Sublingual Haematoma – A Rare Complication associated with Cleft Palate Surgery

A 1yr old boy weighing 10 kg underwent cleft palate surgery. Post extubation, a swelling was noticed beneath the tongue which progressed gradually and obstructed the airway. Small sized endotracheal tube (ETT) was used as a nasal airway and advanced till it relieved the obstruction and child started maintaining SpO2 >95%. Haemodynamic parameters were stable and child was shifted from OT to PACU where he was observed vigilantly for any airway obstruction. Swelling regressed over the next 2 days and the child accepted oral feeding eventually.