Acute Macroglossia in the Pediatric Patient: Worth a Look
Macroglossia is defined as an enlarged tongue that in the resting position protrudes beyond the alveolar ridge or teeth. Macroglossia may be a chronic, indolent phenomenon or may be acute. We present a case of acute traumatic macroglossia in a pediatric patient following accidental self-application...
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Veröffentlicht in: | Pediatric emergency care 2011-10, Vol.27 (10), p.948-949 |
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creator | Maher, Janae L Mahabir, Raman C Read, Lance A |
description | Macroglossia is defined as an enlarged tongue that in the resting position protrudes beyond the alveolar ridge or teeth. Macroglossia may be a chronic, indolent phenomenon or may be acute. We present a case of acute traumatic macroglossia in a pediatric patient following accidental self-application of an orthodontic elastic band. The 5-year-old patient presented with swelling of the anterior portion of the tongue unassociated with upper airway obstruction. The diagnosis was delayed until the patient was in the operating room under general anesthesia for repair of a presumed traumatic laceration, 3 weeks after her initial presentation. A thorough history may not reveal the cause of acute macroglossia. Examination under sedation may be necessary to establish a definitive diagnosis. |
doi_str_mv | 10.1097/PEC.0b013e3182309c43 |
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Macroglossia may be a chronic, indolent phenomenon or may be acute. We present a case of acute traumatic macroglossia in a pediatric patient following accidental self-application of an orthodontic elastic band. The 5-year-old patient presented with swelling of the anterior portion of the tongue unassociated with upper airway obstruction. The diagnosis was delayed until the patient was in the operating room under general anesthesia for repair of a presumed traumatic laceration, 3 weeks after her initial presentation. A thorough history may not reveal the cause of acute macroglossia. Examination under sedation may be necessary to establish a definitive diagnosis.</description><identifier>ISSN: 0749-5161</identifier><identifier>EISSN: 1535-1815</identifier><identifier>DOI: 10.1097/PEC.0b013e3182309c43</identifier><identifier>PMID: 21975495</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins, Inc</publisher><subject>Acute Disease ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Child, Preschool ; Dental Materials ; Edema - etiology ; Emergency and intensive care: neonates and children. Prematurity. 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Macroglossia may be a chronic, indolent phenomenon or may be acute. We present a case of acute traumatic macroglossia in a pediatric patient following accidental self-application of an orthodontic elastic band. The 5-year-old patient presented with swelling of the anterior portion of the tongue unassociated with upper airway obstruction. The diagnosis was delayed until the patient was in the operating room under general anesthesia for repair of a presumed traumatic laceration, 3 weeks after her initial presentation. A thorough history may not reveal the cause of acute macroglossia. Examination under sedation may be necessary to establish a definitive diagnosis.</description><subject>Acute Disease</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Child, Preschool</subject><subject>Dental Materials</subject><subject>Edema - etiology</subject><subject>Emergency and intensive care: neonates and children. Prematurity. Sudden death</subject><subject>Female</subject><subject>Foreign Bodies - complications</subject><subject>Humans</subject><subject>Intensive care medicine</subject><subject>Lacerations - etiology</subject><subject>Macroglossia - etiology</subject><subject>Medical sciences</subject><subject>Orthodontic Appliances, Removable</subject><subject>Tomography, X-Ray Computed</subject><subject>Tongue - diagnostic imaging</subject><subject>Tongue - injuries</subject><subject>Tongue - pathology</subject><issn>0749-5161</issn><issn>1535-1815</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkEtLAzEQx4Motla_gchexNNqJo_NxlspvqBiD4rHkM1O7dpttyZZxG9vxKrgwDAM85_Xj5BjoOdAtbqYXU3OaUWBI4eScaqd4DtkCJLLHEqQu2RIldC5hAIG5CCEV0pTkfN9MmCglRRaDokeuz5idm-d717aLoTGZs06iwvMZlg3NvrGZTMbG1zHy-y583GR2WzadctDsje3bcCjbRyRp-urx8ltPn24uZuMp7njnLK8KpRTzgnJK6o503NXMKWkrishas4rlEoiU9JZSPeVtcKi0tJajSCFAMdH5Ox77sZ3bz2GaFZNcNi2do1dH0ypi5IpnUCMiPhWpl9C8Dg3G9-srP8wQM0XM5OYmf_MUtvJdkFfrbD-bfqBlASnW4ENzrZzb9euCX86UTDBVfm3_71rI_qwbPt39GaBto0LQ5MVspA5owDwleXJgfFPogyCRg</recordid><startdate>201110</startdate><enddate>201110</enddate><creator>Maher, Janae L</creator><creator>Mahabir, Raman C</creator><creator>Read, Lance A</creator><general>Lippincott Williams & Wilkins, Inc</general><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201110</creationdate><title>Acute Macroglossia in the Pediatric Patient: Worth a Look</title><author>Maher, Janae L ; Mahabir, Raman C ; Read, Lance A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3302-b67c7cc453b09329fc627759db44d33be575e275ca10018d7e6b95aa9e15441c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Acute Disease</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Child, Preschool</topic><topic>Dental Materials</topic><topic>Edema - etiology</topic><topic>Emergency and intensive care: neonates and children. Prematurity. Sudden death</topic><topic>Female</topic><topic>Foreign Bodies - complications</topic><topic>Humans</topic><topic>Intensive care medicine</topic><topic>Lacerations - etiology</topic><topic>Macroglossia - etiology</topic><topic>Medical sciences</topic><topic>Orthodontic Appliances, Removable</topic><topic>Tomography, X-Ray Computed</topic><topic>Tongue - diagnostic imaging</topic><topic>Tongue - injuries</topic><topic>Tongue - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Maher, Janae L</creatorcontrib><creatorcontrib>Mahabir, Raman C</creatorcontrib><creatorcontrib>Read, Lance A</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric emergency care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Maher, Janae L</au><au>Mahabir, Raman C</au><au>Read, Lance A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acute Macroglossia in the Pediatric Patient: Worth a Look</atitle><jtitle>Pediatric emergency care</jtitle><addtitle>Pediatr Emerg Care</addtitle><date>2011-10</date><risdate>2011</risdate><volume>27</volume><issue>10</issue><spage>948</spage><epage>949</epage><pages>948-949</pages><issn>0749-5161</issn><eissn>1535-1815</eissn><abstract>Macroglossia is defined as an enlarged tongue that in the resting position protrudes beyond the alveolar ridge or teeth. Macroglossia may be a chronic, indolent phenomenon or may be acute. We present a case of acute traumatic macroglossia in a pediatric patient following accidental self-application of an orthodontic elastic band. The 5-year-old patient presented with swelling of the anterior portion of the tongue unassociated with upper airway obstruction. The diagnosis was delayed until the patient was in the operating room under general anesthesia for repair of a presumed traumatic laceration, 3 weeks after her initial presentation. A thorough history may not reveal the cause of acute macroglossia. Examination under sedation may be necessary to establish a definitive diagnosis.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins, Inc</pub><pmid>21975495</pmid><doi>10.1097/PEC.0b013e3182309c43</doi><tpages>2</tpages></addata></record> |
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subjects | Acute Disease Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Child, Preschool Dental Materials Edema - etiology Emergency and intensive care: neonates and children. Prematurity. Sudden death Female Foreign Bodies - complications Humans Intensive care medicine Lacerations - etiology Macroglossia - etiology Medical sciences Orthodontic Appliances, Removable Tomography, X-Ray Computed Tongue - diagnostic imaging Tongue - injuries Tongue - pathology |
title | Acute Macroglossia in the Pediatric Patient: Worth a Look |
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