflow obstruction during sleep. The investigators will use the physiologic and anatomic features derived from DISE and imaging to determine which are predictive of success to standard-of-care surgical interventions (e.g. skeletal, soft tissue, neurostimulation) .

Official title: Drug-Induced Sleep Endoscopy (DISE): Phenotyping Obstruction Patterns

Key Details

Gender

All

Age Range

18 Years - Any

Study Type

INTERVENTIONAL

Enrollment

241

Start Date

2021-11-12

Completion Date

2027-09

Last Updated

2025-08-13

Healthy Volunteers

No

Interventions

OTHER

Pharyngeal Manometry

Catheters will be passed into the nose and advanced to the pharynx to measure airway pressures during drug-induced sleep.

OTHER

Submental Ultrasound

Ultrasound of airway soft tissues

Locations (1)

University of Pennsylvania

Philadelphia, Pennsylvania, United States