IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-8-12-23471 Original Research Paper An unique case of obstructive sleep apnea - Torus Tubaris Cyst and Review of literature Lakshmi Shree N. Dr. Dr. K. Shoba Dr. December 2019 8 12 01 02 ABSTRACT

Case background: A 41 year old gentleman presented with complaints of disturbed sleep, choking spells, daytime sleepiness and snoring for past five months to the ENT department at a tertiary health centre. Clinically, a cystic swelling was noted in the right oropharynx possibly extending from the nasopharynx. Patient underwent Diagnostic Nasal Endoscopy and Computerised tomography of paranasal sinuses which also showed a cystic swelling in the nasopharynx arising from the right salpingopharyngeal fold with oropharyngeal extension. Polysomnography confirmed features of obstructive sleep apnea. Coblation Cyst excision was performed and histopathological evaluation of cyst showed features of a simple cyst. Post–operative sleep study showed normal sleep pattern. A simple cyst arising from the nasopharynx is commonly labeled with a differential diagnosis of tornwaldt’s cyst when in the midline or less commonly a unilateral fossa of rosenmuller cyst. After extensive PUBMED search it was understood to be the first case report showing the rare possibility of a cyst arising from the mucosa over the salpingopharyngeal fold – a torus tubarius cyst and presenting as Obstrutive sleep apnea (OSA). Conclusion: First to be reported torus tubarius cyst with features of obstructive sleep apnea. Coblation cyst excision was done to alleviate disordered sleep pattern.