• Users Online: 37
  • Print this page
  • Email this page
Year : 2022  |  Volume : 5  |  Issue : 1  |  Page : 40-44

Airway challenges posed by tongue injuries following neurosurgical procedures in prone position

Department of Anaesthesia, Fortis Hospital, Mulund, Maharashtra, India

Correspondence Address:
Dr. Amruta Mihir Kulkarni
Department of Anaesthesia, Fortis Hospital, Mulund, Mumbai, Maharashtra
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/arwy.arwy_53_21

Rights and Permissions

Safe patient position is an important aspect of anaesthesia care. Prone position during neurosurgery may be associated with airway oedema or complications such as tongue injuries or swelling. Prevention of such morbidities with proper planning, meticulous positioning, continuous vigilance, early diagnosis and aggressive treatment are crucial. We describe the perioperative events of three patients who presented with tongue-related morbidity following neurosurgical procedures in the prone position where one developed tongue haematoma and other two had macroglossia in the postoperative period. The patient with haematoma was asymptomatic and required no intervention apart from reassurance about the self-resolving nature of haematoma. Two patients with macroglossia were kept intubated, nursed in head-up position and administered intravenous steroids and local antidesiccants. One patient required tracheostomy while the other could be extubated 48 h postoperatively. Vigilance, prompt diagnosis and appropriate management improved overall outcome.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded35    
    Comments [Add]    

Recommend this journal