Tongue Tied after Shoulder Surgery: A Case Series and Literature Review

Autor: Molly B. Kraus, Rachel B. Cain, David M. Rosenfeld, Renee E. Caswell, Michael L. Hinni, Michael J. Molloy, Terrence L. Trentman
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Case Reports in Anesthesiology, Vol 2019 (2019)
Druh dokumentu: article
ISSN: 2090-6382
2090-6390
DOI: 10.1155/2019/5392847
Popis: This article presents three cases of cranial nerve palsy following shoulder surgery with general anesthesia in the beach chair position. All patients underwent preoperative ultrasound-guided interscalene nerve block. Two cases of postoperative hypoglossal and one case of combined hypoglossal and recurrent laryngeal nerve palsies (Tapia’s syndrome) were identified. Through this case series, we provide a literature review identifying postoperative cranial nerve palsies in addition to the discussion of possible etiologies. We suggest that intraoperative patient positioning and/or airway instrumentation is most likely causative. We conclude that the beach chair position is a risk factor for postoperative hypoglossal nerve palsy and Tapia’s syndrome.
Databáze: Directory of Open Access Journals
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