Giddings C E B, Bray D, Rimmer J, Williamson P
Department of Head and Neck Surgery, St George's Hospital, London, UK.
J Laryngol Otol. 2005 Mar;119(3):226-9. doi: 10.1258/0022215053561602.
Two cases of deep lobe parotid tumours extending into the parapharyngeal space and causing obstructive sleep apnoea are described. Post-operatively, marked improvements in nocturnal hypoxic episodes and the symptoms of obstructive sleep apnoea were seen. Although minor salivary gland pleomorphic adenomas have been described as a cause of airway compromise, pleomorphic adenomata arising from the deep lobe of the parotid, causing proven obstructive sleep apnoea, have not previously been documented. The anatomy and common pathologies of the parapharyngeal space are discussed.
本文描述了两例腮腺深叶肿瘤延伸至咽旁间隙并导致阻塞性睡眠呼吸暂停的病例。术后，夜间缺氧发作及阻塞性睡眠呼吸暂停症状有显著改善。虽然已将小唾液腺多形性腺瘤描述为气道受压的一个原因，但此前尚无文献记载腮腺深叶起源的多形性腺瘤导致确诊的阻塞性睡眠呼吸暂停。本文还讨论了咽旁间隙的解剖结构和常见病变。
