Forestier syndrome and obstructive sleep apnea: Surgical treatment

Publication date: Available online 1 February 2018
Source:European Annals of Otorhinolaryngology, Head and Neck Diseases
Author(s): D.K. Ribeiro, J.A. Pinto, G.S. Freitas
IntroductionWe report a case of obstructive sleep apnea that occurred as a result of Forestier disease and describe the surgical treatment that was performed.SummaryThe 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.DiscussionsThis 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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