MASSIVE LINGUAL SWELLING FOLLOWING PALATOPLASTY - AN UNUSUAL CAUSE OFUPPER AIRWAY-OBSTRUCTION

Authors
CHAN MTV CHAN MSH MUI KSY HO BPY
Citation
Mtv. Chan et al., MASSIVE LINGUAL SWELLING FOLLOWING PALATOPLASTY - AN UNUSUAL CAUSE OFUPPER AIRWAY-OBSTRUCTION, Anaesthesia, 50(1), 1995, pp. 30-34
Citations number
32
Categorie Soggetti
Anesthesiology
Journal title
Anaesthesia → ACNP
ISSN journal
00032409
Volume
50
Issue
1
Year of publication
1995
Pages
30 - 34
Database
ISI
SICI code
0003-2409(1995)50:1<30:MLSFP->2.0.ZU;2-0
Abstract
We report a case of upper airway obstruction as a result of delayed ma ssive lingual swelling following routine cleft palate repair in an oth erwise healthy 12-month-old girl. We believe that ischaemia and venous congestion were the causes of macroglossia, after prolonged use of th e Digman Dolt tongue retr actor. In any difficult and lengthy repair, we recommend the prophylactic insertion of a nasopharyngeal airway und er direct vision by the surgeons after surgery to prevent potential up per airway obstruction.