Key Points:
  1. DISE-directed tongue surgery in children with prior adenotonsillectomy and persistent/recurrent OSA demonstrates a statistically significant reduction in post-operative AHI.
  2. DISE-directed pediatric tongue surgery demonstrates a statistically significant increase in post-operative LSAT.
  3. Patients who underwent DISE-directed tongue surgery demonstrated statistically significant surgical response.
  4. There is a paucity of prospective data for DISE-direct tongue surgery.
  5. There is a paucity of long-term PSG outcome data for DISE-directed tongue surgery.