CC BY-NC-ND 4.0 · Asian J Neurosurg 2023; 18(04): 810-812
DOI: 10.1055/s-0043-1776299
Case Report

Lingual Abscess after Posterior Fossa Surgery: An Unusual Complication of the Concorde Position

Debajyoti Datta
1   Department of Neurosurgery, Institute of Neurosciences, Kolkata, West Bengal, India
Debarshi Chatterjee
1   Department of Neurosurgery, Institute of Neurosciences, Kolkata, West Bengal, India
Mona Tiwari
2   Department of Radiology, Institute of Neurosciences, Kolkata, West Bengal, India
› Author Affiliations


Posterior fossa tumors are one of the most common tumors occurring in children. These tumors are often operated in the Concorde or prone position. Venous congestion can occur due to neck flexion during the positioning causing macroglossia. We report a case of a lingual abscess in a child after surgery in the Concorde position. There was no preoperative evidence of any lingual and dental complaints or injury during intubation. We hypothesize that the lingual abscess in the immediate postoperative period was secondary to venous stasis during the positioning for surgery.

Consent for Publication

Written informed consent was obtained from the parents for publication.

Authors' Contributions

All authors contributed to the study conception and design. D.D. was involved in material preparation, data collection, and analysis. M.T. contributed to radiological part of the study. D.D. wrote the first draft of the manuscript, and all authors commented on previous versions of the manuscript. All authors read, and approved the final manuscript.

Publication History

Article published online:
30 November 2023

© 2023. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

  • References

  • 1 Jagannathan S, Krovvidi H. Anaesthetic considerations for posterior fossa surgery. Contin Educ Anaesth Crit Care Pain 2014; 14 (05) 202-206
  • 2 Srivanitchapoom C, Yata K. Lingual abscess: predisposing factors, pathophysiology, clinical manifestations, diagnosis, and management. Int J Otolaryngol 2018; 2018: 4504270
  • 3 El Hassani Y, Narata AP, Pereira VM, Schaller C. A reminder for a very rare entity: massive tongue swelling after posterior fossa surgery. J Neurol Surg A Cent Eur Neurosurg 2012; 73 (03) 171-174
  • 4 Moore JK, Chaudhri S, Moore AP, Easton J. Macroglossia and posterior fossa disease. Anaesthesia 1988; 43 (05) 382-385
  • 5 O'Rourke K, Kibbee N, Stubbs A. Ultrasound for the evaluation of skin and soft tissue infections. Mo Med 2015; 112 (03) 202-205