A solitary supraglottic neurofibroma presenting with obstructive sleep apnea in an adolescent

Robert Hutnik, Philip G. Chen, Melissa M. Mortensen

Research output: Contribution to journalArticle

Abstract

Obstructive sleep apnea (OSA) is commonly encountered in the pediatric population and has a large differential diagnosis. As clinicians, we must determine who needs to undergo flexible laryngoscopy to rule out potential obstructing lesions causing OSA. This report presents a 16-year-old female who presented with snoring, “asthma,” dysphagia, and OSA. Flexible laryngoscopy and computed tomography revealed a neurofibroma of the aryepiglottic fold without associated neurofibromatosis type 1. The patient underwent microlaryngoscopy and the lesion was excised using cold steel and a carbon dioxide laser. At 6 months' followup, the patient was breathing without difficulty and had no evidence of recurrence. Solitary laryngeal neurofibromas are extremely rare, and this is the first case of an adolescent with OSA caused by a solitary supraglottic neurofibroma. A supraglottic mass needs to be considered in the differential diagnosis of patients with OSA who fail conservative treatment, even a diagnosis as rare as a solitary laryngeal neurofibroma.

Original languageEnglish (US)
Pages (from-to)635-638
Number of pages4
JournalJournal of Clinical Sleep Medicine
Volume16
Issue number4
DOIs
StatePublished - Apr 15 2020

Keywords

  • Dyspnea
  • Laryngeal neoplasms
  • Neurofibroma
  • Neurofibromatosis 1
  • Obstructive
  • Otorhinolaryngologic neoplasms head and neck neoplasms
  • Sleep apnea
  • Snoring
  • Supraglottis

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Neurology
  • Clinical Neurology

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