Lipoma of the parapharyngeal space is very rare, only three cases havi
ng been reported in the literature. A parapharyngeal space lipoma caus
ing obstructive sleep apnoea has not been reported before. A 60-year-o
ld man presented at the ear, nose and throat (ENT) clinic with a histo
ry of loud snoring associated with sleep apnoea secondary to a right p
arapharyngeal space lipoma. The causes of sleep apnoea and the radiolo
gical features of a parapharyngeal space lipoma are discussed.