Yang X, He XG, Jiang DH, Feng C, Nie R. Postoperative secondary aggravation of obstructive sleep apnea-hypopnea syndrome and hypoxemia with bilateral carotid body tumor: A case report. World J Clin Cases 2020; 8(23): 6150-6157 [PMID: 33344617 DOI: 10.12998/wjcc.v8.i23.6150]
Corresponding Author of This Article
Xiao-Guang He, MD, Professor, Department of Otolaryngology Head and Neck Surgery, The First Affiliated Hospital of Kunming Medical University, No. 295 Xichang Road, Kunming 650032, Yunnan Province, China. hexg1018@163.com
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Dec 6, 2020; 8(23): 6150-6157 Published online Dec 6, 2020. doi: 10.12998/wjcc.v8.i23.6150
Postoperative secondary aggravation of obstructive sleep apnea-hypopnea syndrome and hypoxemia with bilateral carotid body tumor: A case report
Xi Yang, Xiao-Guang He, Dong-Hui Jiang, Chun Feng, Rui Nie
Xi Yang, Xiao-Guang He, Dong-Hui Jiang, Chun Feng, Rui Nie, Department of Otolaryngology Head and Neck Surgery, The First Affiliated Hospital of Kunming Medical University, Kunming 650032, Yunnan Province, China
Author contributions: Yang X and He XG carried out the studies, participated in data collection, and drafted the manuscript; Jiang DH, Feng C, and Nie R participated in the design and helped to draft the manuscript; all authors read and approved the final manuscript.
Informed consent statement: Consent was obtained from relatives of the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xiao-Guang He, MD, Professor, Department of Otolaryngology Head and Neck Surgery, The First Affiliated Hospital of Kunming Medical University, No. 295 Xichang Road, Kunming 650032, Yunnan Province, China. hexg1018@163.com
Received: June 30, 2020 Peer-review started: June 30, 2020 First decision: August 21, 2020 Revised: September 2, 2020 Accepted: September 25, 2020 Article in press: September 25, 2020 Published online: December 6, 2020 Processing time: 153 Days and 19.3 Hours
Abstract
BACKGROUND
Carotid body tumor (CBT) is a chemoreceptor tumor located in the carotid body, accounting for approximately 0.22% of head and neck tumors. Surgery is the main treatment method for the disease.
CASE SUMMARY
We reviewed the diagnosis and treatment of one patient who had postoperative secondary aggravation of obstructive sleep apnea–hypopnea syndrome (OSAHS) and hypoxia after surgical resection of bilateral CBTs. This patient was admitted, and relevant laboratory and imaging examinations, and polysomnography (PSG) were performed. After the definitive diagnosis, continuous positive airway pressure (CPAP) treatment was given, which achieved good efficacy.
CONCLUSION
This case suggested that aggravation of OSAHS and hypoxemia is possibly caused by the postoperative complications after bilateral CBTs, and diagnosis by PSG and CPAP treatment are helpful for this patient.
Core Tip: The case report provides analysis and summary of a patient who had postoperative secondary aggravation of obstructive sleep apnea–hypopnea syndrome (OSAHS) and hypoxia after bilateral carotid body tumor surgical. Our study suggested that continuous positive airway pressure treatment after manual pressure titration under polysomnography monitoring is effective in treating primary or secondary OSAHS.
