Longus colli calcific tendinitis as a contributing factor in obstructive sleep apnea

IF 2 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Oral Surgery Oral Medicine Oral Pathology Oral Radiology Pub Date : 2025-02-04 DOI:10.1016/j.oooo.2024.11.073

Mr. Sriram Nallapaneni , Ms. Varsha Kondragunta , Dr. Ali Syed

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引用次数: 0

Abstract

Clinical Presentation

Patients with longus colli calcific tendinitis were admitted to the clinic due to complaints of difficulty breathing during the night caused by reduced airway volume. Physical examinations revealed a limited cervical range of motion. A computed tomography image showed a curvilinear-shaped entity anterior to C2. Imaging studies showed a significant reduction in airway volume, raising concerns about airway obstruction.

Differential Diagnosis

Diagnosing longus colli calcific tendinitis can be challenging due to its resemblance to other severe medical conditions. Since symptoms displayed can include neck stiffness, limited range of neck motion, odynophagia, mild fever, trismus, and neck pain or swelling, calcific tendinitis could be misdiagnosed as a retropharyngeal abscess, spondylodiscitis, or meningitis.

Diagnosis and Management

The patient underwent a cone beam computed tomography scan, which supported the diagnosis of acute longus colli tendinitis characterized by calcium hydroxyapatite deposition. On the basis of imaging studies, the diagnosis was confirmed as an amorphous, well-defined, hyperdense entity noted anterior to C2. The entity was measured to be slightly greater than 1 cm by 1 cm. The entity is seen to be growing, thus obstructing the airway. Management involved close monitoring of the patient's airway, working with ear-nose-throat physician, and initiation of appropriate treatment for sleep apnea symptoms.

Conclusion

This case report highlights the impact of longus colli calcific tendinitis on airway obstruction. Proper diagnosis of this condition is crucial, as it can help further research regarding underlying longus colli calcification and its role in airway obstruction. Increased awareness of this connection could lead to better recognition and timely intervention for individuals with longus colli calcific tendinitis and obstructive sleep apnea symptoms, enhancing patients’ quality of life.

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来源期刊

Oral Surgery Oral Medicine Oral Pathology Oral Radiology DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.80

自引率

6.90%

发文量

1217

审稿时长

2-4 weeks

期刊介绍： Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology is required reading for anyone in the fields of oral surgery, oral medicine, oral pathology, oral radiology or advanced general practice dentistry. It is the only major dental journal that provides a practical and complete overview of the medical and surgical techniques of dental practice in four areas. Topics covered include such current issues as dental implants, treatment of HIV-infected patients, and evaluation and treatment of TMJ disorders. The official publication for nine societies, the Journal is recommended for initial purchase in the Brandon Hill study, Selected List of Books and Journals for the Small Medical Library.