Dweik Anass, Al-Hilli Yasir, Tawfeeq Yousuf, Varghese Job, Vo Thien
Internal Medicine, Texas Tech University Health Sciences Center, Amarillo, USA.
Pulmonology and Critical Care, Texas Tech University Health Sciences Center, Amarillo, USA.
Cureus. 2022 Jun 21;14(6):e26172. doi: 10.7759/cureus.26172. eCollection 2022 Jun.
Traumatic macroglossia is a rare condition characterized by a sudden edematous swelling of the tongue due to trauma that can progress into upper airway obstruction and asphyxia. We are presenting a case of a 20-year-old female with medical history significant for Rett syndrome who developed severe tongue swelling after multiple attempts of intubation secondary to low Glasgow Coma Scale (GCS) from a high dose of benzodiazepines. Traumatic macroglossia in this case was worsened further by uncontrolled bruxism. Multiple approaches were made to control the situation including placement of bite block, use of paralytics, and steroids. Multiple cases were reported about traumatic macroglossia but our case was unique in the sense that our patient did not respond well to conservative medical therapy and surgical approach was not possible as it was set to be done in a tertiary center; however, transferring the patient was not possible with the COVID-19 pandemic as hospitals were on diversion.
创伤性巨舌症是一种罕见病症，其特征为因创伤导致舌头突然出现水肿性肿胀，可进展为上呼吸道梗阻和窒息。我们报告一例20岁女性病例，该女性有雷特综合征病史，因高剂量苯二氮䓬类药物导致格拉斯哥昏迷量表（GCS）评分低，在多次插管尝试后出现严重舌肿胀。该病例中的创伤性巨舌症因未控制的磨牙症而进一步恶化。采取了多种方法来控制病情，包括放置咬块、使用麻痹剂和类固醇。已有多例创伤性巨舌症的报道，但我们的病例较为独特，因为我们的患者对保守药物治疗反应不佳，且由于计划在三级中心进行治疗而无法采取手术方法；然而，在新冠疫情期间，由于医院实行分流，无法将患者转运。
