Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1016/j.bjane.2021.10.014
Brazilian Journal of Anesthesiology
Case Report

Unilateral lingual nerve and hypoglossal nerve injury caused by a novel laryngeal mask airway: a case report

Lesão unilateral do nervo lingual e do nervo hipoglosso causada por uma nova via aérea com máscara laríngea: relato de caso

Caixia Li, Yi Lou, Yafan Shen, Su Jiang, Hua Xu

Downloads: 0
Views: 196

Abstract

Cranial nerve injury by a laryngeal mask airway is rare but a serious complication. The nerve injuries must be prevented during the intubation using a laryngeal mask airway. We report a female patient who complained of tongue numbness, slurred speech, and slight difficulty in swallowing solid food after a hand surgery. She was then diagnosed with unilateral lingual nerve and hypoglossal nerve injuries. Extreme head rotation, relatively small oral cavity, and wide rigid composition at the lower part of the novel laryngeal mask probably resulted in cranial nerve injury.

Keywords

Case report;  Complication;  Nerve injury;  The laryngeal mask airway

Resumo

A lesão do nervo craniano por uma máscara laríngea é rara, mas uma complicação séria. As lesões nervosas devem ser evitadas durante a intubação com máscara laríngea. Relatamos uma paciente do sexo feminino que se queixou de dormência na língua, fala arrastada e leve dificuldade para engolir alimentos sólidos após uma cirurgia na mão. Ela foi então diagnosticada com lesão não-bilateral do nervo lingual e do nervo hipoglosso. Rotação extrema da cabeça, cavidade oral relativamente pequena e composição ampla e rígida na parte inferior da nova máscara laríngea provavelmente resultaram em lesão do nervo craniano.

Palavras-chave

Relato de caso; Complicação; Lesão do nervo craniano; A máscara laríngea das vias aéreas

References

1 MT Kluger, TG. Short Aspiration during anaesthesia: a review of 133 cases from the Australian Anaesthetic Incident Monitoring Study (AIMS) Anaesthesia, 54 (1999), pp. 19-26

2 P Jindal, AA Rizvi, G Khurana, et al. Safety and efficacy of insertion of supraglottic devices in anaesthetised patients by first-time users South Afr J Anaesth Analg, 16 (2010), pp. 23-26

3 V Thiruvenkatarajan, RM 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

4 SB Graff-Radford, RW. Evans Lingual nerve injury Headache, 43 (2003), pp. 975-983

5 V Thiruvenkatarajan, RM Van Wijk, I Elhalawani, et al. Lingual nerve neuropraxia following use of the Laryngeal Mask Airway Supreme J Clin Anesth, 26 (2014), pp. 65-68
 

61b89d25a953952ed54376f4 rba Articles
Links & Downloads

Braz J Anesthesiol

Share this page
Page Sections