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
Hauptverfasser: Maher, Janae L, Mahabir, Raman C, Read, Lance A
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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.
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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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