Unforeseen difficult airway in a patient with hypertrophic lingual amygdala
DOI:
https://doi.org/10.30445/rear.v10i6.273Keywords:
difficult airway, hypertrophic lingual tonsilAbstract
The finding of a not provided difficult airway may be due to a small accumulation of lymphatic tiddue located on the base of the tongue, between the circumvallate papillae and the epiglottis, known as hypertrophic lingual tonsil (HLT). HLT could obstruct glotic view during direct laryngoscopy and bleed considering its friable features, which limits with no doubts the use of most of the advanced airway devices as video Laryngoscopy or fibrobronchoscopy.
References
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2. Asbjørnsen H, Kuwelker M, Søfteland E. A case of unexpected difficult airway due to lingual tonsil hypertrophy. Acta Anaesthesiol Scand 2008;52:310-2.
3. Davies S, Ananthanarayan C, Castro C. Asyntomathic lingual tonsillar hypertrophy and difficult airway management: A report of three cases. Can J Anaesth. 2001;48:1020-4.
4. Jones DH, Cohle SD. Unanticipated difficult airway secondary to lingual tonsillar hyperplasia. Anesth Analg 1993;77:1285-8.
5. P. Cruz, L. Alarcón, T. del Castillo, P. Cabrerizo, S. Díaz. Eficacia del laringoscopio Glidescope ® en un caso de vía aérea difícil imprevista por hipertrofia de la amígdala lingual. Rev Esp Anestesiol Reanim. 2015; 62(5):289-292.
6. Golding-Wood DG, Whittet HB. The lingual tonsil, a neglected symptomatic structure? J Laryngol Otol. 1989; 103:922-925.
7. Zamudio-Burbano MA, Casas-Arroyave FD. El uso del ultrasonido en el manejo de la vía aérea. Rev Colomb Anestesiol 2015;43:307-13.
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Published
2020-09-10
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Pintado Varas, C., Paz-Martín, D., & Rubio Sánchez, B. (2020). Unforeseen difficult airway in a patient with hypertrophic lingual amygdala. Revista Electrónica AnestesiaR, 10(6), 2. https://doi.org/10.30445/rear.v10i6.273
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Clinical case reports
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