Journal of Anesthesia and Intensive Care

Volume 2, Issue 1 (2021)

Case Report - Open Access
Macroglossia Following Craniotomy in Semi-Sitting Position: Case Report and Review of Literature

Aboud AlJa’bari*

University hospital of Lausanne, 1012 lausanne, Switzerland.

*Corresponding Author:
Aboud AlJa’bari MD MBBS DESA
Consultant Cardiothoracic and Regional Anesthesiologist, University hospital of Lausanne, 1012 lausanne, Switzerland.
E-mail: J_aboud@hotmail.com

Received date: March 22, 2021; Accepted date: April 16, 2021; Published date: April 22, 2021

Citation: Aboud AB. Macroglossia Following Craniotomy in Semi-Sitting Position. Case Report and Review of Literature. J Anest Inten Care. 2021;2(1):5-8.

Copyright: © 2021 Aboud AB, This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Background: Macroglossia is an infrequent but potentially lethal postoperative complication following intracranial neurosurgical procedures.

Case presentation: 37-year-old female patient underwent craniotomy for sub thalamic brain tumor in sitting position lasted 10 hours, following extubation developed macroglossia with difficult intubation ended with surgical tracheostomy, complicated with sepsis and died 16 days post operatively.

Conclusion: Our case report and review of the literature, we suggest that macroglossia risk factors include neck flexion (position), obesity, local compression, and long surgical duration. The risk of complete airway obstruction is always present, and anesthesiologists need to be aware of this potential life-threatening complication because the onset of macroglossia may be delayed.

Keywords

Macroglossia, Craniotomy, Airway intubation.