“Unveiling Unique Pathologies in Obstructive Sleep Apnea: Two Intriguing Case Reports”

Author:

Baptista Peter M.ORCID,O'connor Carlos1,Altoron Mahran2,Rodriguez-Alcala Laura1,Plaza-Mayor Guillermo3

Affiliation:

1. Department of ENT, Hospitales Quironsalud Marbella y Campo de Gibraltar, Spain

2. Department of ENT, Alzahra Hospital, Dubai, United Arab Emirates

3. Department of ENT, Hospital Universitario de Fuenlabrada, Universidad Rey Juan Carlos, Madrid, Spain

Abstract

AbstractObstructive sleep apnea (OSA) is often associated with reduced pharyngeal muscle tone and an anatomically narrowed pharyngeal airspace. We try to describe two cases with OSA that were diagnosed with vascular lesions during DISE: One of them was an aberrant internal carotid artery, and the second one was a glomus tumor. These anatomic anomalies contribute to airspace narrowing in these patients. These two cases describe an exciting presentation of sleep apnea and remind us of the importance of clinically recognizing vascular alterations to avoid damage during routine oropharyngeal procedures.

Publisher

Georg Thieme Verlag KG

Reference14 articles.

1. A study of the course of the internal carotid artery in the parapharyngeal space and its clinical importance;Z Ozgur;Eur Arch Otorhinolaryngol,2007

2. Intraoperative evaluation of a pulsatile oropharyngeal mass during adenotonsillectomy;J M Wasserman;Int J Pediatr Otorhinolaryngol,2006

3. Glomus jugulare tumors;C G Jackson;J Neurosurg,1982

4. Evaluation of the upper airway cross-sectional area changes in different degrees of severity of obstructive sleep apnea syndrome: cephalometric and dynamic CT study;A Yucel;AJNR Am J Neuroradiol,2005

5. Glomus tumor in the parapharyngeal space;J H Lee;Eur Arch Otorhinolaryngol,2004

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