Acute tongue enlargement secondary to pharyngeal packing after tracheal intubation

Pradeep Kumar Sharma, Pradipta Bhakta*, Sinnakirouchenan Srinivasan, Rashid Manzoor Khan, Naresh Kaul

*Corresponding author for this work

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Acute tongue enlargement is a potentially lethal complication which is mostly reported in neurosurgical cases in sitting position. Very rarely it is reported in supine position. Most importantly it is reported at the end of the surgical procedures. Throat pack used along with tracheal intubation for protection of lower respiratory tract from soiling can lead to tongue enlargement due to obstruction of venous drainage. We are hereby reporting an interesting case of acute tongue enlargement in a patient scheduled for excision of brain tumor in supine position which occurred even before commencement of surgery due to excessive throat pack inserted for some nonessential indication. We thus recommend that throat pack should be used cautiously only when absolutely indicated. Otherwise it can lead to life threatening macroglossia.

Original languageEnglish
Pages (from-to)761-764
Number of pages4
JournalMiddle East Journal of Anesthesiology
Volume21
Issue number5
Publication statusPublished - Jun 2012

Keywords

  • Acute tongue enlargement
  • Pharyngeal packing
  • Post intubation

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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