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Sleep Med. 2004 Nov;5(6):605-7.

Obstructive lingual thyroid causing sleep apnea: a case report and review of the literature.

Author information

  • 1Division of Pulmonary and Critical Care Medicine, Mayo Clinic College of Medicine, Desk East 18, Mayo Clinic, 200 1st St SW, Rochester, MN 55905, USA. barnes.terrance@mayo.edu

Abstract

Lingual thyroid has been reported to cause obstructive sleep apnea (OSA) only once in the literature. We present a case of a 49-year-old nonobese female with a 2-year history of progressive snoring, apneas, snort arousals, and daytime somnolence associated with the sensation of an 'enlarging tongue'. She was found to have severe OSA caused by a large lingual thyroid. While positive airway pressure therapy was not successful, surgical resection of the thyroid was curative. OSA caused by lingual thyroid and other oropharyngeal/parapharyngeal tumors are discussed. A careful oropharyngeal examination is important in evaluating patients with complaints of OSA.

PMID:
15511710
DOI:
10.1016/j.sleep.2004.06.005
[PubMed - indexed for MEDLINE]
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