International Journal of Pediatric Otorhinolaryngology Extra
Volume 4, Issue 2 , Pages 84-87, March 2009

Anaesthetic management of a child having congenital macroglossia with mandibular deformity

Department of Anaesthesiology and Critical Care, Pt. B.D. Sharma Post Graduate Institute of Medical Sciences, Rohtak 124001, Haryana, India

Received 19 May 2008; received in revised form 3 August 2008; accepted 9 August 2008. published online 22 September 2008.

Summary 

Securing the airway is vital in the management of anaesthesia administration. Patients with difficult airway are extremely challenging. Paediatric tongue lesions represent 2.4% of all paediatric oral and maxillofacial lesions. Most lesions are benign and include various local neoplasms, solid tumors, cysts, polyps and diffuse hypertrophy. We present a case of a 7-year-old child having congenital macroglossia with mandibular deformity due to malocclusion, admitted for reduction glossectomy. It was predicted to be a difficult intubation and it was successfully achieved by blind nasal technique.

Keywords: Mouth opening, restricted, Macroglossia, Intubation, nasotracheal, Technique, blind

 

PII: S1871-4048(08)00055-5

doi:10.1016/j.pedex.2008.08.002

International Journal of Pediatric Otorhinolaryngology Extra
Volume 4, Issue 2 , Pages 84-87, March 2009