The lingual tonsillar hyperplasia in relation to unanticipated difficult intubation
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The lingual tonsillar hyperplasia in relation to unanticipated difficult intubation : is there any relationship between lingual tonsillar hyperplasia and tonsillectomy? / Breitmeier, Dirk; Wilke, Nadine; Schulz, Yvonne; Albrecht, Knut; Wenzel, Viktor; Kleemann, Werner Johann; Panning, Bernhard; Tröger, Hans Dieter.
In: AM J FOREN MED PATH, Vol. 26, No. 2, 06.2005, p. 131-5.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - The lingual tonsillar hyperplasia in relation to unanticipated difficult intubation
T2 - is there any relationship between lingual tonsillar hyperplasia and tonsillectomy?
AU - Breitmeier, Dirk
AU - Wilke, Nadine
AU - Schulz, Yvonne
AU - Albrecht, Knut
AU - Wenzel, Viktor
AU - Kleemann, Werner Johann
AU - Panning, Bernhard
AU - Tröger, Hans Dieter
PY - 2005/6
Y1 - 2005/6
N2 - The lingual tonsillar hyperplasia (LTH) is a rare and dangerous condition of the upper airway because it is one of several risks during intubation which can cause serious complications like cardiac arrest, cerebral anoxia, and death. The LTH is rarely detectable during a routine oropharyngeal examination. The lingual tonsil is of particular interest to forensic medicine to assess cases with malpractice in connection with intubation difficulties. Our study looked at how often autopsy specimens had enlarged lingual tonsils and whether any relationship existed between LTH and tonsillectomies. In total, 497 corpses were examined. Only in 16 cases (3.2%), an enlarged lingual tonsil was detected. Of the 16 cases, 10 (62.5%) had normal palatine tonsils; the other 6 cases (37.5%) had no palatine tonsils or were scarred, atrophied, or only remnants remained. Statistically, it was not possible to prove any relationship between enlarged lingual tonsils and tonsillectomies. From the forensic point of view, a description of the lingual tonsil should appear in special cases in autopsy reports. When reviewing malpractice cases, special anatomic features should be described.
AB - The lingual tonsillar hyperplasia (LTH) is a rare and dangerous condition of the upper airway because it is one of several risks during intubation which can cause serious complications like cardiac arrest, cerebral anoxia, and death. The LTH is rarely detectable during a routine oropharyngeal examination. The lingual tonsil is of particular interest to forensic medicine to assess cases with malpractice in connection with intubation difficulties. Our study looked at how often autopsy specimens had enlarged lingual tonsils and whether any relationship existed between LTH and tonsillectomies. In total, 497 corpses were examined. Only in 16 cases (3.2%), an enlarged lingual tonsil was detected. Of the 16 cases, 10 (62.5%) had normal palatine tonsils; the other 6 cases (37.5%) had no palatine tonsils or were scarred, atrophied, or only remnants remained. Statistically, it was not possible to prove any relationship between enlarged lingual tonsils and tonsillectomies. From the forensic point of view, a description of the lingual tonsil should appear in special cases in autopsy reports. When reviewing malpractice cases, special anatomic features should be described.
KW - Adolescent
KW - Adult
KW - Aged
KW - Aged, 80 and over
KW - Child
KW - Child, Preschool
KW - Female
KW - Forensic Pathology
KW - Humans
KW - Hyperplasia
KW - Infant
KW - Intubation, Intratracheal
KW - Male
KW - Malpractice
KW - Middle Aged
KW - Palatine Tonsil
KW - Tonsillectomy
KW - Journal Article
M3 - SCORING: Journal article
C2 - 15894845
VL - 26
SP - 131
EP - 135
JO - AM J FOREN MED PATH
JF - AM J FOREN MED PATH
SN - 0195-7910
IS - 2
ER -