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Tongue paralysis after orotracheal intubation in a patient with primary mediastinal tumor: a case report
INTRODUCTION: Several lesions have been described as post-intubation complications. Most frequent are injuries of the pharynx/larynx or trachea. Cranial nerve injury following routine endo-tracheal intubation appears to be rare, and most reports describe Tapia's syndrome with hypoglossus/recurr...
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Formato: | Texto |
Lenguaje: | English |
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BioMed Central
2009
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2803965/ https://www.ncbi.nlm.nih.gov/pubmed/20062625 http://dx.doi.org/10.1186/1757-1626-2-9301 |
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author | Uña, Esther Gandía, Francisco Duque, Jose Luis |
author_facet | Uña, Esther Gandía, Francisco Duque, Jose Luis |
author_sort | Uña, Esther |
collection | PubMed |
description | INTRODUCTION: Several lesions have been described as post-intubation complications. Most frequent are injuries of the pharynx/larynx or trachea. Cranial nerve injury following routine endo-tracheal intubation appears to be rare, and most reports describe Tapia's syndrome with hypoglossus/recurrent laryngeal nerve paralysis; cases that describe only bilateral hypoglossus palsy are infrequent. The cause is attributed to neuropathy of the nerve, provoked by compression following inflation of the cuff within the larynx or damage after neck hyperextension during a difficult intubation. However, similar cases after non-traumatic intubation have not been reported. CASE PRESENTATION: We report here a case of bilateral hypoglossus palsy in a young man undergoing a diagnostic anterior mediastinotomy that was attributed to prolonged non-complicated oro-tracheal intubation. Progressive recovery of function by the patient supports neuropraxic damage as the cause. CONCLUSION: To avoid such problems, special attention should be paid to the correct positioning of the head during surgery or during rapidly performed tracheostomy if prolonged intubation is anticipated. |
format | Text |
id | pubmed-2803965 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2009 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-28039652010-01-10 Tongue paralysis after orotracheal intubation in a patient with primary mediastinal tumor: a case report Uña, Esther Gandía, Francisco Duque, Jose Luis Cases J Case Report INTRODUCTION: Several lesions have been described as post-intubation complications. Most frequent are injuries of the pharynx/larynx or trachea. Cranial nerve injury following routine endo-tracheal intubation appears to be rare, and most reports describe Tapia's syndrome with hypoglossus/recurrent laryngeal nerve paralysis; cases that describe only bilateral hypoglossus palsy are infrequent. The cause is attributed to neuropathy of the nerve, provoked by compression following inflation of the cuff within the larynx or damage after neck hyperextension during a difficult intubation. However, similar cases after non-traumatic intubation have not been reported. CASE PRESENTATION: We report here a case of bilateral hypoglossus palsy in a young man undergoing a diagnostic anterior mediastinotomy that was attributed to prolonged non-complicated oro-tracheal intubation. Progressive recovery of function by the patient supports neuropraxic damage as the cause. CONCLUSION: To avoid such problems, special attention should be paid to the correct positioning of the head during surgery or during rapidly performed tracheostomy if prolonged intubation is anticipated. BioMed Central 2009-12-10 /pmc/articles/PMC2803965/ /pubmed/20062625 http://dx.doi.org/10.1186/1757-1626-2-9301 Text en Copyright ©2009 Uña et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Uña, Esther Gandía, Francisco Duque, Jose Luis Tongue paralysis after orotracheal intubation in a patient with primary mediastinal tumor: a case report |
title | Tongue paralysis after orotracheal intubation in a patient with primary mediastinal tumor: a case report |
title_full | Tongue paralysis after orotracheal intubation in a patient with primary mediastinal tumor: a case report |
title_fullStr | Tongue paralysis after orotracheal intubation in a patient with primary mediastinal tumor: a case report |
title_full_unstemmed | Tongue paralysis after orotracheal intubation in a patient with primary mediastinal tumor: a case report |
title_short | Tongue paralysis after orotracheal intubation in a patient with primary mediastinal tumor: a case report |
title_sort | tongue paralysis after orotracheal intubation in a patient with primary mediastinal tumor: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2803965/ https://www.ncbi.nlm.nih.gov/pubmed/20062625 http://dx.doi.org/10.1186/1757-1626-2-9301 |
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