AI Article Synopsis
- The case discusses a patient who developed obstructive sleep apnea four years post-radical neck dissection and radiotherapy, linked to acquired laryngomalacia.
- Bronchoscopy revealed severe upper airway obstruction caused by a flaccid epiglottis and other airway edema.
- The authors recommend evaluating patients with sleep apnea after neck surgery for laryngomalacia using fiberoptic laryngobronchoscopy to assess the extent of airway collapse.
Article Abstract
We describe a patient who, 4 years after a radical neck dissection and radiotherapy, presented with obstructive sleep apnea; upon bronchoscopy, he was found to have acquired laryngomalacia. Inspiration induced upper airway obstruction due to a large flaccid epiglottis, large aryepiglottic folds, and edema of the supraglottic area. We suggest that acquired laryngomalacia can lead to obstructive sleep apnea. Patients with obstructive sleep apnea after radical neck dissection need to be evaluated for laryngomalacia with fiberoptic laryngobronchoscopy. Examination of the upper airway is useful to determine the nature and extent of any upper airway collapse.
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| http://dx.doi.org/10.1378/chest.106.6.1898 | DOI Listing |
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