Can J Anesth/J Can Anesth https://doi.org/10.1007/s12630-018-1166-3 IMAGES IN ANESTHESIA Severe acute postoperative airway compromise secondary to submandibular sialadenitis . . . Brittney M. Clark, MD Matthew L. Carlson, MD Jamie J. Van Gompel, MD Matthew A. Warner, MD Received: 27 April 2018 / Revised: 22 May 2018 / Accepted: 22 May 2018 Canadian Anesthesiologists’ Society 2018 A 68-yr-old woman developed left-sided submandibular hours after extubation, she developed ﬁrm left-sided swelling following right retrosigmoid craniotomy for submandibular swelling that progressed markedly over excision of a vestibular schwannoma. The procedure was the next 12 hr, with extension from the tragus to the sternal performed with the patient supine and her head rotated to notch. Computed tomography (Figure, panel A) revealed the left and ﬂexed while ﬁxed with Mayﬁeld pins. Two acalculous submandibular sialoadenitis (white arrow) with Figure (A) Computed tomography of the neck shows acalculous arrow), and extensive airway narrowing. (B) Flexible submandibular sialoadenitis (white arrow) with marked inﬂammatory nasopharyngoscopy reveals severe billowy edema of the epiglottis changes, edema extending to the epiglottis and aryepiglottic folds (red (black arrow) with no visualization of the glottic opening B. M. Clark, MD M. A. Warner, MD (&) J. J. Van Gompel, MD
Canadian Journal of Anesthesia/Journal canadien d'anesthésie – Springer Journals
Published: Jun 5, 2018
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