Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1016/j.bjane.2013.09.014
Brazilian Journal of Anesthesiology
Clinical Informations

Aphonia after shoulder surgery: case report

Afonia após cirurgia do ombro: relato de caso

Carlos Alberto da Silva Soares Moreno; Sara Fonseca

http://dx.doi.org/10.1016/j.bjane.2013.09.014 Braz J Anesthesiol, vol.66, n3, p.321-323, 2016
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Abstract

ABSTRACT In this case report we highlight the uniqueness of aphonia as, to the best of our knowledge, cases of aphonia related to interscalene brachial plexus block (IBPB) are not described in the literature. Although hoarseness is a common complication of IBPB, aphonia is not. Therefore, we think it is important to publicize the first case of aphonia after IBPB, which may have arisen only because of a recurrent laryngeal nerve chronic injury contralateral to the IBPB site.

Keywords

Block, Interscalene brachial plexus, Aphonia, I-Gel, Choking, Recurrent laryngeal nerve

Resumo

RESUMO Relativamente a este relato de caso destacamos a sua singularidade, uma vez que não se encontram descritos na literatura, tanto ou quanto os autores puderam investigar, casos de afonia após uma anestesia combinada com bloqueio do plexo braquial via interescalénica (BPBI). Embora a rouquidão seja uma complicação frequente do BPBI, a afonia não o é. Desse modo, pensamos ser importante dar a conhecer o primeiro caso de afonia após o BPBI, que na opinião dos autores surgiu apenas por causa de uma lesão crônica do nervo laríngeo recorrente contralateral ao local do BPBI.

Palavras-chave

Bloqueio, Plexo braquial interescalênico, Afonia, I-Gel, Engasgamento, Nervo laríngeo recorrente

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