scholarly journals Serious Airway Compromise in Rare Presentation of Posterior Tongue Base Abscess

2020 ◽  
Vol 3 (5) ◽  
Author(s):  
Mohamed El-Amin
Keyword(s):  
Tongue Base ◽  
Airway Compromise ◽  
Rare Presentation ◽  
Posterior Tongue

Functional Restoration after Subtotal Glossectomy and Laryngectomy

1988 ◽  
Vol 98 (1) ◽  
pp. 5-9 ◽  
Author(s):  
Moises Mitrani ◽  
Yosef P. Krespi
Keyword(s):  
Functional Results ◽  
Pulmonary Complications ◽  
Functional Restoration ◽  
Tongue Base ◽  
Extensive Resection ◽  
Mucosal Defect ◽  
Radiotherapy Alone ◽  
Intractable Aspiration ◽  
Posterior Tongue ◽  
Supraglottic Larynx

Extensive resection of carcinoma that involves the tongue base and supraglottic larynx is accompanied by significant potential morbidity and mortality. This is often indicated by poor rates of cure and the limited palliation afforded by radiotherapy alone. Removal of a significant portion of the posterior tongue frequently results in intractable aspiration. Techniques in reconstruction of the oropharyngeal defect and tongue base have included primary closure, random flaps, and myocutaneous flaps. Each of these techniques has been successful, to some degree, in resurfacing pharyngeal defects. However, the functional results in regard to deglutition are less than satisfactory as a result of aspiration. Frequently, simultaneous or delayed total laryngectomy is performed to deal with the pulmonary complications. Various types of laryngoplasty do not uniformly correct the problems of aspiration and deglutition associated with subtotal glossectomy. Our experience includes eight patients who had advanced squamous cell carcinoma of the tongue base, vallecula, and the supraglottic larynx. All patients underwent partial or subtotal glossectomy and laryngectomy. The mucosal defect was reconstructed with pectoralis myocutaneous flap. In order to reestablish voice, a primary tracheopharyngeal shunt was created with the use of a portion of cricoid and upper trachea. The majority of these patients have had successful rehabilitation of deglutition, mastication, and speech.

Bilobed tongue base associated with multiple branchial anomalies

2021 ◽  
Vol 14 (3) ◽  
pp. e241081
Author(s):  
Sevasti Konstantinidou ◽  
Michelle Wyatt ◽  
Colin Butler ◽  
Claire Frauenfelder
Keyword(s):  
Cardiac Surgery ◽  
Congenital Anomalies ◽  
Anatomical Variation ◽  
Tongue Base ◽  
Posterior Tongue ◽  
Head Neck ◽  
Branchial Anomalies

A bilobed tongue base was identified in an infant with multiple other head, neck and cardiac congenital anomalies. This anatomical variation of the posterior tongue is rare, with only two other cases identified in the literature. We report a case of a 5-month-old boy with a bilobed posterior tongue incidentally identified during workup for cardiac surgery.

scholarly journals Extramedullary plasmacytoma of the tongue base: A rare presentation of head and neck plasmacytoma

2013 ◽  
Vol 70 (10) ◽  
pp. 972-975 ◽  
Author(s):  
Jelena Bila ◽  
Bosko Andjelic ◽  
Jelena Bodrozic ◽  
Ljubomir Jakovic ◽  
Maja Perunicic-Jovanovic ◽  
...  
Keyword(s):  
Head And Neck ◽  
Plasma Cell ◽  
Neck Region ◽  
Extramedullary Plasmacytoma ◽  
Tongue Base ◽  
Rare Presentation ◽  
Plasma Cell Disorders ◽  
Plasma Cell Dyscrasias ◽  
Magnetic Resonance Imaging Mri

Introduction. Special entities like solitary bone plasmocytoma (SBP) or extramedullary plasmacytoma (EMP) can be found in a less than 5% of patients with plasma cell disorders. EMP of the tongue represents very rare localization of the head and neck plasmacytoma. Case report. We report a case of 78-years-old woman who developed EMP of the tongue base detected by the magnetic resonance imaging (MRI) of the head and neck region. Immunohistochemical profile of the tumor tissue biopsy (CD38, IgG, kappa positivity) indicated diagnosis of EMP. The diagnosis was established with additional staging which confirmed the absence of other manifestation of the disease. The patient was treated with 40 Gy of radiotherapy in 20 doses resulting in the achievement of the complete remission of the disease. This case was discussed with the reference to the literature. Conclusion. EMP of the tongue base is a very rare entity of plasma cell dyscrasias. Appropriate irradiation results in the achievement of a long-term remission and a potential cure of the disease.

scholarly journals Lingual Hematoma: A Rare Presentation

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Bhandary R ◽  
◽  
Poojitha S ◽  
Keyword(s):  
Case Report ◽  
Coagulation Cascade ◽  
Airway Compromise ◽  
Rare Presentation

Lingual hematoma is a rare cause of airway compromise and is usually seen secondary to use of anticoagulants, which exerts effects on coagulation cascade, and also causes thrombocytopenia. The patient in this case report presents with a lingual hematoma which is not related to the use of any anticoagulants. Luckily, the hematoma did not enlarge enough to cause obstruction of airway requiring tracheotomy. However, the cause of the hematoma is deduced to be due to husk - injuring the tongue mucosa. This case is unique in its rare presentation as well as the cause for the hematoma in our report has never been reported in literature.

scholarly journals Functional lingual thyroid in an adolescent female: a case report and brief literature review

1970 ◽  
Vol 10 (3) ◽  
pp. 216-219
Author(s):  
AR Roslenda ◽  
H Salina ◽  
KN Gopalan ◽  
SHA Primuharsa Putra
Keyword(s):  
Thyroid Gland ◽  
Posterior Part ◽  
Tongue Base ◽  
Suppressive Therapy ◽  
Lingual Thyroid ◽  
Thyroid Function Tests ◽  
Tissue Mass ◽  
Normal Thyroid ◽  
Normal Thyroid Function ◽  
Posterior Tongue

Background: Lingual thyroid is a rare clinical entity that represents faulty migration of normal thyroid gland. It commonly presents as a benign mass found at the junction of the anterior two-thirds and posterior one-third of the tongue. Although usually asymptomatic, glandular hypertrophy can cause dysphonia, dysphagia, bleeding, or stridor at any time from infancy through adulthood. We report a case that we encountered, discuss the diagnosis and its management, and review the literature. An otherwise asymptomatic 14 year-old girl presented with a posterior tongue mass that had been present since childhood but was never investigated. She was clinically and biochemically euthyroid, with normal thyroid function tests. Physical examination revealed a smooth, globular mass occupying the whole tongue base and valleculae. The epiglottis was slightly displaced posteriorly but the laryngeal inlet was patent. A 99mTcradioisotope scan showed accumulation of tracer in the tongue base and no uptake in the neck. MRI revealed a 1.8-cm diameter soft tissue mass in the posterior part of the tongue. To date she has not required suppressive therapy or surgical intervention. Conclusions: Treatment of lingual thyroid depends on patient symptoms. Most importantly, patients should be followed at regular intervals and educated on the possibility of developing complications. Key words: Lingual thyroid, ectopic thyroid, thyroid gland. DOI: http://dx.doi.org/10.3329/bjms.v10i3.8370 BJMS 2011; 10(3): 216-219

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.

Effects of Intraoral Prostheses on Speech in Oropharyngeal Cancer Patients

1996 ◽  
Vol 5 (4) ◽  
pp. 43-55 ◽  
Author(s):  
Laura A. Colangelo ◽  
Barbara Roa Pauloski ◽  
Jerilyn A. Logemann ◽  
David W. Stein ◽  
Quinter C. Beery ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Soft Palate ◽  
Oropharyngeal Cancer ◽  
Speech Intelligibility ◽  
Patient Characteristics ◽  
Tongue Base ◽  
Speech Language Pathologist ◽  
The Individual ◽  
Obturator Prosthesis ◽  
Posterior Tongue

This study investigates specific articulatory problems and compromised speech intelligibility associated with and without the use of an intraoral prosthesis in 13 surgically treated oropharyngeal cancer patients. Ten patients had tonsil and varying amounts of posterior tongue, tongue base, and soft palate resected. Three other patients had soft palate resected with no involvement of oral tongue or tongue base. Three types of intraoral prostheses were employed. One type was a maxillary reshaping/lowering prosthesis, the second type was a soft palate obturator, and the third type was a combined maxillary reshaping/lowering and soft palate obturator prosthesis. Review of the individual cases in relation to improvements in articulation and conversational understandability revealed mixed success with prosthesis usage in the group of 10 patients with posterior resection. In the group of three patients with soft palate resection, however, two patients benefitted from use of obturators. The results identify the need for some criteria in patient selection for intraoral prosthetic rehabilitation. However, in view of the individuality of each patient case in terms of surgical deficit, patient characteristics, and varied prosthodontic/speech-language pathologist teams, it is impossible to develop prescriptions for prosthodontic construction based on surgical deficit alone.

​Acute airway compromise and coagulopathy: a rare presentation of acquired haemophilia A

2020 ◽  
Vol 13 (5) ◽  
pp. e233345
Author(s):  
William Byron Howden ◽  
Jonathan Kam ◽  
Nicholas Leith ◽  
Shashinder Singh
Keyword(s):  
Mortality Rate ◽  
Current Understanding ◽  
Haemophilia A ◽  
Airway Compromise ◽  
Rare Presentation ◽  
Airway Control ◽  
Acquired Haemophilia ◽  
Life Threatening

Acquired haemophilia A is a rare but important diagnosis, carrying a mortality rate of 22%. Life-threatening sequalae of this diagnosis includes airway compromise, which can rapidly lead to demise of the patient if left untreated. Our case examines an 80-year-old man presenting with a supraglottic haematoma resulting from acquired haemophilia A causing airway compromise and necessitating definitive airway control. A review of current understanding and management of the disease is also ddiscussed.

scholarly journals Rare presentation of bilobed posterior tongue in Goldenhar syndrome

2017 ◽  
pp. bcr-2017-219726 ◽  
Author(s):  
Thilaga Rajendran ◽  
Ganesh Ramalinggam ◽  
Valuyeetham Kamaru Ambu
Keyword(s):  
Goldenhar Syndrome ◽  
Rare Presentation ◽  
Posterior Tongue
Sign in / Sign up

Export Citation Format

Share Document