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[Traumatic macroglossia--a rare indication for tracheotomy].

G Kurlemann, A Lunkenheimer, G Jorch

    Klinische Padiatrie
    |July 1, 1985
    PubMed
    Summary
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    A traumatic tongue hemorrhage caused dangerous swelling (macroglossia) and breathing difficulty in a teen. Emergency tracheotomy was required, but the swelling resolved in 6 days, allowing the breathing tube to be removed.

    Area of Science:

    • Trauma surgery
    • Emergency medicine
    • Otolaryngology

    Background:

    • Traumatic tongue hemorrhage can lead to dangerous hematomas.
    • Hypertensive crisis can precipitate neurological events like ictus.

    Observation:

    • A 17-year-old patient experienced an ictus during a hypertensive crisis, resulting in a tongue bite.
    • This led to rapid tongue swelling (macroglossia) causing severe shortness of breath.

    Findings:

    • A tracheotomy was necessary to secure adequate ventilation.
    • The macroglossia gradually resolved within 6 days.
    • Nasal breathing was restored, and the tracheostoma was successfully closed.

    Implications:

    • Prompt airway management is crucial for traumatic tongue hematomas.

    Related Experiment Videos

  • Conservative management can be effective, but surgical intervention may be needed if conservative measures fail.
  • This case highlights the potential for airway compromise due to tongue swelling after trauma.