A rare complication of tongue laceration following posterior
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A 52-year-old female weighing 60 kg, previously community ambulant, presented with concurrent cervical stenosis and thoracic myelopathy. She was administered general anaesthesia, and posterior spine decompression, instrumentation and fusion from T6 to T11 was carried out in the prone position.Nasal intubation was performed in the supine position using the awake fibreoptic intubation technique to avoid aggravation of the cervical cord pathology. After confirmation of endotracheal tube placement, general anaesthesia was induced using standard anaesthetic agents with standard monitoring. A patient was then turned to the prone position.Surgery proceeded uneventfully with the periodic use of intraoperative high-voltage motor evoked potentials (MEP) spinal cord monitoring. Duration of surgery was 5½ h and patient was repositioned in supine position. At this time, we observed that the anterior half of the patient's tongue was dusky and congested. Further, there was a 1 cm laceration on the dorsum of the tongue and a 3 cm laceration on the undersurface...

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