Two cases of isolated unilateral paralysis of hypoglossal nerve after uncomplicated orotracheal intubation.
We report two cases of postoperative unilateral hypoglossal nerve palsy following uncomplicated orotracheal intubation for plastic surgery. Both patients underwent a long procedure and were installed in a non physiological position. These two factors might have played an important role in the mechanism of nerve damage. Furthermore, other etiologies of neurological injury like a difficult airway or anatomical anomalies were not present. The aim of these two case reports is to sensitize the anesthetists to hypoglossal nerve palsy and to highlight a potential clinical problem of positioning during plastic surgery.
Lopes
G
G
Department of Anesthesiology, Université Catholique de Louvain, St Luc Hospital, Brussels, Belgium. Georges.Lopes@uclouvain.be
Denoel
C
C
Desuter
G
G
Docquier
M-A
MA
D000328:Adult; D000768:Anesthesia, General; D005260:Female; D006801:Humans; D020437:Hypoglossal Nerve Diseases / Q000209:etiology*; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D016462:Mammaplasty; D008875:Middle Aged; D010243:Paralysis / Q000209:etiology*; D011183:Postoperative Complications / Q000209:etiology*; D020127:Recovery of Function; D013518:Surgery, Plastic