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Gaither JB et al. – The authors report a case of massive tongue engorgement associated with the placement of a laryngeal tube device. It is most likely that the observed swelling was due to obstruction of venous drainage from the tongue by the oropharyngeal balloon. Other etiologies for lingual swelling such as angioedema cannot be definitively ruled out but are less likely to have caused the patient's tongue engorgement.

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