Congenital tongue base lipoblastoma causing neonatal airway compromise

2021 ◽  
Vol 14 (1) ◽  
pp. e239554
Author(s):  
Ming Hui Wan ◽  
Tengku Ezulia Tengku Nun Ahmad ◽  
Manimalar Selvi Naicker ◽  
Mohd Zulkiflee Abu Bakar
Keyword(s):  
Endotracheal Intubation ◽  
Tongue Base ◽  
Fat Cells ◽  
Airway Compromise ◽  
Rare Occurrence ◽  
Airway Lumen ◽  
Benign Tumours ◽  
Base Of The Tongue

Lipoblastomas are benign tumours of immature fat cells presenting in infancy. A lipoblastoma within the airway lumen causing airway compromise is an extremely rare occurrence. We present a 6 hours of life girl who had airway compromise due to a lobulated mass at the base of the tongue. The mass was excised after emergency endotracheal intubation.

Tongue Base Minor Salivary Gland Tumor: Report of a Case with Mucoepidermoid and Acinous Cell Components

1980 ◽  
Vol 88 (4) ◽  
pp. 391-396 ◽  
Author(s):  
Stephen J. Wetmore ◽  
Kang Fan
Keyword(s):  
Salivary Gland ◽  
Mucoepidermoid Carcinoma ◽  
Minor Salivary Gland ◽  
Salivary Gland Tumor ◽  
Cell Tumor ◽  
Tongue Base ◽  
Gland Tumor ◽  
Cell Components ◽  
Acinous Cell ◽  
Base Of The Tongue

A case of a large (5.5 cm), multilobulated, mucosa-covered, minor salivary gland tumor of the base of the tongue that displayed morphologic features of both a mucoepidermoid carcinoma and an acinous cell tumor is described. Generally, each of these salivary gland tumors occurs only rarely at this site. A tumor with both these elements has not previously been reported.

scholarly journals A Rare Complication of Tracheal Intubation: Tongue Perforation

2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
Loreto Lollo ◽  
Tanya K. Meyer ◽  
Andreas Grabinsky
Keyword(s):  
Tracheal Intubation ◽  
Endotracheal Tube ◽  
Endotracheal Intubation ◽  
Rare Complication ◽  
Subsequent Treatment ◽  
Unusual Complication ◽  
Brain Hemorrhage ◽  
Rare Injury ◽  
Airway Trauma ◽  
Base Of The Tongue

Aim. To describe the subsequent treatment of airway trauma sustained during laryngoscopy and endotracheal intubation.Methods. A rare injury occurring during laryngoscopy and endotracheal intubation that resulted in perforation of the tongue by an endotracheal tube and the subsequent management of this unusual complication are discussed. A 65-year-old female with intraparenchymal brain hemorrhage with rapidly progressive neurologic deterioration had the airway secured prior to arrival at the referral institution. The endotracheal tube (ETT) was noted to have pierced through the base of the tongue and entered the trachea, and the patient underwent operative laryngoscopy to inspect the injury and the ETT was replaced by tracheostomy.Results. Laryngoscopy demonstrated the ETT to perforate the base of the tongue. The airway was secured with tracheostomy and the ETT was removed.Conclusions. A wide variety of complications resulting from direct and video-assisted laryngoscopy and tracheal intubation have been reported. Direct perforation of the tongue with an ETT and ability to ventilate and oxygenate subsequently is a rare injury.

Arytenoid Dislocation

1996 ◽  
Vol 115 (1) ◽  
pp. 160-162 ◽  
Author(s):  
Peter L. Faries ◽  
Arthur T. Martella
Keyword(s):  
Respiratory Distress ◽  
Blunt Trauma ◽  
Endotracheal Intubation ◽  
Rare Complication ◽  
Airway Compromise ◽  
Review Of The Literature ◽  
Significant Complication ◽  
Arytenoid Dislocation

Arytenoid dislocation is a rare complication of endotracheal intubation and blunt trauma. Respiratory distress is the most significant complication of dislocation. Eleven cases of this unusual entity have been described previously. 1–8 Of these only three have been associated with significant airway compromise. In each case the onset of respiratory distress occurred within 4 hours of extubation and necessitated tracheostomy. 7,8 We describe a case of arytenoid dislocation that precipitated respiratory distress 40 hours after extubation and provide a complete review of the literature.

scholarly journals A Review of Operational Surgery in Ent and Cervical-Facial Tumours - Oral Cavity and Pharynx

2019 ◽  
Vol 70 (5) ◽  
pp. 1879-1883
Author(s):  
Constantin Mihai ◽  
Dragos Octavian Palade ◽  
Cristian Budacu ◽  
Iuliu Fulga ◽  
Mihaela Gabriela Luca ◽  
...  
Keyword(s):  
Oral Cavity ◽  
Maxillofacial Surgery ◽  
Posterior Wall ◽  
Malignant Tumours ◽  
Facial Region ◽  
Cancerous Lesion ◽  
Surrounding Healthy Tissue ◽  
Abnormal Cells ◽  
Benign Tumours ◽  
Base Of The Tongue

It is extremely difficult to synthesize in a paper the extremely wide diversity of the issues related to such a vast chapter such as the tumours in the ENT area and the cervical-facial region. The review analyses the variety of benign and malignant types of tumours, presenting various types of tumours on anatomical organs or regions, insisting with more extensive data from the literature on less frequent tumours or involving more distinct therapies, perhaps leading to a lack of balance and uniformity. Tumours are defined as excessive proliferation of abnormal cells that resemble more or less the tissue in which they develop and end up by acquiring biological autonomy. The study performed presents a batch of 425 patients diagnosed with benign tumours - 306 cases (72.0%) and 119 cases with ENT and cervical-facial malignant tumours that had extensions to the surrounding organs and metastatic adenopathies, admitted and treated at the Clinical Maxillofacial Surgery Clinic of the County Clinical Hospital between 1.01.2015 - 31.12.2018. The entire cancerous lesion is surgically removed together with a small surrounding healthy tissue area to ensure that all malignant cells have been removed. The purpose of the surgery is to remove all affected tissues without compromising the integrity of the structures in the other areas of the oral cavity. Tumours develop from the oropharynx: the tonsils, the base of the tongue, the soft palate, the pharyngeal posterior wall. Most often, the tumour affects the tongue floor, the mucous of the mouth and the tonsils.

scholarly journals Delayed onset postoperative retropharyngeal hematoma after anterior cervical surgery with a sequela of tracheal stricture: a case report

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Dong-Gune Chang ◽  
Jong-Beom Park ◽  
Hong Jin Kim ◽  
Soo-Bin Park
Keyword(s):  
Endotracheal Intubation ◽  
Lateral Displacement ◽  
Airway Compromise ◽  
Hematoma Evacuation ◽  
Delayed Onset ◽  
First Case ◽  
Cervical Surgery ◽  
Retropharyngeal Hematoma ◽  
Anterior Cervical Surgery ◽  
Tracheal Stricture

Abstract Background Among the several complications associated with anterior cervical discectomy and fusion (ACDF), airway compromise is considered one of the serious life-threatening conditions and usually requires emergent treatment, including airway establishment and hematoma evacuation surgery. Postoperative retropharyngeal hematoma commonly occurred during the on immediate phase with airway compromise, but have a rarity on late onset of this complication. Enlightened by this existing fact, we report the first case of delayed onset postoperative retropharyngeal hematoma after anterior cervical surgery with a sequela of tracheal stricture. Case presentation A 55-year-old male underwent ACDF for disc herniation at C5–6 that had not responded to conservative treatment over 3 months. The symptoms significantly improved after surgery, and he was discharged on postoperative day 3. On the 7 days after ACDF, the patient complained of sudden-onset left-deviated neck swelling. The follow-up plain radiographs and neck-enhanced computed tomography (CT) scans showed anterior and right lateral displacement of the airway including the trachea by a large retropharyngeal hematoma. We performed an emergent forceful endotracheal intubation that was maintained for 2 days until the patient underwent hematoma evacuation surgery. On the second day after hematoma evacuation surgery, the patient complained of hoarseness with a foul breath odor. Laryngoscopy showed tracheal ischemic mucosal damage that had been induced by forceful endotracheal intubation. Antibiotics and systemic corticosteroids were administered, and the symptoms improved. One month after hematoma evacuation surgery, he complained of dyspnea on exertion, and laryngoscopy showed tracheal stricture. The patient underwent bronchoscopic dilatation and is doing well without recurrence of symptoms. Conclusions Early surgery to remove the delayed onset retropharyngeal hematoma, rather than forceful endotracheal intubation followed by delayed surgery, might yield better results and avoid unexpected complications of tracheal stricture.

scholarly journals Delayed Onset Postoperative Retropharyngeal Hematoma After Anterior Cervical Surgery With a Sequela of Tracheal Stricture: a Case Report

2021 ◽  
Author(s):  
Dong-Gune Chang ◽  
Jong-Beom Park ◽  
Zin Ouk Hwang ◽  
Hong Jin Kim
Keyword(s):  
Endotracheal Intubation ◽  
Lateral Displacement ◽  
Airway Compromise ◽  
Hematoma Evacuation ◽  
Delayed Onset ◽  
First Case ◽  
Cervical Surgery ◽  
Retropharyngeal Hematoma ◽  
Anterior Cervical Surgery ◽  
Tracheal Stricture

Abstract Background: Among the several complications associated with anterior cervical discectomy and fusion (ACDF), airway compromise is considered one of the serious life-threatening conditions and usually requires emergent treatment, including airway establishment and hematoma evacuation surgery. Postoperative retropharyngeal hematoma commonly occurred during the on immediate phase with airway compromise but have a rarity on late onset of this complication. Enlightened by this existing fact, we report the first case of delayed onset postoperative retropharyngeal hematoma after anterior cervical surgery with a sequela of tracheal stricture. Case presentation: A 55-year-old male underwent ACDF for disc herniation at C5-6 that had not responded to conservative treatment over three months. The symptoms significantly improved after surgery, and he was discharged on postoperative day 3. On the seven days after ACDF, the patient complained of sudden onset left-deviated neck swelling. The follow-up plain radiographs and neck-enhanced computed tomography (CT) scans showed anterior and right lateral displacement of the airway including the trachea by a large retropharyngeal hematoma. We performed an emergent forceful endotracheal intubation that was maintained for two days until the patient underwent hematoma evacuation surgery. On the second day after hematoma evacuation surgery, the patient complained of hoarseness with a foul breath odor. Laryngoscopy showed tracheal ischemic mucosal damage that had been induced by forceful endotracheal intubation. Antibiotics and systemic corticosteroids were administered, and the symptoms improved. One month after hematoma evacuation surgery, he complained of dyspnea on exertion, and laryngoscopy showed tracheal stricture. The patient underwent bronchoscopic dilatation and is doing well without recurrence of symptoms. Conclusions: Early surgery to remove the delayed onset retropharyngeal hematoma, rather than forceful endotracheal intubation followed by delayed surgery, might yield better results and avoid unexpected complications of tracheal stricture.

A Rare Complication from a Not-So-Rare Occurrence (Endotracheal Intubation)

1971 ◽  
Vol 64 (7) ◽  
pp. 814 ◽  
Author(s):  
ARNOLD MANHEIM ◽  
R E PEREZ ◽  
JAMES E. NEVIN
Keyword(s):  
Endotracheal Intubation ◽  
Rare Complication ◽  
Rare Occurrence

Trauma of the Larynx and Cervical Esophagus

2021 ◽  
Author(s):  
David Young ◽  
Andrew Tkaczuk
Keyword(s):  
Quality Of Life ◽  
Caustic Ingestion ◽  
Airway Compromise ◽  
Rare Occurrence ◽  
Upper Aerodigestive Tract ◽  
Initial Management ◽  
Personal Experiences ◽  
Life Threatening

Upper aerodigestive tract trauma is rare occurrence, but can have devastating consequences. Immediate complications including airway compromise can be life threatening and complicate resuscitative efforts. Long-term sequelae can significantly affect a patient’s quality of life by limiting one’s ability to breathe, phonate, and/or swallow. This review provides an overview of upper aerodigestive trauma, where many of these injuries occur concomitantly, but this text is divided into three main categories of: laryngeal framework, upper aerodigestive perforation, and adult caustic ingestion. The initial management of these injuries can be reflexive and mundane, but also are frequently nuanced and challenging, where personal experiences in management of these patients results in mastery.  This review contains 9 figures, 4 tables and 82 references.  Keywords: Laryngeal trauma, laryngeal facture, esophageal perforation, caustic ingestion

scholarly journals Predictors of malignancy in patients with pheochromocytomas/paragangliomas: Asian Indian experience

2016 ◽  
Vol 5 (6) ◽  
pp. 89-97 ◽  
Author(s):  
Kranti Khadilkar ◽  
Vijaya Sarathi ◽  
Rajeev Kasaliwal ◽  
Reshma Pandit ◽  
Manjunath Goroshi ◽  
...  
Keyword(s):  
Tumour Size ◽  
Primary Tumour ◽  
Linear Regression Analysis ◽  
Rare Occurrence ◽  
Malignant Tumours ◽  
Size Number ◽  
Indian Experience ◽  
Pet Ct ◽  
Benign Tumours

Background and aims Malignant transformation of pheochromocytomas/paragangliomas (PCC/PGL) is a rare occurrence, and predictive factors for the same are not well understood. This study aims to identify the predictors of malignancy in patients with PCC/PGL. Materials and methods We performed a retrospective analysis of 142 patients with either PCC or PGL registered at our institute between 2000 and 2015. Records were evaluated for clinical parameters like age, gender, familial/syndromic presentation, symptomatic presentation, biochemistry, size, number and location of tumours and presence of metastases and mode of its diagnosis. Results Twenty patients were found to have metastases; 13 had metastases at diagnosis and seven during follow-up. Metastases were detected by radiology (CT-neck to pelvis) in 11/20 patients (5/13 synchronous and 6/7 metachronous), 131I-metaiodobenzylguanidine in five (2/12 synchronous and 3/6 metachronous) patients and 18F-flurodeoxyglucose PET/CT in 15 (12/12 synchronous and 3/3 metachronous) patients. Malignant tumours were significantly larger than benign tumours (8.3 ± 4.1 cm, range: 3–22 cm vs 5.7 ± 2.3 cm, range: 2–14 cm, P = 0.0001) and less frequently metanephrine secreting. On linear regression analysis, tumour size and lack of metanephrine secretion were the independent predictors of malignancy. Conclusions Patients with primary tumour size >5.7 cm and lack of metanephrine secretory status should be evaluated for possible malignancy not only at diagnosis but also in the postoperative period. As compared to CT and 131I-MIBG scan, 18F-flurodeoxyglucose PET/CT analyses are better (sensitivity: 100%) for the diagnosis of metastases in our study.

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