Multinodular adult rhabdomyoma in the base of the tongue excised conservatively using submental midline approach with hyoid bone split: A case report

Hiroyuki Harada, Shogo Shinohara, Masahiro Kikuchi, Keizo Fujiwara, Atsushi Suehiro, Ippei Kishimoto, Fumihiko Kuwata, Ryosuke Yamamoto, Kazuki Hayashi, Yukihiro Imai, Yasushi Naito

Abstract


Background: Adult rhabdomyoma (ARh) is a rare benign tumor of skeletal muscle origin. ARh occurs mainly in the head and neck region. This report details the surgical excision of a large multinodular ARh in the base of the tongue that was causing severe sleep apnea.

Findings: Magnetic resonance imaging revealed that the base of the tongue was almost completely replaced by a 6 cm ×
8 cm tumor.

Methods: Conservative surgical excision was done by submental midline approach with hyoid bone split.

Results: Surgery improved the patient’s sleep apnea without damaging the swallowing function. The patient was able to secede from nasal continuous positive airway pressure and has remained symptom-free for 12 months postoperatively.

Conclusions: This newly designed approach is suitable for excision of benign tumors in the base of the tongue to obtain a patent airway without damaging the function of the tongue base.

 


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DOI: https://doi.org/10.5430/crcp.v2n4p89

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Case Reports in Clinical Pathology

ISSN 2331-2726(Print)  ISSN 2331-2734(Online)

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