A retropharyngeal lipoma causing obstructive sleep apnea in a child.

Journal Article (Journal Article)

BACKGROUND: Lipomas are common benign tumors, but they rarely occur in the retropharyngeal space and even more rarely occur in children. CASE REPORT: We report the case of an 11-year-old girl with a 5-year history of progressively worsening nasal obstruction, snoring, and excessive daytime sleepiness. Physical examination revealed a child with a body mass index of 16.9 kg/m2; otolaryngologic examination and imaging studies showed a large retropharyngeal mass. Polysomnography indicated an apnea-hypopnea index of 13.9 events per hour of sleep and a minimum oxygen saturation of 84%, with 20 episodes of desaturation to less than 90%. After complete excision of the mass, the patient's snoring, apnea, and daytime sleepiness resolved. CONCLUSIONS: Although lipomas in the retropharyngeal space are rare, clinicians should be alert to the possibility of this condition occurring in children who have symptoms of obstructed breathing during sleep but a normal body mass index and no other risk factors for obstructive sleep apnea.

Full Text

Duke Authors

Cited Authors

  • Gong, W; Wang, E; Zhang, B; Da, J

Published Date

  • July 15, 2006

Published In

Volume / Issue

  • 2 / 3

Start / End Page

  • 328 - 329

PubMed ID

  • 17561547

International Standard Serial Number (ISSN)

  • 1550-9389


  • eng

Conference Location

  • United States