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Parapharyngeal mass presenting with sleep apnoea

Published online by Cambridge University Press:  29 June 2007

D. Veitch*
Affiliation:
London
M. Rogers
Affiliation:
London
J. Blanshard
Affiliation:
London
*
D. Veitch, FRCS The Royal National Throat, Nose and Ear Hospital, Gray's Inn Road, London WC1X 8DA.

Abstract

A 60-year-old man presented with a history of progressive sleep disturbance due to an intraoral parapharyngeal salivary gland tumour.

The sleep study performed post-operatively showed rapid resolution of nocturnal hypoxic episodes. This appears to be the first recorded case of a parapharyngeal mass causing sleep apnoea and we review the current literature on obstructive sleep apnoea.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1989

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References

Berry, R. B. and Block, A. J. (1984) Positive nasal airway pressure eliminates snoring as well as obstructive sleep apnoea. Chest, 85: 1520.CrossRefGoogle Scholar
Bradley, T. D., Brown, I. G., Grossman, R. F., Zamel, N., Martinez, D., Phillipson, E. A. and Hoffstein, V. (1986) Pharyngeal size in snorers, non-snorers, and patients with obstructive sleep apnea. New England Journal of Medicine, 315: 13271331.CrossRefGoogle Scholar
Brown, I. G., Bradley, T. D., Phillipson, E. A., Zamel, N. and Hoffstein, V. (1985) Pharyngeal compliance in snoring subjects with and without obstructive sleep apnea. American Review of Respiratory Diseases, 132: 211215.Google ScholarPubMed
Cartwright, R. D. and Samelson, C. F. (1982) The effects of a non-surgical treatment for obstructive sleep apnea. The tongueretaining device. Journal of American Medical Association, 248: 705709.CrossRefGoogle Scholar
Fairbanks, D. N. (1984) Snoring: surgical vs non-surgical management. Laryngoscope, 94: 11881192.CrossRefGoogle Scholar
Fujita, S., Conway, W., Zorick, F. and Roth, T. (1981) Surgical correction of anatomic abnormalities in obstructive sleep apnea syndrome: uvulopalatopharyngoplasty. Otolaryngology—Head and Neck Surgery, 89: 923924.CrossRefGoogle Scholar
Hodges, S. and Wailoo, M. P. (1987) Tonsillar enlargement and failure to thrive. British Medical Journal, 295: 541542.CrossRefGoogle ScholarPubMed
Jennett, S. (1984)Snoring and its treatment (Editorial). British Medical Journal, 289: 335336.CrossRefGoogle Scholar
Katsantonis, G. P., Walsh, J. K., Schweitzer, P. K. and Friedman, W. H. (1985) Further evaluation of uvulopalatopharyngoplasty in the treatment of obstructive sleep apnea syndrome. Otolaryngology—Head and Neck Surgery, 93: 244250.CrossRefGoogle ScholarPubMed
Koskenvuo, M., Kaprio, J., Telakivi, T., Partinen, M., Heikkila, K. and Sarna, S. (1987) Snoring as a risk factor for ischaemic heart disease and stroke in men. British Medical Journal, 294: 1619.CrossRefGoogle ScholarPubMed
Krieger, J., Weitzenblum, E., Monassier, J. P., Stoeckel, C. and Kurtz, D. (1983) Dangerous hypoxaemia during continuous positive airway pressure treatment of obstructive sleep apnoea (letter). Lancet, 2: 14291430.CrossRefGoogle Scholar
Lugaresi, E., Coccagna, G. and Cirignotta, F.(1978) Snoring and its clinical implications. In Sleep Apnoea Syndromes (Guilleminault, C. and Dement, W. C., eds) vol. II, Liss, New York, pp. 1321.Google Scholar
Muller, J. E., Stone, P. H., Turi, Z. G., Rutherford, J. D., Czeisler, C. A., Parker, C., Poole, W. K., Passamani, E., Roberts, R., Robertson, T. L., Sobel, B. E., Willerson, J. T., Braunwald, E., and the MILIS Study Group. (1985) Circadian variation in the frequency of onset of acute myocardial infarction. New England Journal of Medicine, 313: 13151322.CrossRefGoogle ScholarPubMed
Olsen, K. D., Suh, K. W. and Staats, B. A. (1981) Surgically correctable causes of sleep apnoea syndrome. Otolaryngology—Head and Neck Surgery, 89: 726731.CrossRefGoogle Scholar
Orr, W. C. (1983) Sleep related breathing disorders. An update. Chest, 84(4): 475480.CrossRefGoogle ScholarPubMed
Patton, T. J., Thawley, S. E., Waters, R. C., Vandermeer, P. J. and Ogura, J. H. (1983) Expansion hyoidplasty. A potential surgical procedure designed for selected patients with obstructive sleep apnea syndrome. Experimental canine results. Laryngoscope, 93: 13871396.CrossRefGoogle ScholarPubMed
Powell, N., Guilleminault, C., Riley, R. and Smith, L. (1983) Mandibular advancement and obstructive sleep apnoea syndrome. European Bulletin of Physiopathological Respiration, 19: 607610.Google Scholar
Remmers, J. E., DeGroot, W. J., Sauerland, E. K. and Auch, A. M. (1978) Pathogenesis of upper airway occlusion during sleep. Journal of Applied Physiology, 44: 931938.CrossRefGoogle ScholarPubMed
Rice, D. H. and Persky, M. (1986) Snoring: clinical implications and treatment. Otolaryngology—Head and Neck Surgery, 95: 2830.CrossRefGoogle ScholarPubMed
Robin, I. (1983) Snoring. Respiratory Diseases in Practice. July 2328.Google Scholar
Simmons, F. B., Guilleminault, C. and Silvestri, R. (1983) Snoring, and some obstructive sleep apnea, can be cured by oropharyngeal surgery. Archives of Otolaryngology, 109: 503507.CrossRefGoogle ScholarPubMed
Simmons, F. B., Guilleminault, C. and Miles, L. E. (1984) The palatopharyngoplasty operation for snoring and sleep apnea: an interim report. Otolaryngology—Head and Neck Surgery, 92: 375380.CrossRefGoogle ScholarPubMed
Sullivan, C. E. and Issa, F. G. (1985) Obstructive sleep apnoea. Clinics in Chest Medicine, 6: 633650.CrossRefGoogle Scholar
Waldhorn, R. E. (1985) Sleep apnea syndrome. American Family Physician, 32: 149166.Google ScholarPubMed