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Updated: Aug 24, 2026

Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
Blocked nose and snoring in a 6-year-old boy
1Department of ENT Surgery, Sheffield Children's Hospital, Western Bank, Sheffield S10 2TH, UK. drkenwu@hotmail.com
Insights
Common childhood symptoms like nasal obstruction and snoring can mask rare, serious conditions. This case highlights nasopharyngeal B-cell Non-Hodgkin
Area of Science:
- Pediatric Otorhinolaryngology
- Pediatric Oncology
Background:
- Nasal obstruction, mouth-breathing, snoring, and deafness are frequent pediatric complaints in ENT clinics.
- Adenotonsillar hypertrophy and otitis media with effusion are common causes.
Observation:
- This report details a child presenting with symptoms of nasal obstruction and snoring.
- These initial symptoms are often associated with benign conditions.
Findings:
- The child was diagnosed with nasopharyngeal B-cell Non-Hodgkin's lymphoma.
- This highlights a rare but critical differential diagnosis for common pediatric ENT symptoms.
Implications:
- Clinicians should consider rarer, more sinister pathologies in the differential diagnosis of pediatric nasal obstruction and snoring.
- Early recognition of non-Hodgkin's lymphoma in children is crucial for timely intervention and improved outcomes.
Abstract:
Nasal obstruction, mouth-breathing, snoring and deafness are common symptoms seen in children presenting to the otorhinolaryngology clinic. The aetiopathologies are frequently due to adenotonsillar hypertrophy and otitis media with effusion. Rarely however, nasal obstruction and snoring may be associated with more sinister pathology. We report a case of a child with nasopharyngeal B-cell Non-Hodgkin's lymphoma whose initial symptoms were of nasal obstruction and snoring.
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