Sleep · DISE
VOTE Classification
A structured worksheet for recording drug-induced sleep endoscopy findings: degree and configuration of collapse at the velum, oropharyngeal lateral walls, tongue and epiglottis. When you are done you can print a report or copy the findings as plain text for your clinical record.
Baseline assessment
Resting examination, no maneuvers. Score the degree at each structure; configuration becomes available only when the degree is 1 or 2.
Show collapse configuration diagrams
Schematic axial cross-section of the pharynx as seen endoscopically, anterior uppermost. The dashed line represents the resting airway and the dark area the residual lumen during collapse. Original diagrams, not reproductions of published images.
0 no obstruction, no vibration 1 partial, with vibration 2 complete, collapse X not visualized
Oropharyngeal lateral wall subtype (optional)
Distinguishes the tonsillar component from the lateral wall tissues. Only meaningful when the oropharynx scores 1 or 2.
VOTE does not produce a score. The result is a description by structure, not a number: degrees are not summed and there is no cut-off. The assessment is qualitative and interrater agreement is limited, particularly at the velum.
Reassessment during a maneuver Optional. This is a separate, independent VOTE record, not a modification of the baseline: the two are never merged or subtracted.
Maneuver or condition applied
Select the maneuver this second record corresponds to.
On jaw thrust. Maximal protrusion is not advisable: it does not predict oral appliance outcome. Aim to reproduce the protrusion and vertical opening the actual appliance would provide, and if the patient has their own device, examine with it in place and remove it afterwards.
Examination conditions Optional record that does not score. Covers the items the European position paper recommends stating in the report.
Body position during the baseline record
Sedation and monitoring
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