Abstract

Because the incidence of cleft lip and palate is 1 in 800 live births, palatoplasty is a common surgical procedure in the pediatric age group.1 Although palatoplasty in children with syndromes can cause various problems, anesthetic management of cleft palate repair in pediatric patients with a normal airway is rarely complicated.2,3 Common postoperative complications in these children include hemorrhage and upper airway obstruction mainly caused by laryngospasm or edema.4 Macroglossia, a rare complication, is related to the duration of the surgery. We report a case of massive lingual swelling in an otherwise healthy child shortly after routine palatoplasty of 1 hour and 30 minutes duration.

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