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An unusual cause of obstructive sleep apnoea

Published online by Cambridge University Press:  19 August 2009

A Farboud ,
R Pratap ,
H Helquist  and
P Montgomery
A Farboud*
Affiliation:
Department of ENT Head and Neck Surgery, Norfolk and Norwich University Hospital, UK
R Pratap
Affiliation:
Department of ENT Head and Neck Surgery, Norfolk and Norwich University Hospital, UK
H Helquist
Affiliation:
Department of Histopathology, Norfolk and Norwich University Hospital, UK
P Montgomery
Affiliation:
Department of ENT Head and Neck Surgery, Norfolk and Norwich University Hospital, UK
*
Address for correspondence: Mr Amir Farboud, ENT Head and Neck Surgery Department, Norfolk and Norwich University Hospital, Colney Lane, Norwich NR7 7UY, UK. Fax: 00 44 1603 287288 E-mail: [email protected]
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Abstract

Introduction:

Rhabdomyoma of the larynx is a rare condition, with less than 40 cases recorded worldwide.

Clinical record:

A 76-year-old man was referred to our clinic with progressive, severe hoarseness and dysphagia. He had been diagnosed with obstructive sleep apnoea by the respiratory physicians and commenced on nocturnal continuous positive airway pressure ventilation. Transnasal laryngoscopy revealed bilaterally enlarged tissue in the region of the arytenoids; biopsies revealed the (previously unreported) diagnosis of bilateral, synchronous rhabdomyoma of the arytenoids. Following multiple debulking surgical procedures and a tracheostomy, the patient's condition began to improve.

Discussion:

We describe the clinical picture, diagnosis and subsequent management of this patient, and also reproduce the histopathological and radiological images that aided our diagnosis. We also review reported cases of rhabdomyoma of the larynx, including their location, management and outcome.

Keywords

RhabdomyomaArytenoid CartilageObstructive Sleep Apnea
Type
Online Only Clinical Records
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 11 , November 2009 , e22
Copyright
Copyright © JLO (1984) Limited 2009

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References

1Carron, JD, Darrow, DH, Karakla, DW. Fetal rhabdomyoma of the posterior cervical triangle. Int J Pediatr Otorhinolaryngol 2001;61:77–81CrossRefGoogle ScholarPubMed
2Willis, J, Abdul-Karim, FW, Di Sant'Agnese, PA. Extracardiac rhabdomyomas. Semin Diagn Pathol 1991;11:15–25Google Scholar
3Granich, MS, Pilch, BZ, Nadol, JB, Dickersin, GR. Fetal rhabdomyoma of the larynx. Arch Otolaryngol 1983;109:821–6CrossRefGoogle ScholarPubMed
4Di Sant'Agnese, PA, Knowles, DM 2nd. Extracardiac rhabdomyoma: a clinicopathologic study and review of literature. Cancer 1980;46:780–93.0.CO;2-K>CrossRefGoogle Scholar
5Kapadia, SB, Meis, JM, Frisman, DM, Ellis, GL, Heffner, DK, Hyams, VJ. Adult rhabdomyoma of the head and neck: a clinicopathologic and immunophenotypic study. Hum Pathol 1993;24:608–17CrossRefGoogle ScholarPubMed
6Bastian, B, Brocker, EB. Adult rhabdomyoma of the lip. Am J Dermatopathology. 1998;20:61–4CrossRefGoogle ScholarPubMed
7Knowles, DM 2nd, Jakobiec, FA. Rhabdomyoma of the orbit. Am J Dermatopathol 1975;80:1011–18Google ScholarPubMed
8Roberts, F, Kirk, AJ, More, IA, Butler, J, Reid, RP. Oesophageal rhabdomyoma. J Clin Pathol 2000;53:554–7CrossRefGoogle ScholarPubMed
9Tuzon, R. Rhabdomyoma of the stomach. Report of a case. Am J Clin Pathol. 1969;52:37–41CrossRefGoogle Scholar
10Box, JC, Newman, CL, Anastasiades, KD, et al. Adult rhabdomyoma: presentation as a cervicomediastinal mass (case report and review of literature). Am surg 1995;61:271–6Google Scholar
11Liang, GS, Loevner, LA, Kumar, P. Laryngeal rhabdomyoma involving the paraglottic space. AJR Am J Roentgenol 2000;174:1285–7CrossRefGoogle ScholarPubMed
12Canalis, RF, Platz, CE, Cohn, AM. Laryngeal rhabdomyosarcoma. Arch Otolaryngol 1976;102:104–7CrossRefGoogle ScholarPubMed