Published online Dec 6, 2020. doi: 10.12998/wjcc.v8.i23.6150
Peer-review started: June 30, 2020
First decision: August 21, 2020
Revised: September 2, 2020
Accepted: September 25, 2020
Article in press: September 25, 2020
Published online: December 6, 2020
Processing time: 153 Days and 19.3 Hours
Carotid body tumor (CBT) is a chemoreceptor tumor located in the carotid body, accounting for approximately 0.22% of head and neck tumors. Surgery is the main treatment method for the disease.
We reviewed the diagnosis and treatment of one patient who had postoperative secondary aggravation of obstructive sleep apnea–hypopnea syndrome (OSAHS) and hypoxia after surgical resection of bilateral CBTs. This patient was admitted, and relevant laboratory and imaging examinations, and polysomnography (PSG) were performed. After the definitive diagnosis, continuous positive airway pressure (CPAP) treatment was given, which achieved good efficacy.
This case suggested that aggravation of OSAHS and hypoxemia is possibly caused by the postoperative complications after bilateral CBTs, and diagnosis by PSG and CPAP treatment are helpful for this patient.
Core Tip: The case report provides analysis and summary of a patient who had postoperative secondary aggravation of obstructive sleep apnea–hypopnea syndrome (OSAHS) and hypoxia after bilateral carotid body tumor surgical. Our study suggested that continuous positive airway pressure treatment after manual pressure titration under polysomnography monitoring is effective in treating primary or secondary OSAHS.