Yavuz Fuat YILMAZ, Ali TİTİZ, Adnan ÜNAL, Samet ÖZLÜGEDİK, Mesut S. TEZER, Fatih YALÇIN

Snoring and obstructive apnea due to nasopharyngeal tuberculosis

Primer Nazofarenks Tüberkülozu Sonucu Gelişen Horlama Ve Obstrüktif Uyku Apne Sendromu Obstrüktif uyku apne sendromu (OSAS) sık rastlanılan bir rahatsızlıkdır ve inspirasyon esnasında orofarengeal ve/ veya hipofarengeal kollaps sonucu oluşur. Bir diğer nedenide nazal obstruksiyondur. Nazofarenks kitleleri erişkinde OSAS nedeni olabilir. Biz horlama şikayeti olan ve OSAS tanısı almış 45 yaşında bir erkek hasta sunuyoruz. Endoskopik olarak muayenede nazofarengeal kitle görülmesi üzerine alman biyopsinin histopatolojik tanısı "granülomatöz enflamasyon" olarak geldi. Göğüs hastalıkları ile yapılan konsültasyon sonucunda nazofarengeal tüberküloz olduğu tespit edildi ve medikal tedavi altına alındı. Sonuç olarak, nazofarengeal tüberkülozu çok nadirde olsa OSAS nedenleri arasında akılda bulundurulmalıdır.

Primer nazofarenks tüberkülozu sonucu gelişen horlama ve obstrüktif uyku apne sendromu

Obstructive sleep apnea syndrome (OSAS) is a common disorder and appears most commonly due to oropharyngeal and/or hypopharyngeal collapse during inspiration. Nasal obstruction may also be a cause. Nasopharyngeal masses may be responsible for sleep apnea in adults. We present a 45-year-old male complaining of snoring and diagnosed with OSAS. During the endoscopic examination, a nasopharyngeal mass was seen and a punch biopsy was obtained. The histopathologic diagnosis was "granulomatous inflammation". Following consultations with the Chest Disease Department, the patient was diagnosed with nasopharyngeal tuberculosis and he received medical therapy. In conclusion, nasopharyngeal tuberculosis must be kept in mind as an extremely rare cause of OS AS.

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