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Massive macroglossia after posterior fossa surgery in the prone position
E G Pivalizza1, J Katz, S Singh
1University of Texas Health Science Center at Houston, 77030, USA.
Journal of Neurosurgical Anesthesiology
|January 23, 1998
Summary
Severe tongue swelling (macroglossia) can occur after prone posterior fossa surgery. This case highlights potential causes and preventive strategies for this serious complication.
Area of Science:
- Neurosurgery
- Anesthesiology
- Otolaryngology
Background:
- Posterior fossa surgery, particularly in the prone position, carries risks.
- Postoperative macroglossia is a rare but serious complication impacting airway management.
Observation:
- A case of severe macroglossia following prone posterior fossa surgery is presented.
- The swelling significantly compromised the patient's airway.
Findings:
- Potential causative factors include prolonged intubation, venous congestion, and direct pressure.
- Review of literature identifies several contributing elements to this adverse event.
Implications:
- Awareness of risk factors is crucial for preventing macroglossia.
- Prophylactic measures and prompt recognition are key to managing this complication effectively.