unilateral recurrent laryngeal and hypoglossal nerve paralysis following rhinoplasty: a case report and review of articles

نویسندگان

mehdi bakhshaee sinus and surgical endoscopic research center, imam reza hospital, school of medicine, mashhad university of medical sciences, mashhad, iran.

ali reza bameshki cardiac anesthesia research center, imam reza hospital, school of medicine, mashhad university of medical sciences, mashhad, iran.

mohsen foroughipour departments of neurology, ghaem hospital, school of medicine, mashhad university of medical sciences, mashhad, iran.

mohammad ali zaringhalam departments of otorhinolaryngology, ghaem hospital, school of medicine, mashhad university of medical sciences, mashhad, iran.

چکیده

introduction: injury to cranial nerves ix, x, and xii is a known complication of laryngoscopy and intubation. here we present a patient with concurrent hypoglossal and recurrent laryngeal nerve paralysis after rhinoplasty. case report: the patient was a 27-year-old woman who was candidate for rhinoplastic surgery. the next morning after the operation, the patient complained of dysphonia and a sore throat .7 days after the operation she was still complaining of dysphonia. she underwent a direct laryngoscopy, and right tvc paralysis was observed. right hypoglossal nerve paralysis was also detected during physical cranial nerve function tests. hypoglossal and recurrent laryngeal nerve function was completely recovered after 5 and 7 months, respectively, and no complication was remained. conclusion: accurate and atraumatic intubation and extubation, true positioning of the head and neck, delicate and gentle packing of the oropharynx, and maintenance of mean blood pressure at a safe level are appropriate methods to prevent this complication during anesthesia and surgical procedures.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Unilateral Recurrent Laryngeal and Hypoglossal Nerve Paralysis Following Rhinoplasty: A Case Report and review of Articles

Introduction: Injury to cranial nerves IX, X, and XII is a known complication of laryngoscopy and intubation. Here we present a patient with concurrent hypoglossal and recurrent laryngeal nerve paralysis after rhinoplasty. Case Report: The patient was a 27-year-old woman who was candidate for rhinoplastic surgery. The next morning after the operation, the patient complained of dysphonia and a s...

متن کامل

Unilateral Recurrent Laryngeal and Hypoglossal Nerve Paralysis Following Rhinoplasty: A Case Report and Review of the Literature

INTRODUCTION Injury to cranial nerves IX, X, and XII is a known complication of laryngoscopy and intubation. Here we present a patient with concurrent hypoglossal and recurrent laryngeal nerve paralysis after rhinoplasty. CASE REPORT The patient was a 27-year-old woman who was candidate for rhinoplastic surgery. The next morning after the operation, the patient complained of dysphonia and a s...

متن کامل

Unilateral laryngeal and hypoglossal paralysis (Tapia's syndrome) following rhinoplasty in general anaesthesia: case report and review of the literature.

Extracranial involvement of the recurrent laryngeal nerve and the hypoglossal nerve is known as Tapia's syndrome. Ipsilateral paralysis of the vocal cord and tongue is present. Lesion of these nerves may be a rare complication of airway management. Herein, a case of Tapia's Syndrome complicating transoral intubation during general anaesthesia in a rhinoplasty operation, together with a review o...

متن کامل

Recurrent Laryngeal Nerve Paralysis in a Patient with Primary Thyroid Tuberculosis (Report of One Case)

Vocal cords paralysis is not a rare entity and is usually caused by malignant thyroid tomors, and major thyroid & neck surgeries, nontheless it has some unusual and even idiopathic causes as well. This is a report of a case with the primary tuberculosis of thyroid gland which has been confirmed both pathologicaly and microbiologically. The lesion was on the same side of paralysis and had advanc...

متن کامل

Laryngeal Leiomyosarcoma, A Case Report and Review of Articles

Laryngeal leiomysarcoma is an extremely rare malignancy originating from smooth muscle cells. Its rarity is due to the fact that only less than 50 cases of pure laryngeal leiomyosarcoma and less than 10 cases of hypopharyngeal leiomyosarcaoma have been reported in modern medical literature.  Even though the clinical presentation mimics that of a laryngeal carcinoma forming the major bulk of the...

متن کامل

Hypoglossal Schowannoma: A Case Report and Review of Literature

Introduction: Schawannomas (neuromas, neurilemmomas) are benign tumors originating from showann cells or nerve fiber sheet cells. They are solitary, encapsulated tumors usually attached to, or surrounded by a nerve. Case Report: We present a case of left hypoglossal nerve schwannoma in a 19 year old man who was admitted with progressive left tongue atrophy. Conclusion: Schwannoma of the hy...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
iranian journal of otorhinolaryngology

جلد ۲۶، شماره ۱، صفحات ۴۷-۵۰

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023