Dr. Steward acknowledged there were findings that DISE led to changes in surgical plans but noted that there was no association found between outcome and the use of DISE (Laryngoscope. 2016;126:768-774).
Other studies found no change in outcome but noted greater cost and length of stay in UPPP cases and found that DISE had no predictive value for success at any level of multi-level pharyngeal surgery, including transoral robotic surgery (Laryngoscope. 2016;126:249-253; Laryngoscope. Published online ahead of print October 31, 2016. doi: 10.1002/lary.26255).
He did acknowledge the ability of DISE to predict success with upper-airway stimulation, although patients with palatal complete concentric collapse were not included in the pivotal Stimulation Treatment for Apnea Reduction (STAR) trial of the procedure because of poor results in such patients in a retrospective review.