Oropharyngeal rhabdomyoma: the cause of severe sleep apnoea?
| Autor: | Jesper Bille, Henrik Jonathan Münch, Pádraig O'Leary, Thomas Kjærgaard |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Supine position ear nose and throat Unusual Association of Diseases/Symptoms Rhabdomyoma Benign tumours head and neck surgery otolaryngology / ENT 03 medical and health sciences 0302 clinical medicine Adult rhabdomyoma Transoral robotic surgery medicine Humans 030212 general & internal medicine Aged Sleep Apnea Obstructive business.industry Pharynx General Medicine medicine.disease Magnetic Resonance Imaging Surgery Oropharyngeal Neoplasms medicine.anatomical_structure Histopathology sleep disorders (respiratory medicine) Airway business 030217 neurology & neurosurgery |
| Zdroj: | Münch, H J, O'Leary, P, Bille, J & Kjaergaard, T 2020, ' Oropharyngeal rhabdomyoma : The cause of severe sleep apnoea? ', BMJ Case Reports, vol. 13, no. 2, e230949 . https://doi.org/10.1136/bcr-2019-230949 BMJ Case Rep |
| ISSN: | 1757-790X |
| Popis: | 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|