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Case Reports
. 2010 Dec;59(12):1102-4.
doi: 10.1007/s00101-010-1786-7. Epub 2010 Sep 19.

[Life-threatening macroglossia following cleft palate palatoplasty]

[Article in German]
Affiliations
Case Reports

[Life-threatening macroglossia following cleft palate palatoplasty]

[Article in German]
C Neuhäuser et al. Anaesthesist. 2010 Dec.

Abstract

The case of a 13-month-old child who developed a life-threatening macroglossia with airway obstruction following palatoplasty for a cleft palate is reported. As direct laryngoscopy was not feasible a laryngeal mask (LM) was inserted to secure the airway. Under fiber optic guidance an endotracheal tube was then introduced via the LM. In this article the incidence, pathophysiology, clinical dynamics, options for emergency anesthesia management and organizational implications of this rare but typical complication in the field of oral and craniomaxillofacial surgery are reported.

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