Oropharyngeal rhabdomyoma: the cause of severe sleep apnoea?

Autor: Münch, Henrik Jonathan, O’Leary, Padraig, Bille, Jesper, Kjaergaard, Thomas
Zdroj: BMJ Case Reports; 2/9/2020, Vol. 13 Issue 2, p1-3, 3p, 3 Color Photographs, 1 Black and White Photograph
Abstrakt: This case report presents an elderly male patient who on diagnosis with a large oropharyngeal tumour had no specific symptomatology apart from severe obstructive sleep apnoea. Histopathology revealed the tumour to be an adult rhabdomyoma, a rare but benign tumour arising from striated muscle cells. The tumour obstructed most of the oropharyngeal space and almost occluded the patient’s airway when lying in a supine position. The patient was deemed operable, and the tumour was excised in toto using a transoral robotic surgery system. On follow-up, the patient had a severe reduction of apnoeas/hypopnoeas and felt subjectively ’reborn’. This is to our knowledge the first case where an adult rhabdomyoma is removed using a robot-assisted approach, thus presenting a new and viable option when considering removal of benign tumours of the pharynx leading to a very minor degree of morbidity for the patients. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index