Scientific publications

Acute upper airway obstruction caused by massive edema of the tongue: unusual complication of sialoendoscopy

P Baptista (1), C V Gimeno (1), F Salvinelli (2), V Rinaldia(2) and M Casale(2)
(1) Department of Otolaryngology, Clinica Universitaria, Facultad de Medicina, Universidad de Navarra, Italy
(2) Department of Otolaryngology, Campus Bio-Medico University, Rome, Italy

Magazine: The Journal of Laringoly and Otology

Date: May 27, 2009

Otorhinolaryngology

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 (>4 mm) 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.

CITATION  J Laryngol Otol. 2009 Dec;123(12):1402-3

you mayBE INTERESTED

WHAT TECHNOLOGY
DO WE USE?

The Clínica is the greater private hospital with technological equipment of Spain, all in a single center.

Imagen de un PET, tecnología de vanguardia en la Clínica Universidad de Navarra

OUR
PROFESSIONALS

The professionals of the Clínica perform continuous research and training, always to the benefit of the patient.

Imagen profesionales de la Clínica Universidad de Navarra

WHY CHOOSE
THE CLINICA?

Learn why we are different from other healthcare centers. Quality, speed, comfort and results.

Imagen del edificio de la Clínica Universidad de Navarra