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Great auricular neuropraxia with beach chair position
Shoulder arthroscopy has been shown to be the procedure of choice for many diagnostic and therapeutic interventions. Neuropraxia of the great auricular nerve (GAN) is an uncommon complication of shoulder surgery, with the patient in the beach chair position. We report a case of great auricular neuro...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5529604/ https://www.ncbi.nlm.nih.gov/pubmed/28790863 http://dx.doi.org/10.2147/LRA.S138998 |
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author | Joshi, Minal Cheng, Ruth Kamath, Hattiyangadi Yarmush, Joel |
author_facet | Joshi, Minal Cheng, Ruth Kamath, Hattiyangadi Yarmush, Joel |
author_sort | Joshi, Minal |
collection | PubMed |
description | Shoulder arthroscopy has been shown to be the procedure of choice for many diagnostic and therapeutic interventions. Neuropraxia of the great auricular nerve (GAN) is an uncommon complication of shoulder surgery, with the patient in the beach chair position. We report a case of great auricular neuropraxia associated with direct compression by a horseshoe headrest, used in routine positioning for uncomplicated shoulder surgery. In this case, an arthroscopic approach was taken, under regional anesthesia with sedation in the beach chair position. The GAN, a superficial branch of the cervical plexus, is vulnerable to neuropraxia due to its superficial anatomical location. We recommend that for the procedures of the beach chair position, the auricle be protected and covered with cotton and gauze to avoid direct compression and the position of the head and neck be checked and corrected frequently. |
format | Online Article Text |
id | pubmed-5529604 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-55296042017-08-08 Great auricular neuropraxia with beach chair position Joshi, Minal Cheng, Ruth Kamath, Hattiyangadi Yarmush, Joel Local Reg Anesth Case Report Shoulder arthroscopy has been shown to be the procedure of choice for many diagnostic and therapeutic interventions. Neuropraxia of the great auricular nerve (GAN) is an uncommon complication of shoulder surgery, with the patient in the beach chair position. We report a case of great auricular neuropraxia associated with direct compression by a horseshoe headrest, used in routine positioning for uncomplicated shoulder surgery. In this case, an arthroscopic approach was taken, under regional anesthesia with sedation in the beach chair position. The GAN, a superficial branch of the cervical plexus, is vulnerable to neuropraxia due to its superficial anatomical location. We recommend that for the procedures of the beach chair position, the auricle be protected and covered with cotton and gauze to avoid direct compression and the position of the head and neck be checked and corrected frequently. Dove Medical Press 2017-07-20 /pmc/articles/PMC5529604/ /pubmed/28790863 http://dx.doi.org/10.2147/LRA.S138998 Text en © 2017 Joshi et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. |
spellingShingle | Case Report Joshi, Minal Cheng, Ruth Kamath, Hattiyangadi Yarmush, Joel Great auricular neuropraxia with beach chair position |
title | Great auricular neuropraxia with beach chair position |
title_full | Great auricular neuropraxia with beach chair position |
title_fullStr | Great auricular neuropraxia with beach chair position |
title_full_unstemmed | Great auricular neuropraxia with beach chair position |
title_short | Great auricular neuropraxia with beach chair position |
title_sort | great auricular neuropraxia with beach chair position |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5529604/ https://www.ncbi.nlm.nih.gov/pubmed/28790863 http://dx.doi.org/10.2147/LRA.S138998 |
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