International Journal of Head and Neck Surgery

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VOLUME 6 , ISSUE 1 ( January-March, 2015 ) > List of Articles

CASE REPORT

Lingual Hematoma: A Rare Cause of Upper Airway Obstruction

Eurico Costa, Hugo Estibeiro, Miguel Magalhães

Citation Information : 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.

DOI: 10.5005/jp-journals-10001-1219

Published Online: 01-03-2015

Copyright Statement:  Copyright © 2015; Jaypee Brothers Medical Publishers (P) Ltd.


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.


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  1. Anatomy of the mouth and dentition. In: Gleeson. Scott-Brown's Otorhinolaryngology, Head and Neck Surgery. 7th ed. London, Hodder Arnold; 2008. p. 1791-1815.
  2. Lingual hematoma causing upper airway obstruction: an unusual manifestation of dengue fever. Asian Pac J Trop Med 2011 May;4(5):412-413.
  3. Diagnosis and management of upper airway obstruction due to lingual hematoma: report of a case. J Oral Maxillofac Surg 2011 Feb;69(2):558-563.
  4. Posttraumatic upper airway obstruction secondary to a lingual artery hematoma. J Trauma 1987 Aug;27(8):953-954.
  5. Lingual hematoma due to streptokinase in a patient with acute myocardial infarction. Am J Emerg Med 2010 Oct;28(8):985-992.
  6. Lingual haematoma: a rare complication of usual warfarin dose. Emerg Med J 2008 Jul;25(7):406-410.
  7. Lingual hematoma and heparininduced thrombocytopenia: a case report. Ear Nose Throat J 2008 Mar;87(3):163-165.
  8. Airway compromise secondary to lingual hematoma complicating administration of tissue plasminogen activator for acute ischemic stroke. Ann Emerg Med 2001 Oct;38(4):447-449.
  9. Lingual artery hematoma resulting in upper airway obstruction. J Emerg Med 1991;9(6):421-424.
  10. Upper airway obstruction induced by warfarin sodium. Arch Otolaryngol 1976 Aug;102(8):505-506.
  11. Airway management in trauma: an update. Emerg Med Clin North Am 2007 Aug;25(3):603-622.
  12. Lingual hematoma treatment rationales: a case report. J Oral Maxillofac Surg 2008 Mar; 66(3):535-539.
  13. Extraoral ligation of the lingual artery: an anatomic study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997 Mar;83(3):321-324.
  14. Pirogoff's triangle revisited: an alternative site for microvascular anastomosis to the lingual artery—a technical note. Int J Oral Maxillofac Surg 2000 Jun;29(3):207-209.
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