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Clinical Problem Solving: Radiology
January 2005

Radiology Quiz Case 3

Author Affiliations
 

R. NICKBRYANMDPATRICIA A.HUDGINSMD

Arch Otolaryngol Head Neck Surg. 2005;131(1):75. doi:10.1001/archotol.131.1.75

A 71-year-old woman presented with obstructive sleep apnea syndrome. She complained of socially disruptive snoring and excessive daytime sleepiness. An overnight polysomnogram revealed severe obstructive sleep apnea with a respiratory disturbance index of 79 events per hour of sleep and a low oxygen saturation level (65%). A 1-year trial of continuous positive airway pressure was unsuccessful because of nasal irritation, recurrent epistaxis, discomfort, and claustrophobia despite multiple attempts to improve the fit and humidity of the mask. The patient’s medical history was significant for hypertension without known coronary artery or cerebrovascular disease. She refused to consider tracheostomy but was interested in uvulopalatopharyngoplasty.

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