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Previous Volume 335:1303-1307 October 24, 1996 Number 17 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

A 55-year-old man with obstructive sleep apnea, which had been managed by a long-term tracheostomy, was admitted to the hospital because acid-fast bacilli were found in stomal granulations.

Eighteen and a half years earlier, obstructive sleep apnea, with an arterial oxygen saturation of 44 percent, was diagnosed. Examination revealed a mandibular deformity and a large, hypermotile tongue with abundant lymphoid tissue at its base. Four years later, a tracheostomy was performed at the Massachusetts Eye and Ear Infirmary, with the placement of a silicone cannula. The cannula was changed every two to three years. At approximately semiannual visits, the patient . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Dori F. Zaleznik's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References

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