Radiofrequency thermotherapy in the treatment of tongue base lymphoid hyperplasia: case report

2015 ◽  
Vol 129 (4) ◽  
pp. 398-402 ◽  
Author(s):  
T K Nicoli ◽  
S Gupta ◽  
B Kotecha
Keyword(s):  
Case Report ◽  
Voice Quality ◽  
Lymphoid Hyperplasia ◽  
Sleep Apnoea ◽  
Tongue Base ◽  
Reactive Lymphoid Hyperplasia ◽  
Dramatic Improvement ◽  
Sleep Study ◽  
Obstructive Sleep

AbstractObjective:This paper describes a case where a patient diagnosed with tongue base lymphoid hyperplasia was successfully treated with radiofrequency excision and interstitial radiofrequency-induced thermotherapy.Case report:A 53-year-old female presented with globus sensation, mild dysphagia, nocturnal breathing problems and ‘hot potato voice’ dysphonia. On flexible nasendoscopy, a visible tongue mass was seen to obstruct the posterior oropharynx. On magnetic resonance imaging scans, this mass looked suspicious of lymphoma, but on histology was confirmed to be benign reactive lymphoid hyperplasia. Sleep study findings indicated moderate obstructive sleep apnoea, with an apnoea–hypopnoea index of 18.1 events per hour. She was treated with radiofrequency-induced thermotherapy on three separate occasions.Results:A post-operative sleep study showed a dramatic improvement in the patient's apnoea–hypopnoea index (3.8 events per hour). This correlated well with the improvement in her sleep quality and reduction of snoring. Over the follow-up period, there has been sustained resolution of dyspnoea, with almost total restoration of voice quality.

scholarly journals O021 Preferred attributes of care pathways for obstructive sleep apnoea from the perspective of diagnosed patients and high-risk individuals: a discrete choice experiment

2021 ◽  
Vol 2 (Supplement_1) ◽  
pp. A10-A10
Author(s):  
A Natsky ◽  
A Vakulin ◽  
C Chai Coetzer ◽  
R Adams ◽  
R McEvoy ◽  
...  
Keyword(s):  
High Risk ◽  
Discrete Choice ◽  
Obstructive Sleep Apnoea ◽  
Choice Experiment ◽  
Sleep Apnoea ◽  
Care Pathways ◽  
Sleep Study ◽  
Obstructive Sleep ◽  
Ongoing Care

Abstract Background The current health care system is challenged with a large and rising demand for obstructive sleep apnoea (OSA) services. A paradigm shift in OSA management is required to incorporate the preferences of diagnosed patients and individuals at high-risk of OSA. This study aimed to provide empirical evidence of the values and preferences of individuals diagnosed with OSA and high-risk populations regarding distinct OSA care pathway features. Methods A discrete choice experiment (DCE) was undertaken in two groups: those with a formal diagnosis of OSA (n=421) and those undiagnosed but at high-risk of having OSA (n=1033). The DCE approach used mixed logit regression models to determine preferences relating to eight salient features of OSA management pathway, i.e. initial assessment, setting and diagnosis costs, waiting times, results interpretation, treatment options, provider of ongoing care and frequency of follow up visits. Results The findings indicate that all eight attributes investigated were statistically significant factors for respondents. Generally, both groups preferred low diagnostic costs, fewer follow-up visits, minimum waiting time for sleep study results, and sleep specialists to recommend treatment and as ongoing care providers. Management of OSA in primary care was acceptable to both groups and was the most preferred option by the high-risk group for sleep study testing and ongoing care provision. Discussion The DCE results offer a promising approach for systematic incorporation of patient and high-risk groups preferences into the future design and delivery of care pathways for OSA management.

Comparison between short-term and long-term post-operative evaluation of sleep apnoea after uvulopalatopharyngoplasty

1995 ◽  
Vol 109 (4) ◽  
pp. 308-312 ◽  
Author(s):  
Shao-Jung Lu ◽  
Shyue-Yih Chang ◽  
Guang-Ming Shiao
Keyword(s):  
Sleep Apnoea ◽  
Obstructive Sleep Apnoea Syndrome ◽  
Sleep Study ◽  
Obstructive Sleep ◽  
Study Results ◽  
Significant Difference ◽  
Long Term Follow Up ◽  
Operative Evaluation

AbstractFor a long time uvulopalatopharyngoplasty (UPPP) has been used to treat the obstructive sleep apnoea syndrome (OSAS). The diverse surgical effects, the inadequate understanding of operation effect consistency, the possibility of disease progression, and the few reported papers for long-term evaluation after UPPP aroused our interest in designing this study. Fifteen OSAS patients who had undergone UPPP with pre-operative, initial post-operative and long-term post-operative polysomnographic studies were included in this study. Long-term post-operative polysomnography was undertaken more than five years after surgery. The polysomnographic evaluations included respiratory disturbance index (RD I), duration of saturation SaO2 <85 per cent (DOS), and the lowest O2 saturation (LOS). Amongst them, 10 patients with initial post-operative RDI reduction > 50 per cent were considered responders. In these responders, the long-term follow-up results of all three parameters showed improvement compared to the preoperative data. In a comparison between the initial and long-term post-operative sleep study results, LOS and DOS showed no significant difference. However, the long-term post-operative RDI result became significantly worse. More than 80 per cent of all cases had subjective symptomatic improvement in the long-term post-operative evaluation. The subjective improvement after operation is not adequately correlated to the polysomnographic result. We suggest that long-term follow-up for patients after UPPP is necessary.

scholarly journals Obstructive sleep apnoea is not a risk factor for incident hospitalised depression: a historical cohort study

2017 ◽  
Vol 49 (6) ◽  
pp. 1601361 ◽  
Author(s):  
Tetyana Kendzerska ◽  
Andrea S. Gershon ◽  
Gillian A. Hawker ◽  
George A. Tomlinson ◽  
Richard S. Leung
Keyword(s):  
Obstructive Sleep Apnoea ◽  
Cox Regression ◽  
Sleep Apnoea ◽  
Sleep Study ◽  
Historical Cohort ◽  
Cox Regression Analysis ◽  
Younger Age ◽  
Obstructive Sleep ◽  
Potential Link

We evaluated whether obstructive sleep apnoea (OSA) was related to the incidence of hospitalisation for depression, a robust end-point that is unlikely to result from misdiagnosis.All adults referred with suspected OSA who underwent a diagnostic sleep study at a large urban academic hospital between 1994 and 2010 and were linked to provincial health administrative data between 1991 and 2015 were included. Cox regression analysis was used to investigate the association between OSA symptoms and severity and incident hospitalised depression, the primary outcome.Over a median follow-up of 9.7 years, 136 (1.3%) out of 10 149 participants were hospitalised for depression. A significant crude effect of OSA symptoms (waking unrefreshed and impact on memory and concentration) on hospitalised depression became nonsignificant after controlling for confounders. Apnoea–hypopnoea index was not significantly associated with the outcome: adjusted hazard ratio (33 versus6 events·h−1) 1.13 (95% CI 0.91–1.40). Factors associated with hospitalised depression were female sex, younger age, use of hypnotics, alcoholism and unemployment.In a large clinical cohort with suspected OSA, controlling for confounders, OSA symptoms and severity were not related to the risk of hospitalisation for depression, suggesting that previously reported links between OSA and depression may be due to overlapping diagnostic criteria. However, our findings cannot exclude a potential link between OSA and milder depression.

Reactive lymphoid hyperplasia of the liver. A case report

2019 ◽  
Vol 52 (4) ◽  
pp. 246-249
Author(s):  
María Luisa Suárez-Solís ◽  
Sofía de la Serna ◽  
José Manuel Espejo Domínguez ◽  
Luis Ortega Medina
Keyword(s):  
Case Report ◽  
Lymphoid Hyperplasia ◽  
Reactive Lymphoid Hyperplasia
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