Anaesthetic Consideration in Macroglossia Due to Lymphangioma of Tongue: A Case Report

• Main Authors: Anurag Tewari, Munish Munjal, Kamakshi, Shuchita Garg, Dinesh Sood, Sunil Katyal
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2009-01-01
• Series: Indian Journal of Anaesthesia
• Subjects: Airway management; Anaesthesia; Lymphangioma; Macroglossia
• Online Access: http://www.ijaweb.org/article.asp?issn=0019-5049;year=2009;volume=53;issue=1;spage=79;epage=83;aulast=Tewari

Successful airway management of an infant or child with macroglossia prerequisites recognition of a potential airway problem. We describe our experience with a debilitated 13-year-old girl who presented with severe macroglo-ssia, secondary to lymphangioma of the tongue. Along with the social discomfort she had inability to speak, eat or drink properly and exposure-induced dryness. Such patients are a challenge for the anaesthesiologists due to the anticipated difficult intubation associated with the oral mucosa occupying lesion. It also becomes pertinent to rule out any of the associated congenital anomalies. The importance of a thorough preoperative evaluation and attention to difficult intubation and maintenance of airway is emphasized. We endeavor to review the available literature regard-ing patient′s perioperative management of such patients.