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El hallazgo de una via aerea dificil no prevista puede tener como responsable a un pequeno acumulo de tejido linfatico localizado en la base de la lengua, entre la papila circunvalada y la epiglotis, conocido como amigdala lingual hipertrofica (ALH). La ALH puede obstruir la vision glotica durante la laringoscopia directa y sangrar dadas sus caracteristicas friables, lo que sin duda limita el empleo de una buena parte de los dispositivos avanzados de manejo de via aerea como videolaringoscopios o fibrobroncoscopio. Abstract UNFORESEEN DIFFICULT AIRWAY IN A PATIENT WITH HYPERTROPHIC LINGUAL AMYGDALA The finding of a not provided difficult airway may be due to a small accumulation of lymphatic tiddue located  on the base of the tongue, between the circumvallate papillae and the epiglottis, known as hypertrophic lingual tonsil (HLT). HLT could obstruct glotic view during direct laryngoscopy and bleed considering its friable features, which limits with no doubts the use of most of the advanced airway devices as  video Laryngoscopy or fibrobronchoscopy.

VÍA AÉREA DIFÍCIL NO PREVISTA EN PACIENTE CON AMÍGDALA LINGUAL HIPERTRÓFICA