Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1016/j.bjane.2021.08.020
Brazilian Journal of Anesthesiology
Case Report

Transient unilateral lingual nerve injury following the use of laryngeal mask airway Supreme: a case report

Lesão unilateral transitória do nervo lingual após uso de máscara laríngea via aérea Supreme: relato de caso

Kyung Nam Park, Hae Jeong Jeong

Downloads: 0
Views: 169

Abstract

Lingual nerve injury rarely occurs after using the laryngeal mask airway (LMA). A 40-year-old woman with no comorbidities visited the hospital for left breast-conserving surgery. Anesthesia was performed using LMA Supreme™. She complained of decreased sensation in the right front part of the tongue postoperatively. She received prednisolone and tongue sensation returned on postoperative day 28. The lingual nerve could be damaged by the LMA, particularly the lateral edge of the tongue base and inner part of the mandible around the third molar. When using the LMA, it is necessary to check the cuff pressure to prevent lingual nerve damage.

Keywords

Keywords

General anesthesia;  Hypoesthesia;  Laryngeal masks;  Lingual nerve injuries;  Prednisolone;  Sensation disorders

Resumo

A lesão do nervo lingual raramente ocorre após o uso da máscara laríngea (ML). Uma mulher de 40 anos, sem comorbidades, procurou o hospital para cirurgia conservadora da mama esquerda. A anestesia foi realizada com LMA Supreme™. Ela queixou-se de diminuição da sensibilidade na parte anterior direita da língua no pós-operatório. Ela recebeu prednisolona e a sensação de língua retornou no 28º dia de pós-operatório. O nervo lingual pode ser danificado pela ML, particularmente a borda lateral da base da língua e a parte interna da mandíbula ao redor do terceiro molar. Ao usar a ML, é necessário verificar a pressão do manguito para evitar danos ao nervo lingual.

Palavras-chave

Anestesia geral; Hipoestesia; Máscaras laríngeas; Lesões do nervo lingual; Prednisolona; Distúrbios da sensação

References

1 V. Thiruvenkatarajan, R.M. Van Wijk, A. Rajbhoj Cranial nerve injuries with supraglottic airway devices: a systematic review of published case reports and series Anaesthesia., 70 (2015), pp. 344-359

2 S.Y. Kim, S.Y. Chung, S.J. Youn, et al. Dexamethasone treatment for bilateral lingual nerve injury following orotracheal intubation J Dent Anesth Pain Med., 18 (2018), pp. 115-117

3 K.Z. Rokamp, N.H. Secher, A.M. Møller, et al. Tracheal tube and laryngeal mask cuff pressure during anaesthesia-mandatory monitoring is in need BMC Anesthesiol., 10 (2010), p. 20

4 S. Renes, R. Zwart, G. Scheffer, et al. Lingual nerve injury following the use of an i-gel laryngeal mask Anaesthesia., 66 (2011), pp. 226-227

5 J. Brimacombe, C. Keller, F. Puhringer Pharyngeal mucosal pressure and perfusion: a fiberoptic evaluation of the posterior pharynx in anesthetized adult patients with a modified cuffed oropharyngeal airway Anesthesiology., 91 (1999), pp. 1661-1665

619414c4a953955992746f85 rba Articles
Links & Downloads

Braz J Anesthesiol

Share this page
Page Sections