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Use of sugammadex in parotid surgery: a case report

BACKGROUND: Parotid surgery is a common ear, nose, and throat procedure. Facial nerve paralysis is the main feared complication following this surgery. To avoid this paralysis, intraoperative facial nerve monitoring is often used, but neuromuscular blocking agents interfere with this technique. Ther...

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Autores principales: Bensghir, Mustapha, Elkoundi, Abdelghafour, Ahtil, Redouane, Meziane, Mohammed, Haimeur, Charki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4919844/
https://www.ncbi.nlm.nih.gov/pubmed/27342645
http://dx.doi.org/10.1186/s13256-016-0972-x
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author Bensghir, Mustapha
Elkoundi, Abdelghafour
Ahtil, Redouane
Meziane, Mohammed
Haimeur, Charki
author_facet Bensghir, Mustapha
Elkoundi, Abdelghafour
Ahtil, Redouane
Meziane, Mohammed
Haimeur, Charki
author_sort Bensghir, Mustapha
collection PubMed
description BACKGROUND: Parotid surgery is a common ear, nose, and throat procedure. Facial nerve paralysis is the main feared complication following this surgery. To avoid this paralysis, intraoperative facial nerve monitoring is often used, but neuromuscular blocking agents interfere with this technique. Therefore, the neuromuscular blocking agent used should have a short duration of muscle relaxation. With the discovery of sugammadex, a steroidal neuromuscular blocking agent has acquired the potential to be used in place of succinylcholine. CASE PRESENTATION: A 41-year-old African woman was scheduled for a parotidectomy at our hospital. Rocuronium-induced neuromuscular block was reversed intraoperatively with sugammadex to facilitate identification of facial nerve function. The facial nerve was identified without incident, and surgical conditions were good for the removal of the tumor. During postoperative follow-up, no evidence of residual paralysis has been noted. CONCLUSIONS: In parotid surgery, the use of sugammadex allows free use of a steroidal neuromuscular blocking agent for intubation and thus intraoperative facial nerve monitoring can be done safely.
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spelling pubmed-49198442016-06-25 Use of sugammadex in parotid surgery: a case report Bensghir, Mustapha Elkoundi, Abdelghafour Ahtil, Redouane Meziane, Mohammed Haimeur, Charki J Med Case Rep Case Report BACKGROUND: Parotid surgery is a common ear, nose, and throat procedure. Facial nerve paralysis is the main feared complication following this surgery. To avoid this paralysis, intraoperative facial nerve monitoring is often used, but neuromuscular blocking agents interfere with this technique. Therefore, the neuromuscular blocking agent used should have a short duration of muscle relaxation. With the discovery of sugammadex, a steroidal neuromuscular blocking agent has acquired the potential to be used in place of succinylcholine. CASE PRESENTATION: A 41-year-old African woman was scheduled for a parotidectomy at our hospital. Rocuronium-induced neuromuscular block was reversed intraoperatively with sugammadex to facilitate identification of facial nerve function. The facial nerve was identified without incident, and surgical conditions were good for the removal of the tumor. During postoperative follow-up, no evidence of residual paralysis has been noted. CONCLUSIONS: In parotid surgery, the use of sugammadex allows free use of a steroidal neuromuscular blocking agent for intubation and thus intraoperative facial nerve monitoring can be done safely. BioMed Central 2016-06-24 /pmc/articles/PMC4919844/ /pubmed/27342645 http://dx.doi.org/10.1186/s13256-016-0972-x Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Bensghir, Mustapha
Elkoundi, Abdelghafour
Ahtil, Redouane
Meziane, Mohammed
Haimeur, Charki
Use of sugammadex in parotid surgery: a case report
title Use of sugammadex in parotid surgery: a case report
title_full Use of sugammadex in parotid surgery: a case report
title_fullStr Use of sugammadex in parotid surgery: a case report
title_full_unstemmed Use of sugammadex in parotid surgery: a case report
title_short Use of sugammadex in parotid surgery: a case report
title_sort use of sugammadex in parotid surgery: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4919844/
https://www.ncbi.nlm.nih.gov/pubmed/27342645
http://dx.doi.org/10.1186/s13256-016-0972-x
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