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Canadian Journal of Anesthesia, Vol 32, 265-267, Copyright © 1985 by Canadian Anesthesiologists' Society

Clinical Reports: Airway Obstruction due to Massive Lingual Oedema Following Cleft Palate Surgery

JEFFRY T. LEE MD1 and HARRY G. G. KINGSTON MD1

1 Oregon Health Sciences University, Department of Anesthesiology, 3181 S.W. Sam Jackson Park Road, Portland, OR 97201

Address correspondence to: Dr. Kingston.

The Pierre Robin syndrome consists of micrognathia, pseudo-macroglossia, glossoptosis and a high arched or cleft palate. Difficult intubation of the trachea and associated abnormalities such as congenital heart disease are well known complications of this syndrome. Intraoral surgery (such as cleft palate repair andpalatoplasty) can also be technically difficult for the surgeon resulting in prolonged retraction on the tongue with a mouth gag to provide adequate surgical exposure. We report a case where massive lingual oedema following a cleft palate repair resulted in life-threatening airway obstruction.

Key Words: COMPLICATIONS: lingual oedema, airway obstruction • SURGERY: prolonged • EQUIPMENT: mouth retractor







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Copyright © 1985 by the Canadian Anesthesiologists' Society.