scholarly journals A case of difficult airway caused by lingual tonsil hyperplasia and epiglottic cyst.

2003 ◽  
Vol 23 (6) ◽  
pp. 149-152
Author(s):  
Tadanori TERADA ◽  
Motohiro NAKAMURA ◽  
Hiroshi FUKUYAMA ◽  
Ichiro TAKENAKA ◽  
Tatsuo KADOYA ◽  
...  
Keyword(s):  
Difficult Airway ◽  
Lingual Tonsil ◽  
Tonsil Hyperplasia

scholarly journals Efficacy of Bronchofiberscope Combined with Pentax-AWS Airwayscope in Patients with Unanticipated Difficult Airway with Lingual Tonsil Hyperplasia

2011 ◽  
Vol 31 (1) ◽  
pp. 182-186
Author(s):  
Nobuyasu KOMASAWA ◽  
Sawa MANABE ◽  
Ryusuke UEKI ◽  
Motoi ITANI ◽  
Tsuneo TATARA ◽  
...  
Keyword(s):  
Difficult Airway ◽  
Lingual Tonsil ◽  
Tonsil Hyperplasia

Lasersurgical Resection of the Lingual Tonsil in Patients with Lingual Tonsil Hyperplasia

1998 ◽  
pp. 333-335
Author(s):  
C. G. Mahnke ◽  
B. M. Lippert ◽  
A. M. Niemann ◽  
B. J. Folz ◽  
J. A. Werner
Keyword(s):  
Lingual Tonsil ◽  
Tonsil Hyperplasia

The Unexpected Difficult Airway and Lingual Tonsil Hyperplasia

2002 ◽  
Vol 97 (1) ◽  
pp. 124-132 ◽  
Author(s):  
Andranik Ovassapian ◽  
Raymond Glassenberg ◽  
Gail I. Randel ◽  
Allan Klock ◽  
Paul S. Mesnick ◽  
...  
Keyword(s):  
Physical Examination ◽  
Difficult Intubation ◽  
Mouth Opening ◽  
Face Mask ◽  
Morbidly Obese ◽  
Class Iii ◽  
Failed Intubation ◽  
Lingual Tonsil ◽  
Head Extension ◽  
Tonsil Hyperplasia

Background An unexpected difficult intubation occurs because physical examination of the airway is imperfect in predicting it. Lingual tonsil hyperplasia (LTH) is one risk factor for an unanticipated failed intubation that is not detectable during a routine oropharyngeal examination. The authors attempted to determine the incidence of LTH in unanticipated failed intubation in patients subjected to general anesthesia. Methods Thirty-three patients with unanticipated failed intubation via direct laryngoscopy were subjected to airway examinations and fiberoptic pharyngoscopy to determine the cause(s) of failure. Mouth opening, mandibular subluxation, head extension, thyromental distance, and Mallampati airway class were recorded. Fiberoptic pharyngoscopy was then performed to evaluate the base of the tongue and valleculae. Results Of these 33 patients, none had an airway examination that suggested a difficult intubation. The lungs of 12 patients were difficult to ventilate by mask. In 15 patients, airway measurements were within normal limits with Mallampati class of I or II. Ten patients had a Mallampati class III airway, 6 associated with obesity and 5 with mildly limited head extension. Among the 5 morbidly obese patients, most of the weight was distributed on the lower trunk and body. The 3 remaining patients had a thyromental distance of 6 cm or less but otherwise had a normal airway examination. The only finding common to all 33 patients was LTH observed on fiberoptic pharyngoscopy. Conclusion Lingual tonsil hyperplasia can interfere with rigid laryngoscopic intubation and face mask ventilation. Routine physical examination of the airway will not identify its presence. The prevalence of LTH in adults and the extent of its contribution to failed intubation is unknown.

Failed Tracheal Intubation with the LMA-CTrach™ in Two Patients with Lingual Tonsil Hyperplasia

2008 ◽  
Vol 107 (2) ◽  
pp. 601-602 ◽  
Author(s):  
Antonio Ojeda ◽  
Ana M. López ◽  
Xavier Borrat ◽  
Ricard Valero
Keyword(s):  
Tracheal Intubation ◽  
Lingual Tonsil ◽  
Tonsil Hyperplasia

Phenytoin-Induced Lingual Tonsil Hyperplasia Causing Laryngeal Obstruction

2001 ◽  
Vol 110 (8) ◽  
pp. 790-793 ◽  
Author(s):  
Walter M. Ralph ◽  
Samuel K. Huh ◽  
Helen Kim
Keyword(s):  
Laryngeal Obstruction ◽  
Lingual Tonsil ◽  
Tonsil Hyperplasia

A case of unexpected difficult airway due to lingual tonsil hypertrophy

2008 ◽  
Vol 52 (2) ◽  
pp. 310-312 ◽  
Author(s):  
H. ASBJØRNSEN ◽  
M. KUWELKER ◽  
E. SØFTELAND
Keyword(s):  
Difficult Airway ◽  
Lingual Tonsil

scholarly journals VÍA AÉREA DIFÍCIL NO PREVISTA EN PACIENTE CON AMÍGDALA LINGUAL HIPERTRÓFICA

1970 ◽  
Vol 10 (6) ◽  
pp. 2
Author(s):  
Coral Pintado Varas ◽  
Daniel Paz-Martín ◽  
Beatriz Rubio Sánchez
Keyword(s):  
Difficult Airway ◽  
Direct Laryngoscopy ◽  
Video Laryngoscopy ◽  
Lingual Tonsil ◽  
Advanced Airway ◽  
Circumvallate Papillae ◽  
Airway Devices ◽  
Base Of The Tongue

El hallazgo de una vía aérea difícil no prevista puede tener como responsable a un pequeño acúmulo de tejido linfático localizado en la base de la lengua, entre la papila circunvalada y la epiglotis, conocido como amígdala lingual hipertrófica (ALH). La ALH puede obstruir la visión glótica durante la laringoscopia directa y sangrar dadas sus características friables, lo que sin duda limita el empleo de una buena parte de los dispositivos avanzados de manejo de vía aérea como videolaringoscopios o fibrobroncoscopio. Abstract UNFORESEEN DIFFICULT AIRWAY IN A PATIENT WITH HYPERTROPHIC LINGUAL AMYGDALA The finding of a not provided difficult airway may be due to a small accumulation of lymphatic tiddue located  on the base of the tongue, between the circumvallate papillae and the epiglottis, known as hypertrophic lingual tonsil (HLT). HLT could obstruct glotic view during direct laryngoscopy and bleed considering its friable features, which limits with no doubts the use of most of the advanced airway devices as  video Laryngoscopy or fibrobronchoscopy.  

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