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Lymphatic Malformation Initially Presenting as Snoring: A Case Report.

Peng Jiang1,2, Wei-Ying Liu1,2, Hao-Cheng Wang1,2

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Summary
This summary is machine-generated.

A rare case of lymphatic malformation (LM) caused severe snoring and breathing issues in an 11-year-old boy. Surgical removal of the pharyngeal mass resolved the symptoms, highlighting LM as a cause of airway obstruction.

Keywords:
head and necklymphatic malformationpediatricstracheostomytreatment

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Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Vascular Malformations

Background:

  • Lymphatic malformation (LM) can present with varied symptoms.
  • Airway obstruction is a critical, though less common, manifestation of LM.

Purpose of the Study:

  • To report a case of pediatric lymphatic malformation presenting primarily with severe snoring and airway compromise.
  • To highlight the diagnostic and therapeutic approach for postpharyngeal space LM.

Main Methods:

  • Case presentation of an 11-year-old boy with progressive snoring and shortness of breath.
  • Diagnostic workup included polysomnography and magnetic resonance imaging (MRI).
  • Surgical resection of the pharyngeal mass with intraoperative and postoperative pathological confirmation of LM.

Main Results:

  • The patient exhibited severe obstructive sleep apnea (apnea-hypopnea index 33.4) with significant nocturnal desaturation (lowest SpO2 79.9%).
  • MRI revealed a postpharyngeal space lesion causing substantial pharyngeal narrowing.
  • Histopathology confirmed lymphatic malformation post-resection.

Conclusions:

  • Lymphatic malformation in the postpharyngeal space can lead to significant airway obstruction and sleep-disordered breathing in children.
  • Surgical intervention is effective for managing symptomatic LM causing airway compromise.
  • Prompt diagnosis and management are crucial for favorable outcomes in pediatric LM.