Self-Induced Traumatic Macroglossia: Case Report and Literature Review
Abdullah A Alarfaj1, Ali R AlHayek2, Rashid Alghanim2
1King Faisal University, Department of Otolaryngology, Hofuf, Saudi Arabia.
Case Reports in Otolaryngology
|June 20, 2019
Summary
Traumatic macroglossia, a rare tongue swelling condition, can be self-induced. This case highlights successful management using endotracheal intubation and corticosteroids.
Area of Science:
- Emergency Medicine
- Otolaryngology
- Genetics
Background:
- Traumatic macroglossia is an exceptionally rare condition involving sudden, severe tongue swelling due to trauma.
- This case involves a 37-year-old male with Down syndrome (trisomy 21) and epilepsy presenting with self-induced traumatic macroglossia.
Observation:
- The patient exhibited aggressive behavior leading to repeated tongue trauma and subsequent massive tongue protrusion.
- Despite the severe swelling, the patient showed no signs of respiratory distress, and nasolaryngoscopy revealed no laryngeal edema.
Findings:
- Immediate management included endotracheal intubation to secure the airway and corticosteroids to reduce tongue swelling.
- The patient also received a bite block and warm wet dressings as part of the treatment protocol.
Implications:
- This report details the first documented case of self-induced traumatic macroglossia in a seizure-free patient.
- Successful management underscores the importance of prompt airway management and anti-inflammatory treatment for this rare condition.
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