scholarly journals Lingual Hematoma: A Rare Cause of Upper Airway Obstruction

2015 ◽  
Vol 6 (1) ◽  
pp. 41-44
Author(s):  
Eurico Costa ◽  
Hugo Estibeiro ◽  
Miguel Magalhães
Keyword(s):  
Case Report ◽  
Airway Obstruction ◽  
Lymphoblastic Leukemia ◽  
Upper Airway ◽  
Lower Gastrointestinal Bleeding ◽  
Upper Airway Obstruction ◽  
Airway Patency ◽  
Cytomegalovirus Colitis ◽  
Head Neck ◽  
Therapy Intervention

ABSTRACT Introduction The authors present a case report of a patient with a lingual hematoma treated in the otolaryngology department of portuguese institute of oncology, lisbon, followed by a brief literature review. Case report A case of a 43 years old female with a diagnosis of acute lymphoblastic leukemia since 2007, submitted to allograft bone marrow transplantation in 2008 at the Portuguese Oncology Institute, Lisbon. With diagnosis of recurrence since May 2011, she was hospitalized in october 2011, due to a lower gastrointestinal bleeding in the context of a cytomegalovirus colitis associated with pancytopenia. During hospitalization, the patient experienced a tonicclonic seizure. less than 12 hours after this episode, the patient developed a massive lingual hematoma. Despite exuberant macroglossia and tongue proptosis, the patient showed no signs of active bleeding or severe dyspnea and was submitted to conservative medical treatment. Discussion Lingual hematoma has many causes, being trauma and hemorrhagic dyscrasias among the most frequent. The first therapeutic objective should be evaluated and gua ranted upper airway patency. once the airway is secured, hemorrhage and hematoma should be treated according to its etiology. This can be achieved with conservative medical therapy, intervention radiology or surgery. Conclusion Lingual hematoma is as rare as potentially fatal. prompt recognition and management is critical for a favorable outcome. How to cite this article Costa E, Estibeiro H, Magalhães M. Lingual Hematoma: A Rare Cause of Upper Airway Obstruction. Int J Head Neck Surg 2015;6(1):41-44.

Case Report: Advanced Upper Airway Obstruction Caused by Cervical Goiter

1989 ◽  
Vol 297 (3) ◽  
pp. 176-177 ◽  
Author(s):  
Maria Chiriboga ◽  
John Oropello ◽  
Krishnan Padmanabhan ◽  
Joel M. Goldman
Keyword(s):  
Case Report ◽  
Airway Obstruction ◽  
Upper Airway ◽  
Upper Airway Obstruction

scholarly journals A Case Report of Acute Airway Compromise due to Subcutaneous Emphysema

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
David Olmstead ◽  
Gary Gelfand ◽  
Ian Anderson ◽  
John B. Kortbeek
Keyword(s):  
Case Report ◽  
Airway Obstruction ◽  
Subcutaneous Emphysema ◽  
Rare Complication ◽  
Traumatic Injury ◽  
Upper Airway ◽  
Acute Management ◽  
Airway Compromise ◽  
Current Management ◽  
Airway Patency

In the acute management of a trauma patient, airway patency is of utmost importance. The present case describes a male patient who presented with delayed severe upper airway obstruction secondary to massive subcutaneous emphysema following blunt traumatic injury two days previously. Airway compromise is a rarely described but serious complication of subcutaneous emphysema. Current management of subcutaneous emphysema and its association with pneumothorax is summarized. Early decompression of underlying pneumothoraces in patients with significant subcutaneous emphysema should be performed to avoid this rare complication.

Mouth and nose resistance in newborn kittens and puppies

1981 ◽  
Vol 51 (3) ◽  
pp. 641-645 ◽  
Author(s):  
J. P. Mortola ◽  
J. T. Fisher
Keyword(s):  
Mechanical Properties ◽  
Airway Obstruction ◽  
Flow Rate ◽  
Muscle Tone ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Upper Airways ◽  
Airway Patency ◽  
The Difference ◽  
Adult Cats

Newborn mammals, including infants, have difficulties in mouth breathing when the nasal passages are occluded. In this study we examined the possibility that differences in the passive mechanical properties of the upper airways could fully explain this behavior. Steady inspiratory flows through the upper airways in anesthetized supine newborn kittens and puppies resulted in upper airway obstruction, even at flows less than those occurring during resting breathing, suggesting that in the unanesthetized condition muscle tone plays an important role in maintaining upper airway patency. Mouth (Rm) and nose (Rn) resistances have been measured during steady expiratory flows with nostrils closed and mouth passively open or nostrils open and mouth closed. In all the newborns, Rn was substantially smaller than Rm. In contrast, the Rn/Rm in adult dogs is greater than unity. In adult cats Rn/Rm is above or below unity depending upon the flow rate, but the ratio is always larger than in newborn kittens. The difference between newborns and adults is entirely due to the small Rn of the newborn, as Rm is not greater in the newborn than in the adult. We conclude that the obligatory nose breathing behavior of newborns is not fully explained by the passive mechanical properties of the upper airways.

scholarly journals An Unusual cause of Acute Hypercapneic Respiratory Failure

2011 ◽  
Vol 5 ◽  
pp. CCRPM.S7687
Author(s):  
Janice Wang ◽  
Astha Chichra ◽  
Seth Koenig
Keyword(s):  
Case Report ◽  
Respiratory Failure ◽  
Diagnostic Imaging ◽  
Airway Obstruction ◽  
Pulmonary Disease ◽  
Diffuse Idiopathic Skeletal Hyperostosis ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Progressive Dyspnea

We present a rare cause of hypercapneic respiratory failure through this case report of a 72-year-old man presenting with progressive dyspnea and dysphagia over two years. Hypercapneic respiratory failure was acute on chronic in nature without an obvious etiology. Extensive workup for intrinsic pulmonary disease and neurologic causes were negative. Laryngoscopy and diagnostic imaging confirmed the diagnosis of diffuse idiopathic skeletal hyperostosis, also known as DISH, as the cause of upper airway obstruction leading to hypercapneic respiratory failure.

scholarly journals Acute upper airway obstruction in rheumatoid arthritis: case report and literature review

2018 ◽  
Vol 27 (1) ◽  
pp. 37-41
Author(s):  
Iulia Szabo ◽  
◽  
Cristina Tiple ◽  
Magdalena Chirila ◽  
Simona Rednic ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Case Report ◽  
Literature Review ◽  
Airway Obstruction ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Rheumatoid Arthritis Case

scholarly journals Extensive Neck Haematoma as an Extremely Rare Presentation of Thyroid Carcinoma: A Case Report

2020 ◽  
Vol 4 (3) ◽  
pp. 226
Author(s):  
Lo Ren Hui ◽  
Fairuz Mohd Ibrahim ◽  
Khairudin Abdullah ◽  
Nasriah Ahmad ◽  
Fazilah Hassan ◽  
...  
Keyword(s):  
Case Report ◽  
Thyroid Carcinoma ◽  
Airway Obstruction ◽  
Upper Airway ◽  
Health Sciences ◽  
Neck Mass ◽  
Anaplastic Thyroid Carcinoma ◽  
Upper Airway Obstruction ◽  
Rare Presentation ◽  
Fast Growing

Anaplastic thyroid carcinoma (ATC) is uncommon but deadly. It is typically presented with fast growing neck mass, hoarseness or dysphagia. We report an extremely rare presentation of ATC in an elderly lady, with expanding ecchymosis involving laryngopharynx, neck and upper chest region, which causing upper airway obstruction. The rarity of presentation and the management dilemma were discussed.International Journal of Human and Health Sciences Vol. 04 No. 03 July’20 Page : 226-228

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