Clin Exp Otorhinolaryngol.  2013 Sep;6(3):187-190.

A Thyroglossal Duct Cyst Causing Obstructive Sleep Apnea in Adult

Affiliations
  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.
  • 2Department of Otorhinolaryngology-Head and Neck Surgery, Dankook University College of Medicine, Cheonan, Korea. jihunmo@gmail.com

Abstract

Obstructive sleep apnea (OSA) is a common disorder. It usually results from the structural compromise of the upper airway. In patients with OSA, the obstruction predominantly occurs along the pharyngeal airway, and also a variety of tumors have been reported to cause such a condition. We present here the case of a thyroglossal duct cyst causing OSA in adult. This case demonstrates that thyroglossal duct cyst or some kind of mass lesions in the airway lesions should be considered in the differential diagnosis of OSA patients.

Keyword

Thyroglossal duct cyst; Sleep apnea syndromes; Sleep disorders

MeSH Terms

Adult
Diagnosis, Differential
Humans
Sleep Apnea Syndromes
Sleep Apnea, Obstructive
Thyroglossal Cyst
Sleep Wake Disorders

Figure

  • Fig. 1 Preoperative findings of lingual thyroglossal duct cyst. (A) Stroboscopic findings of huge thyroglossal duct cyst (TGDC) in the tongue base, (B) axial, (C) coronal, and (D) saggital computed tomography scan showed midline cystic mass in the tongue base. (E) Video fluoroscopic image showed a round shadow pushing the epiglottis posteriorly.

  • Fig. 2 Postoperative findings. (A) Storoboscopy showed that the cystic mass was removed and (B) video fluoroscopic image showed that the round shadow of cystic mass was disappeared. (C) Histopathology showing the cyst lined by stratified squamous epithelium.


Reference

1. Friedman M, Ibrahim H, Joseph NJ. Staging of obstructive sleep apnea/hypopnea syndrome: a guide to appropriate treatment. Laryngoscope. 2004; 3. 114(3):454–459. PMID: 15091218.
Article
2. Lee CH, Mo JH, Seo BS, Kim DY, Yoon IY, Kim JW. Mouth opening during sleep may be a critical predictor of surgical outcome after uvulopalatopharyngoplasty for obstructive sleep apnea. J Clin Sleep Med. 2010; 4. 6(2):157–162. PMID: 20411693.
Article
3. Hockstein NG, Anderson TA, Moonis G, Gustafson KS, Mirza N. Retropharyngeal lipoma causing obstructive sleep apnea: case report including five-year follow-up. Laryngoscope. 2002; 9. 112(9):1603–1605. PMID: 12352671.
Article
4. Picciotti PM, Agostino S, Galla S, Della Marca G, Scarano E. Aryepiglottic fold cyst causing obstructive sleep apnea syndrome. Sleep Med. 2006; 6. 7(4):389. PMID: 16713345.
Article
5. Smadi T, Raza MA, Woodson BT, Franco RA. Obstructive sleep apnea caused by carotid body tumor: case report. J Clin Sleep Med. 2007; 8. 3(5):517–518. PMID: 17803016.
Article
6. Barnes TW, Olsen KD, Morgenthaler TI. Obstructive lingual thyroid causing sleep apnea: a case report and review of the literature. Sleep Med. 2004; 11. 5(6):605–607. PMID: 15511710.
Article
7. Veitch D, Rogers M, Blanshard J. Parapharyngeal mass presenting with sleep apnoea. J Laryngol Otol. 1989; 10. 103(10):961–963. PMID: 2584857.
Article
8. Walshe P, Smith D, Coakeley D, Dunne B, Timon C. Sleep apnoea of unusual origin. J Laryngol Otol. 2002; 2. 116(2):138–139. PMID: 11827591.
Article
9. Chen MF, Fang TJ, Lee LA, Li HY, Wang CJ, Chen IH. Huge supraglottic cyst causing obstructive sleep apnea in an adult. Otolaryngol Head Neck Surg. 2006; 12. 135(6):986–988. PMID: 17141104.
Article
10. Henderson LT, Denneny JC 3rd, Teichgraeber J. Airway-obstructing epiglottic cyst. Ann Otol Rhinol Laryngol. 1985; Sep-Oct. 94(5 Pt 1):473–476. PMID: 4051405.
Article
11. Dahm MC, Panning B, Lenarz T. Acute apnea caused by an epiglottic cyst. Int J Pediatr Otorhinolaryngol. 1998; 1. 42(3):271–276. PMID: 9466231.
Article
12. Koeller KK, Alamo L, Adair CF, Smirniotopoulos JG. Congenital cystic masses of the neck: radiologic-pathologic correlation. Radiographics. 1999; Jan-Feb. 19(1):121–146. PMID: 9925396.
13. Suh MW, Sung MW. Apnea spells in an infant with vallecular cyst. Ann Otol Rhinol Laryngol. 2004; 9. 113(9):765. PMID: 15453537.
Article
14. Diaz MC, Stormorken A, Christopher NC. A thyroglossal duct cyst causing apnea and cyanosis in a neonate. Pediatr Emerg Care. 2005; 1. 21(1):35–37. PMID: 15643322.
Article
15. Eom M, Kim YS. Asphyxiating death due to basal lingual cyst (thyroglossal duct cyst) in two-month-old infant is potentially aggravated after central catheterization with forced positional changes. Am J Forensic Med Pathol. 2008; 9. 29(3):251–254. PMID: 18725783.
Article
16. Hanzlick RL. Lingual thyroglossal duct cyst causing death in a four-week-old infant. J Forensic Sci. 1984; 1. 29(1):345–348. PMID: 6699603.
Article
17. Wu PY, Friedman M, Huang SC, Lin HC. Radiology quiz case 1: Adult lingual thyroglossal duct cyst (TGDC). Arch Otolaryngol Head Neck Surg. 2009; 7. 135(7):716. 718. PMID: 19620596.
18. Sauvageau A, Belley-Cote EP, Racette S. Fatal asphyxia by a thyroglossal duct cyst in an adult. J Clin Forensic Med. 2006; Aug-Nov. 13(6-8):349–352. PMID: 17027318.
Article
19. Fodor J 3rd, Malott JC, Colley DP, Walsh JK, Kramer M. Somnofluoroscopy. Radiol Technol. 1981; Sep-Oct. 53(2):105–109. PMID: 7339697.
20. Lee CH, Mo JH, Kim BJ, Kong IG, Yoon IY, Chung S, et al. Evaluation of soft palate changes using sleep videofluoroscopy in patients with obstructive sleep apnea. Arch Otolaryngol Head Neck Surg. 2009; 2. 135(2):168–172. PMID: 19221245.
Article
21. Lee CH, Kim JW, Lee HJ, Yun PY, Kim DY, Seo BS, et al. An investigation of upper airway changes associated with mandibular advancement device using sleep videofluoroscopy in patients with obstructive sleep apnea. Arch Otolaryngol Head Neck Surg. 2009; 9. 135(9):910–914. PMID: 19770424.
Article
Full Text Links
  • CEO
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr