title: Massive lymphoid hyperplasia presenting with obstructive sleep apnea secondary to lingual and palatine tonsil hyperplasia.
abstract: Lingual tonsil hyperplasia is a rare condition that may cause obstructive sleep apnea (OSA). In the management of OSA, the lingual tonsils should be evaluated during the otorhinolaryngologic examination. We report the case of a 66-year-old man with findings of upper airway obstruction secondary to excessive lingual and palatine tonsil hyperplasia and with MRI findings of bilateral cervical lymphadenopathy. We review the clinical, radiologic, and histopathologic aspects of this case, and we discuss the surgical options for treating massive reactive lymphoid hyperplasia in conjunction with OSA.
authors.affiliation: Department of Otorhinolaryngology, Goztepe Research and Training Hospital, Istanbul, Turkey.
authors.forename: Gül Ozbilen
authors.initials: GO
authors.lastname: Acar
authors.forename: Murat
authors.initials: M
authors.lastname: Yener
authors.forename: Harun
authors.initials: H
authors.lastname: Cansiz
authors.forename: Engin
authors.initials: E
authors.lastname: Acioğlu
authors.forename: Nukhet
authors.initials: N
authors.lastname: Tuziner
mesh_terms: D000368:Aged; D006801:Humans; D006965:Hyperplasia / Q000150:complications / Q000473:pathology*; D008198:Lymph Nodes / Q000473:pathology*; D008206:Lymphatic Diseases / Q000150:complications / Q000473:pathology*; D008297:Male; D009333:Neck; D014066:Palatine Tonsil / Q000473:pathology*; D020181:Sleep Apnea, Obstructive / Q000150:complications*; D014059:Tongue