An abnormal growth of blood vessels causing an enlargement of the tongue and lips of Mr Suresh Babu, aged 44 years, hailing from Cochin, was removed through a rare surgery. His tongue was unusually large because of the tumour. In fact Mr. Suresh’s tongue was the longest and largest in the whole world. According to The Guinness World Records 2007 edition, the length of the biggest tongue recorded so far was 9.4 cm belonging to a British citizen Stephan Taylor. But Suresh’s tongue measured 13.5 cm in length and 12 cm in breadth.
This surgery was performed by Dr. Paul V. Joseph, the Maxillofacial Surgeon and Dr. Vinod B. Nair, the ENT Surgeon of ‘Team Cephale’, the Head and Neck Surgical Division of PVS Memorial Hospital Ltd., Kochi, on 12th December. Suresh had hemangioma which is a congenital tumour of blood vessels. Other than his tongue and lips the abnormal blood vessels were also involving his throat and neck. Because of this tumour, Suresh could not close his mouth properly, speak clearly or eat his food normally.
Even minor injuries to his face resulted in life threatening bleeding.
Many attempts were made to remove the tumour, in different hospitals but abandoned midway because of the excessive bleeding.
The nature of the growth and the blood supply to and from it was extensively studied using the 64 slice CT scan facility. And finally, it was decided to proceed with surgery.
The bleeding during surgery was controlled with the help of Harmonic Scalpel an expensive and advanced instrument used in surgical practice.
This instrument coagulates blood vessels using ultrasonic high frequency vibration
The huge size of the tongue was a hindrance in putting the tube for normal General Anesthesia. Therefore, a prior tracheostomy was done into the wind pipe in order to anaesthetize the patient.
The surgical procedure lasted 5 ½ hrs. The patient was shifted to his room after 48 hours in the ICU. He was discharged on the 7th day. Since the bleeding was well under control, he did not require any blood transfusion during surgery.
During the post operative period in order to strengthen the lips and tongue he had to undergo a month long regime of physiotherapy under close supervision.
Since the tumour in the neck is not really affecting Suresh’s daily routine and considering the grave risk and morbidity of the procedure, the removal of the neck tumour is not under present consideration.