Massive swelling of the head and neck

Abstract

Macroglossia has recently been added to the list of possible complications of anesthesia for neurosurgery in the sitting position, the explanation being that there is bilateral occlusion of the lingual vein from the pressure of the endotracheal tube and oral airway on the tongue with the head in the extreme flexed position. This is a case report of massive swelling of the head, neck, and tongue which occurred after prolonged neurosurgery in the sitting position.