Large posterior lingual thyroglossal duct cyst pneumatically splinted with auto-continuous positive airway pressure at low pressures

The patient is a 58-year-old Iranian American man with long-standing snoring that progressively worsened 4 years ago. Home sleep apnea testing (HSAT) showed an apnea hypopnea index (AHI) of 51.1 events per hour, and patient was started on auto-CPAP with pressure range of 5-20 cm delivered through a nasal mask. Recently while attempting to undergo elective cosmetic facial surgery, his anesthesiologist found his “tongue too large,” and the surgery was cancelled. Subsequent otolaryngology consultation, including computerized tomography of the neck soft tissue revealed a large lingual thyroglossal duct cyst (TDC), which was resected along with central hyoid bone using a combined trans-oral robotic surgery (TORS)/Sistrunk procedure.
Source: Sleep Medicine - Category: Sleep Medicine Authors: Tags: Images in Sleep Medicine Source Type: research