title: Tapia syndrome after repairing a fractured zygomatic complex: a case report and review of the literature.
abstract: Tapia syndrome is known as a rare complication of airway manipulation, which can occur after any type of surgery under endotracheal general anesthesia. This syndrome is characterized by neurologic deficits involving the hypoglossal (XII) and recurrent laryngeal branch of the vagal nerve (X) that result in the tongue muscle's unilateral paralysis associated with the vocal cord's unilateral palsy. This article describes the first case of Tapia syndrome, which occurred after repair of a fractured zygomatic complex. In this article, we discuss the diagnosis, possible causes, clinical manifestations, treatment methods, and preventive strategies as described in 10 case reports in the literature that have been attributed to manipulation of the airway.
authors.affiliation: Chief Resident, Department of Oral and Maxillofacial Surgery, Craniomaxillofacial Research Center, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran; and Department of Oral and Maxillofacial Surgery, Jundishapour University, Ahvaz, Iran. Electronic address: payam.varedi@yahoo.com.
authors.forename: Payam
authors.initials: P
authors.lastname: Varedi
authors.forename: Gholamreza
authors.initials: G
authors.lastname: Shirani
authors.forename: Abbas
authors.initials: A
authors.lastname: Karimi
authors.forename: Peyman
authors.initials: P
authors.lastname: Varedi
authors.forename: Kazem
authors.initials: K
authors.lastname: Khiabani
authors.forename: Behnam
authors.initials: B
authors.lastname: Bohluli
mesh_terms: D000328:Adult; D003680:Deglutition Disorders / Q000209:etiology; D005500:Follow-Up Studies; D006685:Hoarseness / Q000209:etiology; D006801:Humans; D020437:Hypoglossal Nerve Diseases / Q000209:etiology*; D007442:Intubation, Intratracheal / Q000009:adverse effects; D008297:Male; D010243:Paralysis / Q000209:etiology*; D011183:Postoperative Complications; D020127:Recovery of Function / Q000502:physiology; D013064:Speech Disorders / Q000209:etiology; D013577:Syndrome; D014060:Tongue Diseases / Q000209:etiology*; D014826:Vocal Cord Paralysis / Q000209:etiology*; D015051:Zygomatic Fractures / Q000601:surgery*