Anaesthetic management of a child posted for excision of lymphangioma of the tongue (original) (raw)
Related papers
Anaesthetic consideration in macroglossia due to lymphangioma of tongue: a case report
Indian journal of anaesthesia, 2009
Successful airway management of an infant or child with macroglossia prerequisites recognition of a potential airway problem. We describe our experience with a debilitated 13-year-old girl who presented with severe macroglossia, secondary to lymphangioma of the tongue. Along with the social discomfort she had inability to speak, eat or drink properly and exposure-induced dryness. Such patients are a challenge for the anaesthesiologists due to the anticipated difficult intubation associated with the oral mucosa occupying lesion. It also becomes pertinent to rule out any of the associated congenital anomalies. The importance of a thorough preoperative evaluation and attention to difficult intubation and maintenance of airway is emphasized. We endeavor to review the available literature regarding patient's perioperative management of such patients.
Indian Journal of Otolaryngology and Head and Neck Surgery, 2006
Lymphangiomas are uncommon congenital tumors of the lymphatic system, which usually occur in the head and neck but involvement of the tongue is rare. We report the case of a 2-year-old child with a lymphangioma of the tongue. Early recognition and surgical excision of these tumors are essential for an optimal functional outcome. The histopathology and treatment of tongue lymphangioma are reviewed.
Lymphangioma of the tongue - a case report and review of literature
Journal of clinical and diagnostic research : JCDR, 2014
Lymphangiomas are benign tumours resulting from a congenital malformation of the lymphatic system. They are relatively uncommon and usually diagnosed in infancy and early childhood. Commonly located at head and neck, they rarely occur in the oral cavity. Intraoral lymphangiomas occur more frequently on the dorsum of tongue, followed by palate, buccal mucosa, gingiva, and lips. Lymphangioma of the tongue is a common cause of macroglossia in children associated with difficulty in swallowing and mastication, speech disturbances, airway obstruction, mandibular prognathism, openbite and other possible deformities of maxillofacial structures. We present the case of a 13-year-old female with lymphangioma of tongue. The clinical, radiological, and treatment modalities of this case are discussed.
Airway Management in a Toddler with a Giant Hemangioma of the Tongue
2012
Background Induction of general anesthesia in a patient with compromised airway has always caused dilemma to anesthesiologist, especially for toddler this is paramounted. Case Presentation An 18 month old boy had a huge sized lingual mass which not only filled entire oral cavity but protruded outside the mouth up to about 5 cm. Having in mind the diagnosis of hemangioma, prior to induction it was attempted to reduce the mass but could be reduced only minimally by manual decompression. While the tongue, still outside the mouth, with full preparedness for anesthesia was induced maintaining the spontaneous ventilation. During laryngoscopy and intubation the tongue was pulled out of the oral cavity to ease the passage of the endotracheal tube. The mass was excised successfully and patient had an uneventful postoperative course. Conclusion Maintenance of spontaneous ventilation is the crucial safety element during induction.
Anaesthetic Management of Child with Laryngeal Papilloma Causing Airway Obstruction
https://www.ijhsr.org/IJHSR\_Vol.8\_Issue.11\_Nov2018/IJHSR\_Abstract.044.html, 2018
We present a case of a nine year old female weighing 28kgs whose presenting complaints were respiratory distress, stridor, progressive difficulty in breathing since past two months and near aphonia from one month. Induction was done with 100% oxygen with 6% sevoflurane. Patient was induced in spontaneous respiration. Patient was intubated with uncuffed ETT of size 3mm ID as sufficient space was not available for a bigger size tube. After complete excision of papillomas and achieving spontaneous ventilation, patient was extubated successfully and was relieved of all obstructive symptoms.
Lymphangioma of tongue: A case report and review of literature
Lymphangioma is a benign hamartomatous hyperplasia of lymphatic vessels, with three-fourths of all cases occurring in the head and neck region. The complications of lymphangioma may affect the patient broadly in four dimensions such as aesthetic, occlusal, functional and psychosocial aspects. Complications related to infection can occasionally result in Ludwig's angina associated with an infected base of the tongue lymphangioma. Therefore it is important to diagnose and treat the lesion at the earliest. Here we present a case of lymphangioma of tongue in a 4-year-old female patient.
Lymphangioma in Tongue- A Case Report with Review
2020
Lymphangioma is a benign hamartomatous lesion caused by congenital malformation of the lymphatic system. This benign tumor is detected most commonly at birth or in early childhood but rarely in adults. On clinical examination, most lymphangiomas contain clear lymph fluid, but some may present as transparent vesicles containing red blood cells due to hemorrhage. In addition, lymphangioma may occur in association with hemangioma. This tumor occurs most commonly in the head and neck area but rarely in the oral cavity. The dorsum of the tongue is the most common location in the mouth, followed by the lips, buccal mucosa, soft palate, and floor of the mouth. There are various treatment approaches for lymphangioma, but surgical excision is the preferred method. We present a case of a 13-year-old girl with lymphangioma on the anterior dorsal part of the tongue, not associated with any dysfunction in mastication or speech disorders.
Lymphangioma of Tongue a Rare Entity: A Case Report
IJSS journal of Surgery, 2015
Lymphangioma is relatively rare congenital malformations of lymphatic vessels that are fi lled with a clear protein-rich fl uid with a few lymph cells. They result due to abnormal development of the lymphatic system with an obstruction to lymph drainage from the affected area. This is an interesting case of lymphangioma of the tongue in a 2-year-female child. Oral lymphangioma is uncommon lesions that tend to involve the dorsal surface of the tongue. Conservative surgical excision is preferred in superfi cial, localized lesions and hence an insight of this condition of prime importance in its diagnosis and management. Oral lymphangioma is relatively uncommon lesions occurring at the dorsal region of the tongue. Superfi cial and localized lesions should be treated by conservative surgical excision with low relapse rates.