A Rare Complication of Tracheal Intubation: Tongue Perforation

Aim. To describe the subsequent treatment of airway trauma sustained during laryngoscopy and endotracheal intubation. Methods. A rare injury occurring during laryngoscopy and endotracheal intubation that resulted in perforation of the tongue by an endotracheal tube and the subsequent management of...

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Main Authors: Loreto Lollo, Tanya K. Meyer, Andreas Grabinsky
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Anesthesiology
Online Access:http://dx.doi.org/10.1155/2012/281791
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author Loreto Lollo
Tanya K. Meyer
Andreas Grabinsky
author_facet Loreto Lollo
Tanya K. Meyer
Andreas Grabinsky
author_sort Loreto Lollo
collection DOAJ
description Aim. To describe the subsequent treatment of airway trauma sustained during laryngoscopy and endotracheal intubation. Methods. A rare injury occurring during laryngoscopy and endotracheal intubation that resulted in perforation of the tongue by an endotracheal tube and the subsequent management of this unusual complication are discussed. A 65-year-old female with intraparenchymal brain hemorrhage with rapidly progressive neurologic deterioration had the airway secured prior to arrival at the referral institution. The endotracheal tube (ETT) was noted to have pierced through the base of the tongue and entered the trachea, and the patient underwent operative laryngoscopy to inspect the injury and the ETT was replaced by tracheostomy. Results. Laryngoscopy demonstrated the ETT to perforate the base of the tongue. The airway was secured with tracheostomy and the ETT was removed. Conclusions. A wide variety of complications resulting from direct and video-assisted laryngoscopy and tracheal intubation have been reported. Direct perforation of the tongue with an ETT and ability to ventilate and oxygenate subsequently is a rare injury.
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spelling doaj-art-ecd9e6a1a43f4f039dba3850ab98b6612025-02-03T01:32:56ZengWileyCase Reports in Anesthesiology2090-63822090-63902012-01-01201210.1155/2012/281791281791A Rare Complication of Tracheal Intubation: Tongue PerforationLoreto Lollo0Tanya K. Meyer1Andreas Grabinsky2Department of Anesthesiology & Pain Medicine, Harborview Medical Center, University of Washington, No. 359724, 325 Ninth Avenue, Seattle, WA 98104, USADepartment of Otolaryngology, Harborview Medical Center, University of Washington, 325 Ninth Avenue, Seattle, WA 98104, USADepartment of Anesthesiology & Pain Medicine, Harborview Medical Center, University of Washington, No. 359724, 325 Ninth Avenue, Seattle, WA 98104, USAAim. To describe the subsequent treatment of airway trauma sustained during laryngoscopy and endotracheal intubation. Methods. A rare injury occurring during laryngoscopy and endotracheal intubation that resulted in perforation of the tongue by an endotracheal tube and the subsequent management of this unusual complication are discussed. A 65-year-old female with intraparenchymal brain hemorrhage with rapidly progressive neurologic deterioration had the airway secured prior to arrival at the referral institution. The endotracheal tube (ETT) was noted to have pierced through the base of the tongue and entered the trachea, and the patient underwent operative laryngoscopy to inspect the injury and the ETT was replaced by tracheostomy. Results. Laryngoscopy demonstrated the ETT to perforate the base of the tongue. The airway was secured with tracheostomy and the ETT was removed. Conclusions. A wide variety of complications resulting from direct and video-assisted laryngoscopy and tracheal intubation have been reported. Direct perforation of the tongue with an ETT and ability to ventilate and oxygenate subsequently is a rare injury.http://dx.doi.org/10.1155/2012/281791
spellingShingle Loreto Lollo
Tanya K. Meyer
Andreas Grabinsky
A Rare Complication of Tracheal Intubation: Tongue Perforation
Case Reports in Anesthesiology
title A Rare Complication of Tracheal Intubation: Tongue Perforation
title_full A Rare Complication of Tracheal Intubation: Tongue Perforation
title_fullStr A Rare Complication of Tracheal Intubation: Tongue Perforation
title_full_unstemmed A Rare Complication of Tracheal Intubation: Tongue Perforation
title_short A Rare Complication of Tracheal Intubation: Tongue Perforation
title_sort rare complication of tracheal intubation tongue perforation
url http://dx.doi.org/10.1155/2012/281791
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