Left recurrent laryngeal palsy after left total hip arthroplasty; stretch injury due to inappropriate positioning in the lateral approach?
An 80-year-old man is described with a left-sided recurrent laryngeal nerve palsy after primary total hip arthroplasty. Intubation was uncomplicated. Aetiology is discussed. It might be caused by intubation injury, stretch-induced injury due to cervical hyperextension or inappropriate positioning during surgery in the lateral approach or a combination.
Verhagen
C V M
CV
Department of Neurology, Canisius-Wilhelmina Hospital, Nijmegen, The Netherlands.
Verhagen
W I M
WI
Van Norel
G J
GJ
D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects* / Q000379:methods; D007839:Functional Laterality; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D008297:Male; D019547:Neck Pain / Q000209:etiology; D010003:Osteoarthritis / Q000601:surgery; D011183:Postoperative Complications; D014826:Vocal Cord Paralysis / Q000209:etiology*