title: Massive lingual swelling following palatoplasty. An unusual cause of upper airway obstruction.
abstract: We report a case of upper airway obstruction as a result of delayed massive lingual swelling following routine cleft palate repair in an otherwise healthy 12-month-old girl. We believe that ischaemia and venous congestion were the causes of macroglossia, after prolonged use of the Digman Dott tongue retractor. In any difficult and lengthy repair, we recommend the prophylactic insertion of a nasopharyngeal airway under direct vision by the surgeons after surgery to prevent potential upper airway obstruction.
authors.affiliation: Department of Anaesthesia and Intensive Care, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, NT.
authors.forename: M T
authors.initials: MT
authors.lastname: Chan
authors.forename: M S
authors.initials: MS
authors.lastname: Chan
authors.forename: K S
authors.initials: KS
authors.lastname: Mui
authors.forename: B P
authors.initials: BP
authors.lastname: Ho
mesh_terms: D000208:Acute Disease; D000402:Airway Obstruction / Q000000981:diagnostic imaging / Q000209:etiology*; D002972:Cleft Palate / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D008260:Macroglossia / Q000000981:diagnostic imaging / Q000209:etiology*; D010160:Palate, Soft / Q000601:surgery*; D011183:Postoperative Complications; D011859:Radiography