Baptista Peter M, O'connor Carlos, Altoron Mahran, Rodriguez-Alcala Laura, Plaza-Mayor Guillermo
Department of ENT, Clinica Universidad de Navarra, Pamplona, Navarra, Spain.
Department of ENT, Alzahra Hospital, Dubai, United Arab Emirates.
Sleep Sci. 2024 Jun 5;18(1):e114-e118. doi: 10.1055/s-0044-1787531. eCollection 2025 Mar.
Obstructive sleep apnea (OSA) is often associated with reduced pharyngeal muscle tone and an anatomically narrowed pharyngeal airspace. We try to describe two cases with OSA that were diagnosed with vascular lesions during DISE: One of them was an aberrant internal carotid artery, and the second one was a glomus tumor. These anatomic anomalies contribute to airspace narrowing in these patients. These two cases describe an exciting presentation of sleep apnea and remind us of the importance of clinically recognizing vascular alterations to avoid damage during routine oropharyngeal procedures.
阻塞性睡眠呼吸暂停(OSA)通常与咽部肌肉张力降低和解剖学上狭窄的咽部气道空间有关。我们试图描述两例在直接喉镜检查和睡眠内镜检查(DISE)期间被诊断出有血管病变的OSA病例:其中一例是异常的颈内动脉,另一例是副神经节瘤。这些解剖学异常导致了这些患者的气道空间变窄。这两例病例描述了睡眠呼吸暂停的一种令人兴奋的表现,并提醒我们临床上认识血管改变以避免在常规口咽手术中造成损伤的重要性。