[A case of long-term respiratory management following resection of a huge facial hemangioma].
A 49 year-old-woman was scheduled for resection of a huge hemangioma of the face and neck region. After the resection, severe edema developed on the tongue, larynx, and pharynx even leaving no space between the tracheal tube and these tissues. Prolonged respiratory management with endotracheal tube intubation was needed to maintain the upper airway for more than three weeks. Tracheostomy was performed 27 days after the operation. Two weeks later, the edema of the upper airway subsided. Thereafter her clinical course was uneventful, and she was discharged 22 days after the tracheostomy. Resection of a huge facial and neck hemangioma should be carefully managed as it can be followed by unexpected severe postoperative upper airway edema leading to suffocation.
Takase
H
H
Department of Anesthesiology, University of Hirosaki, School of Medicine, Hirosaki 036-8562.
Kushikata
T
T
Kotani
N
N
Kimura
N
N
Ishihara
H
H
Matsuki
A
A
D004487:Edema / Q000628:therapy; D005153:Facial Neoplasms / Q000601:surgery*; D005260:Female; D006392:Hemangioma, Cavernous / Q000601:surgery*; D006801:Humans; D007442:Intubation, Intratracheal; D007819:Laryngeal Edema / Q000628:therapy; D008875:Middle Aged; D010608:Pharyngeal Diseases / Q000628:therapy; D014133:Tracheal Diseases / Q000628:therapy*