Introduction: Postoperative, lingual swelling and necrosis are unusual complications that can lead to life-threatening airway obstruction. We report a case of bilateral ischemic necrosis of the tongue following transoral neurosurgical procedure. Observation: A Davis-Boyle mouth gag was used for tumor exposition and the operation lasted 8 h. At the end of the surgery, we noticed a bluish discolo...

OBJECTIVE To determine the effect of duration of application of mouth gag on Temporomandibular (TM) joint pain and trismus after tonsillectomy. STUDY DESIGN Descriptive study. PLACE AND DURATION OF STUDY Department of ENT and Head and Neck Surgery, Combined Military Hospital, Nowshera, from February to July 2012. METHODOLOGY A total of 40 patients undergoing tonsillectomy, in mouth openin...

]ng room experience. A portion of the submaxillary gland covers the situation of the artery, and should be carefully reflected upwards. The mouth is kept open with a Mason's gag ; in these cases a roller bandage did duty for the gag. A strong ligature is passed through the tongue and held by an assistant. The fnenum and tissues connecting the tongue with the floor of the mouth are divided by a ...

BACKGROUND Multilevel obstruction in obstructive sleep apnea commonly includes retroglossal obstruction. To improve surgical success rates, tongue volume reduction with posterior midline glossectomy and/or lingual tonsillectomy is widely performed. METHODS Nasotracheal intubation was utilized, and the combined tongue procedure was performed as a final step after palatal surgery. The tongue wa...

UNLABELLED We conducted a randomized, controlled, cross-over cadaver study to test the hypothesis that the efficacy of seal for ventilation and airway protection, anatomic position, and airway patency with the flexible laryngeal mask airway (FLMA) are altered by the application of a Boyle Davis (B-D) gag. We also determined the airway sealing pressure (ASP) at which the FLMA prevents aspiration...

In cleft palate surgery, the environment is especially critical when suturing. Encum-bered, obstructive space in the environment can hinder a suture while using the Dingman mouth gag. We introduced a novel but simple draping technique. A simple hand towel is placed over the gag. A hole is cut out in the middle according to each patient's mouth. After making the hole, the hand towel is soaked in...