Saah D, Braverman I, Elidan J, Nageris B
Department of Otolaryngology-Head and Neck Surgery, Hadassah University Hospital, Jerusalem, Israel.
Ann Otol Rhinol Laryngol. 1993 Sep;102(9):729-30. doi: 10.1177/000348949310200915.
A case of severe macroglossia resulting from trauma (tongue biting) during eclampsia and causing respiratory obstruction is described. Despite medical treatment with steroids and antibiotics for a week, followed by tracheostomy, no significant improvement was observed. After an energetic but cautious maneuver of reducing and restraining the tongue in the oral cavity, the swelling reduced dramatically in 24 to 48 hours. Earlier manual replacement of the tongue into the oral cavity is advised in order to arrest the cycle of venous and lymphatic obstruction and congestion that leads to further edema and increased tongue swelling. The mechanism of traumatic macroglossia is discussed.
本文描述了一例因子痫发作时创伤（咬舌）导致严重巨舌症并引起呼吸阻塞的病例。尽管使用类固醇和抗生素进行了一周的药物治疗，随后进行了气管切开术，但未观察到明显改善。在积极但谨慎地将舌头复位并固定在口腔内后，肿胀在24至48小时内显著减轻。建议尽早手动将舌头放回口腔，以阻止导致进一步水肿和舌头肿胀加剧的静脉和淋巴阻塞及充血循环。文中还讨论了创伤性巨舌症的机制。
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