Forestier syndrome and obstructive sleep apnea: Surgical treatment - 29/05/18

Doi : 10.1016/j.anorl.2017.05.004

D.K. Ribeiro ^⁎ , J.A. Pinto, G.S. Freitas
Department of otolaryngology, núcleo de otorrinolaringologia e cirurgia de Cabeça e Pescoço de São Paulo, São Paulo, Brazil

^⁎Corresponding author. Department of otolaryngology, Alameda dos Nhambiquaras, 159, Moema São Paulo, São Paulo 04090-010, Brazil.Department of otolaryngology, Alameda dos Nhambiquaras, 159, Moema São Paulo, São Paulo 04090-010, Brazil.

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Abstract

Introduction

We report a case of obstructive sleep apnea that occurred as a result of Forestier disease and describe the surgical treatment that was performed.

Summary

The patient is a 56-year-old man who presented dysphagia for solids and liquids, snoring (score 10) and excessive daytime sleepiness for 5 years. On fiber optic laryngoscopy examination, there was interarytenoid edema and protrusion of the posterior wall of the larynx. The cervical X-Ray showed protrusion of intervertebral disc between C3–C5 (skeletal hyperostosis) and the polysomnography revealed apnea-hypopnea index (AHI) of 56 events/h. Surgery was performed by the otorhinolaryngology and orthopedic teams. The patient evolved with complete symptom resolution and an AHI of 3,9 events/h on the control polysomnography.

Discussions

This is the first reported case of Forestier Syndrome (FS) associated with Obstructive Sleep Apnea (OSA) that was proposed surgical treatment and the patient evolved with complete symptom improvement.

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Keywords : Forestier, Sleep apnea, Skeletal hyperostosis, Surgery