Shibata N, Nishimura T, Morishima N, Hasegawa K, Iwanaga K, Yagisawa M
Department of Otolaryngology, Fujita Health University 2nd Hospital, Nagoya.
Nihon Jibiinkoka Gakkai Kaiho. 1996 Jan;99(1):6-12. doi: 10.3950/jibiinkoka.99.6.
Obstructive Sleep Apnea Syndrome (OSAS) is children is commonly caused by upper airway obstruction, such as that caused by adeno-tonsillar hypertrophy. We report a rare case of SAS due to a nasopharyngeal tumor. The patient was a 10-year-old boy who complained of snoring and sleep apnea. The tumor was found in the nasopharynx and mesopharyngeal space. We diagnosed this case as OSAS by overnight sleep study (Apnea Hypopnea Index: AHI = 19.67). The tumor was removed under general anesthesia. Histopathology revealed features of nasopharyngeal angiofibroma. After removal of the tumor, his symptoms resolved completely. A follow-up overnight sleep study confirmed resolution of OSAS. At the last follow up, conducted 17 months after the operation there were no signs of tumor recurrence.
儿童阻塞性睡眠呼吸暂停综合征（OSAS）通常由上呼吸道阻塞引起，比如腺样体 - 扁桃体肥大所导致的阻塞。我们报告一例因鼻咽部肿瘤引起的睡眠呼吸暂停综合征（SAS）罕见病例。患者为一名10岁男孩，主诉打鼾和睡眠呼吸暂停。肿瘤发现于鼻咽部和口咽部间隙。通过整夜睡眠监测（呼吸暂停低通气指数：AHI = 19.67），我们将此病例诊断为OSAS。在全身麻醉下切除了肿瘤。组织病理学显示为鼻咽血管纤维瘤特征。切除肿瘤后，他的症状完全缓解。一项后续整夜睡眠监测证实OSAS已得到缓解。在术后17个月进行的最后一次随访中，没有肿瘤复发的迹象。
