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Radiology Quiz Case 3

Radiology Quiz Case 3 A 71-year-old woman presented with obstructive sleep apnea syndrome. She complained of socially disruptive snoring and excessive daytime sleepiness. An overnight polysomnogram revealed severe obstructive sleep apnea with a respiratory disturbance index of 79 events per hour of sleep and a low oxygen saturation level (65%). A 1-year trial of continuous positive airway pressure was unsuccessful because of nasal irritation, recurrent epistaxis, discomfort, and claustrophobia despite multiple attempts to improve the fit and humidity of the mask. The patient’s medical history was significant for hypertension without known coronary artery or cerebrovascular disease. She refused to consider tracheostomy but was interested in uvulopalatopharyngoplasty. Physical examination revealed moderate 2+ tonsils and an elongate soft palate that made contact at rest with the posterior pharyngeal wall. A pulsatile submucosal mass was noted in the midline of the posterior pharyngeal wall. A computed tomographic scan with intravenous contrast (Figure 1 and Figure 2) confirmed the origin of the mass. Figure 1. View LargeDownload Figure 2. View LargeDownload What is your diagnosis? http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

Radiology Quiz Case 3

Abstract

A 71-year-old woman presented with obstructive sleep apnea syndrome. She complained of socially disruptive snoring and excessive daytime sleepiness. An overnight polysomnogram revealed severe obstructive sleep apnea with a respiratory disturbance index of 79 events per hour of sleep and a low oxygen saturation level (65%). A 1-year trial of continuous positive airway pressure was unsuccessful because of nasal irritation, recurrent epistaxis, discomfort, and claustrophobia despite multiple...
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Publisher
American Medical Association
Copyright
Copyright © 2005 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.131.1.75
Publisher site
See Article on Publisher Site

Abstract

A 71-year-old woman presented with obstructive sleep apnea syndrome. She complained of socially disruptive snoring and excessive daytime sleepiness. An overnight polysomnogram revealed severe obstructive sleep apnea with a respiratory disturbance index of 79 events per hour of sleep and a low oxygen saturation level (65%). A 1-year trial of continuous positive airway pressure was unsuccessful because of nasal irritation, recurrent epistaxis, discomfort, and claustrophobia despite multiple attempts to improve the fit and humidity of the mask. The patient’s medical history was significant for hypertension without known coronary artery or cerebrovascular disease. She refused to consider tracheostomy but was interested in uvulopalatopharyngoplasty. Physical examination revealed moderate 2+ tonsils and an elongate soft palate that made contact at rest with the posterior pharyngeal wall. A pulsatile submucosal mass was noted in the midline of the posterior pharyngeal wall. A computed tomographic scan with intravenous contrast (Figure 1 and Figure 2) confirmed the origin of the mass. Figure 1. View LargeDownload Figure 2. View LargeDownload What is your diagnosis?

Journal

Archives of Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Jan 1, 2005

Keywords: diagnostic radiologic examination,radiology specialty

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