title: Transient unilateral combined paresis of the hypoglossal nerve and lingual nerve following intubation anesthesia.
abstract: Nerve damage may occur in the pharyngolaryngeal region during general anesthesia. The most frequently injured nerves are the hypoglossal, lingual and recurrent laryngeal. These injuries may arise in association with several factors, such as laryngoscopy, endotracheal intubation and tube insertion, cuff pressure, mask ventilation, the triple airway maneuver, the oropharyngeal airway, manner of intubation tube insertion, head and neck position and aspiration. Nerve injuries in this region may take the form of an isolated single nerve or of paresis of two nerves together in the form of hypoglossal and recurrent laryngeal nerve palsy (Tapia's syndrome). However, combined injury of the lingual and hypoglossal nerves following intubation anesthesia is a much rarer condition. The risk of this damage can be reduced with precautionary measures. We describe a case of combined unilateral nervus hypoglossus and nervus lingualis paresis developing after intubation anesthesia.
authors.affiliation: Department of Anesthesiology and Critical Care, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey. Electronic address: hulyaulusoy.md@gmail.com.
authors.forename: Hulya
authors.initials: H
authors.lastname: Ulusoy
authors.affiliation: Department of Anesthesiology and Critical Care, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey.
authors.forename: Ahmet
authors.initials: A
authors.lastname: Besir
authors.affiliation: Department of Anesthesiology and Critical Care, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey.
authors.forename: Bahanur
authors.initials: B
authors.lastname: Cekic
authors.affiliation: Department of Anesthesiology and Critical Care, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey.
authors.forename: Muge
authors.initials: M
authors.lastname: Kosucu
authors.affiliation: Department of Anesthesiology and Critical Care, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey.
authors.forename: Sukran
authors.initials: S
authors.lastname: Geze
mesh_terms: D000328:Adult; D000768:Anesthesia, General / Q000009:adverse effects*; D005260:Female; D006801:Humans; D061228:Hypoglossal Nerve Injuries / Q000209:etiology*; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D061222:Lingual Nerve Injuries / Q000209:etiology*; D010291:Paresis / Q000209:etiology*
keywords: Hypoglossal paralysis; Intubation anesthesia; Lingual paralysis