Hostname: page-component-cd9895bd7-hc48f Total loading time: 0 Render date: 2024-12-27T14:28:46.740Z Has data issue: false hasContentIssue false

The use of leeches in a case of post-operative life-threatening macroglossia

Published online by Cambridge University Press:  29 June 2007

I. M. G. Smeets*
Affiliation:
Departments of Otolaryngology–Head and Neck Surgery, University Hospital of Maastricht, The Netherlands.
I. Engelberts
Affiliation:
Departments of Surgery. University Hospital of Maastricht, The Netherlands.
*
Address for correspondence: Dr I. M. G. Smeets, Department of Otolaryngology–Head and Neck Surgery, University Hospital of Maastricht, P0 Box 5800, 6202 AZ Maastricht, The Netherlands. Fax: (+31) 43-875580

Abstract

A case of severe macroglossia. following intraoral surgery, causing respiratory distress is described. Because conventional therapy appeared inadequate, leeches were used and proved an efficient method of reducing this life-threatening swelling of the tongue.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1995

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

This paper was presented at the Annual Meeting of the Dutch Society for Plastic and Reconstructive Surgery, Zwolle, October 1994. and also at the Annual Meeting of the Dutch Society of Otolaryngology and Head and Neck Surgery, Amsterdam, November 1994.

References

Adams, S. L. (1988) The medicinal leech. A page from the annelids of internal medicine. Annalsof Internal Medicine 109: 399405.CrossRefGoogle ScholarPubMed
Bell, C., Oh, Th., Loeffler, J. R. (1988) Massive macroglossia and airway obstruction after cleft palate repair. Anesthesia and Analgesia 67: 7174.Google Scholar
Brink, P. R. O., Hagewind, W. F. C. (1994) Bloedzuigers op de intensive care afdeling. Intensive Care Review 9: 912.Google Scholar
Hermansdorfer, J., Lineawaever, W., Follansbee, S., Valauri, F A., Bunche, H. J. (1988) Antibiotic sensitivities of Aeromonas hydrophilia cultured from medicinal leeches. British Journal of Plastic Surgery 41: 649.CrossRefGoogle Scholar
Kraemer, B. A., Korber, K. E., Aquino, T. I., Engleman, A. (1988) Use of leeches in plastic and reconstructive surgery: a review. Journal of Reconstructive Microsurgery 4: 381386.CrossRefGoogle ScholarPubMed
Lee, J. T., Kingston, H. O. G. (1985) Airway obstruction due to massive lingual oedema following cleft palate surgery. Canadian Anaesthesia Society Journal 32: 265267.CrossRefGoogle ScholarPubMed
Patane, P. S., White, S. E. (1989) Macroglossia causing airway obstruction following cleft palate repair. Anesthesiology 71: 995996.CrossRefGoogle ScholarPubMed
Rao, P., Bailie, E B., Bailey, B. N. (1985) Leechmania in microsurgery. Practitioner 229: 901903.Google ScholarPubMed
Renehan, A., Morton, M. (1993) Acute enlargement of the tongue. British Journal of Oral and Maxillofacial Surgery 31: 321324.CrossRefGoogle ScholarPubMed
Riter, F. M., Schecter, O. L., Richardson, M. A. (1958) Macroglossia: etiologic considerations and management techniques International Journal of Pediatric Otorhinolaryngology 8: 225236.Google Scholar
Saah, D., Braverman, I., Elidan, J., Nageris, B. (1993) Traumatic macroglossia. Annals of Otology, Rhinology and Laryngology 102: 729730.CrossRefGoogle ScholarPubMed
van der Waal, I., Pindberg, J. J. (1986) Diseases of the Tongue, Quintessence Publishing Co., Chicago, p 46.Google Scholar
Whitlock, M. R., O'Hare, P. M., Sanders, R., Marrow, N. C. (1983) The medicinal leech and its use in plastic surgery: a possible cause for infection. British Journal of Plastic Surgery 36: 240244.CrossRefGoogle ScholarPubMed