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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
Abstract:
We describe an unusual case of severe postoperative macroglossia after posterior fossa surgery in the prone position, and review potential causative factors and prophylactic measures that may alleviate this serious complication.
Insights
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.