{
    "abstract": "Lymphangioma is a rare congenital anomaly of the lymphatic system that can lead to an airway emergency when it occurs in the oral cavity or neck. Here, we report a case of a one-month-old infant who presented with an airway emergency due to a giant lymphangioma. The infant was rushed to the ICU with respiratory and feeding difficulties, and examination revealed a large mass on the floor of the mouth. Airway management was challenging due to the cyst. After puncturing the cyst, a suture was placed at the tip of the tongue to allow forward traction. The oral surgeon then pulled the tongue forward to secure space for laryngoscope insertion. Awake intubation was performed with 0.03 mg of atropine, and a McGrath\u00a0Mac Disposable Laryngoscope\u00a0Blade #1 (Aircraft Medical, Edinburgh, Scotland) was inserted under spontaneous respiration. Tongue traction and video laryngoscopy were used for intubation, and this method may be considered a valuable option\u00a0for airway management.",
    "authors": [
        {
            "affiliation": "Department of Anesthesiology, Nagoya University Hospital, Nagoya, JPN.",
            "firstname": "Takehito",
            "initials": "T",
            "lastname": "Sato"
        },
        {
            "affiliation": "Department of Anesthesiology, Nagoya University Hospital, Nagoya, JPN.",
            "firstname": "Yui",
            "initials": "Y",
            "lastname": "Somura"
        },
        {
            "affiliation": "Department of Anesthesiology, Nagoya University Hospital, Nagoya, JPN.",
            "firstname": "Masashi",
            "initials": "M",
            "lastname": "Takakura"
        },
        {
            "affiliation": "Department of Anesthesiology, Nagoya University Hospital, Nagoya, JPN.",
            "firstname": "Takahiro",
            "initials": "T",
            "lastname": "Tamura"
        },
        {
            "affiliation": "Department of Anesthesiology, Nagoya University Hospital, Nagoya, JPN.",
            "firstname": "Shogo",
            "initials": "S",
            "lastname": "Suzuki"
        }
    ],
    "conclusions": null,
    "copyrights": "Copyright \u00a9 2025, Sato et al.",
    "doi": "10.7759/cureus.79132",
    "journal": "Cureus",
    "keywords": [
        "difficult airway management",
        "infant",
        "intubation",
        "oral ranula",
        "video laryngoscopy (vl)"
    ],
    "methods": null,
    "publication_date": "2025-03-21",
    "pubmed_id": "40115714\n35526176\n27648270\n11801972\n38018248\n26528428\n22098314\n20723095\n31729018\n28183550",
    "results": null,
    "title": "A Case of a One-Month-Old Infant Who Underwent Oral Intubation With Tongue Traction After Decompressing an Oral Cyst.",
    "xml": "<Element 'PubmedArticle' at 0x7885047f05e0>"
}