Abstract
Objective: To underline the importance of accurate clinical evaluation of major salivary gland obstructions, in order to choose the right surgical approach and to reduce the risk of complications.Case report: We report a case of an unusual, previously unreported upper airway obstruction caused by massive swelling of the tongue following a successful sialoendoscopy, performed for treatment of submandibular sialolithiasis under general anaesthesia.Conclusions: Sialoendoscopy has gained popularity and is an accepted method for diagnosis and treatment of most inflammatory conditions of the major salivary glands. It can be performed as an out-patient procedure under local anaesthesia, and is not usually associated with significant complications. However, in the presence of larger stones (>4mm) of the submandibular gland, we suggest that interventional sialoendoscopy should be performed under general anaesthesia with optimal airway control, in order to manage the major risk of perforations and ductal lesions enabling spread of saline solution into the mouth tissues and causing life-threatening swelling of the floor of the mouth and tongue.
| Original language | English |
|---|---|
| Pages (from-to) | 1402-1403 |
| Number of pages | 2 |
| Journal | Journal of Laryngology and Otology |
| Volume | 123 |
| Issue number | 12 |
| DOIs | |
| Publication status | Published - Dec 2009 |
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Keywords
- Complications
- Endoscopy
- Oedema
- Salivary glands
- Tongue
ASJC Scopus subject areas
- Otorhinolaryngology
Cite this
Acute upper airway obstruction caused by massive oedema of the tongue : Unusual complication of sialoendoscopy. / Baptista, P.; Gimeno, C. V.; Salvinelli, F.; Rinaldi, V.; Casale, M.
In: Journal of Laryngology and Otology, Vol. 123, No. 12, 12.2009, p. 1402-1403.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Acute upper airway obstruction caused by massive oedema of the tongue
T2 - Unusual complication of sialoendoscopy
AU - Baptista, P.
AU - Gimeno, C. V.
AU - Salvinelli, F.
AU - Rinaldi, V.
AU - Casale, M.
PY - 2009/12
Y1 - 2009/12
N2 - Objective: To underline the importance of accurate clinical evaluation of major salivary gland obstructions, in order to choose the right surgical approach and to reduce the risk of complications.Case report: We report a case of an unusual, previously unreported upper airway obstruction caused by massive swelling of the tongue following a successful sialoendoscopy, performed for treatment of submandibular sialolithiasis under general anaesthesia.Conclusions: Sialoendoscopy has gained popularity and is an accepted method for diagnosis and treatment of most inflammatory conditions of the major salivary glands. It can be performed as an out-patient procedure under local anaesthesia, and is not usually associated with significant complications. However, in the presence of larger stones (>4mm) of the submandibular gland, we suggest that interventional sialoendoscopy should be performed under general anaesthesia with optimal airway control, in order to manage the major risk of perforations and ductal lesions enabling spread of saline solution into the mouth tissues and causing life-threatening swelling of the floor of the mouth and tongue.
AB - Objective: To underline the importance of accurate clinical evaluation of major salivary gland obstructions, in order to choose the right surgical approach and to reduce the risk of complications.Case report: We report a case of an unusual, previously unreported upper airway obstruction caused by massive swelling of the tongue following a successful sialoendoscopy, performed for treatment of submandibular sialolithiasis under general anaesthesia.Conclusions: Sialoendoscopy has gained popularity and is an accepted method for diagnosis and treatment of most inflammatory conditions of the major salivary glands. It can be performed as an out-patient procedure under local anaesthesia, and is not usually associated with significant complications. However, in the presence of larger stones (>4mm) of the submandibular gland, we suggest that interventional sialoendoscopy should be performed under general anaesthesia with optimal airway control, in order to manage the major risk of perforations and ductal lesions enabling spread of saline solution into the mouth tissues and causing life-threatening swelling of the floor of the mouth and tongue.
KW - Complications
KW - Endoscopy
KW - Oedema
KW - Salivary glands
KW - Tongue
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UR - http://www.scopus.com/inward/citedby.url?scp=75149184531&partnerID=8YFLogxK
U2 - 10.1017/S0022215109005647
DO - 10.1017/S0022215109005647
M3 - Article
C2 - 19470191
AN - SCOPUS:75149184531
VL - 123
SP - 1402
EP - 1403
JO - Journal of Laryngology and Otology
JF - Journal of Laryngology and Otology
SN - 0022-2151
IS - 12
ER -