Sleep apnea syndrome caused by acromegalia and the treatment with a reduction plasty of the tongue. Case report.
Obstructive sleep apnea syndrome was every likely caused by an enlarged tongue in a 60-year-old man with acromegalia. The diagnosis was confirmed by polygraphic sleep recordings and by roentgenologic examination. The patient was treated with a tongue-reduction plasty which gave him good subjective relief and better sleep. A whole night polygraphic sleep recording showed a couple of hours of normal sleep without apneas or arousals. The last part of the night was, however, still disturbed by several apneas with concomitant arousals.
D000172:Acromegaly / Q000150:complications*; D000402:Airway Obstruction / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D012891:Sleep Apnea Syndromes / Q000209:etiology* / Q000628:therapy; D014059:Tongue / Q000601:surgery*