Severe obstructive sleep apnoea due to adenotonsillar hypertrophy after liver transplantation
- 1Department of ENT Surgery, Leeds General Infirmary, Leeds, UK
- 2Department of ENT Surgery, Barts & the London Hospitals, London, UK
- Correspondence to Omar Mulla,
Epstein-Barr virus-related adenotonsillar hypertrophy is a precursor to post-transplantation lymphoproliferative disorder. We report a case of a 4-year-old child with severe obstructive sleep apnoea, who had liver transplantation at the age of 7 months. She had gross lymphoid hypertrophy in the oropharynx and supraglottis. We performed an adenotonsillectomy and aryepiglottoplasty which improved her symptoms. We emphasise the importance to consider the diagnosis of post-transplantation lymphoproliferative disorder in post-transplantation immunosuppressed patients who present with adenotonsillar hypertrophy.