Background: This is a rare case of Maffucci syndrome who underwent orthopedic surgery owing to enchondroma and who had hemangiomas in the tongue tip.
Case Report: After anesthesia induction, a 60-year-old male patient was intubated with direct laryngoscopy without any trauma to the hemangioma. However, before extubation, the edema in the patient’s tongue was observed to slightly increase. After the endotracheal tube was removed, the patient had stridor, the airway was obstructed, the patient could not tolerate this condition, and he was subsequently reintubated. It was observed that the hemangioma in the tongue tip was dilated. The patient was followed up in the intensive care unit for 1 day and was extubated the following day with the reduction of hemangioma and tissue edema.
Conclusion: The examination of hemangiomas, especially in the upper airway, requires careful attention from an anesthetic point of view.