Iranian Journal of Pediatrics
Tehran University of Medical Sciences Press
Vol. 22, No. 4, 2012, pp. 551-554
Bioline Code: pe12102
Full paper language: English
Document type: Case Report
Document available free of charge
Iranian Journal of Pediatrics, Vol. 22, No. 4, 2012, pp. 551-554
© Copyright 2012 - Iranian Journal of Pediatrics
Airway Management in a Toddler with a Giant Hemangioma of the Tongue|
Hajipour, Asghar; Javid, Mihan J. & Saedi, Babak
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.
Hemangioma; Vascular malformation; Tongue
Alternative site location: http://diglib.tums.ac.ir/pub/