Subscribe to RSS
DOI: 10.1055/s-0044-1787531
“Unveiling Unique Pathologies in Obstructive Sleep Apnea: Two Intriguing Case Reports”
Funding This article has not received any funding.Abstract
Obstructive 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.
Keywords
drug-induced sleep endoscopy - obstructive sleep apnea - glomus tumor - aberrant internal carotid arteryPublication History
Received: 20 August 2023
Accepted: 07 February 2024
Article published online:
05 June 2024
© 2024. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
-
References
- 1 Ozgur Z, Celik S, Govsa F, Aktug H, Ozgur T. A study of the course of the internal carotid artery in the parapharyngeal space and its clinical importance. Eur Arch Otorhinolaryngol 2007; 264 (12) 1483-1489
- 2 Wasserman JM, Sclafani SJ, Goldstein NA. Intraoperative evaluation of a pulsatile oropharyngeal mass during adenotonsillectomy. Int J Pediatr Otorhinolaryngol 2006; 70 (02) 371-375
- 3 Jackson CG, Glasscock ME, Harris PF. et al. Glomus jugulare tumors. J Neurosurg 1982; 57 (06) 700-704
- 4 Yucel A, Unlu M, Haktanir A, Acar M, Fidan F. Evaluation of the upper airway cross-sectional area changes in different degrees of severity of obstructive sleep apnea syndrome: cephalometric and dynamic CT study. AJNR Am J Neuroradiol 2005; 26 (10) 2624-2629
- 5 Lee JH, Baek BJ, Kim KW. et al. Glomus tumor in the parapharyngeal space. Eur Arch Otorhinolaryngol 2004; 261 (08) 441-444
- 6 Patil SP, Schneider H, Schwartz AR, Smith PL. Adult obstructive sleep apnea: pathophysiology and diagnosis. Chest 2007; 132 (01) 325-337
- 7 Paulsen F, Tillmann B, Christofides C, Richter W, Koebke J. Curving and looping of the internal carotid artery in relation to the pharynx: frequency, embryology and clinical implications. J Anat 2000; 197 (Pt 3): 373-381
- 8 Lim HJ, Sharma S, Sheahan P. Head and neck paragangliomas: An overview. J Clin Neurosci 2010; 17 (05) 595-600
- 9 Picel AC, Davidson TM. An aberrant internal carotid artery discovered during evaluation of obstructive sleep apnea: a report of 2 cases with consideration of a possible association. Ear Nose Throat J 2011; 90 (01) 29-31
- 10 Duygulu G. Relationship of aberrant internal carotid artery with pharyngeal wall in obstructive sleep apnea. Sleep Breath 2023; 27 (06) 2415-2422
- 11 Marks SC, Rimmer J, Anand VK. et al. Paragangliomas of the head and neck: Treatment outcomes and novel approaches for the difficult-to-treat tumors. Skull Base Surg 2009; 19 (02) 129-137
- 12 Havekes B, Kastelein F, van der Klaauw AA. et al. Head-and-neck paragangliomas are associated with sleep-related complaints, especially in the presence of carotid body tumors. Sleep Breath 2012; 16 (02) 527-534
- 13 van Hulsteijn LT, van Duinen N, Ninaber MK. et al. Carotid body tumors are not associated with an increased risk for sleep-disordered breathing. Sleep Breath 2014; 18 (01) 103-109
- 14 Vrabec DP, Dedo HH, Cole JW, Ogura JH. Glomus jugulare tumors: Diagnosis, treatment, and results. Ann Otol Rhinol Laryngol 1981; 90 (3 Pt 1): 197-201