title: Co-presentation of Tapia's syndrome and pressure alopecia--A rare event after septorhinoplasty: A case report and literature review.
abstract: Tapia's syndrome and pressure alopecia (PA) are two rare but distressing complications associated with orotracheal intubation and positioning of the head during surgery. To our knowledge, simultaneous occurrence of both complications after surgery has not been previously reported. To avoid these disturbing complications, the mechanisms of the injury and the preventive measures should be recognized by anesthesiologists and surgeons. We herein present the case of Tapia's syndrome together with PA following open septorhinoplasty under uncomplicated endotracheal general anesthesia in a 27-year-old man. We review other case reports and discuss the potential underlying mechanisms of injury.
authors.affiliation: Department of Otolaryngology Head and Neck Surgery, Chronic Respiratory Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases, Masih Daneshvari Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors.forename: Jahangir
authors.initials: J
authors.lastname: Ghorbani
authors.affiliation: Department of Anesthesiology and Critical Care, Tracheal Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases, Masih Daneshvari Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Electronic address: shdabir@yahoo.com.
authors.forename: Shideh
authors.initials: S
authors.lastname: Dabir
authors.affiliation: Department of Otolaryngology Head and Neck Surgery, Amir Alam Hospital, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Gilda
authors.initials: G
authors.lastname: Givehchi
authors.affiliation: Department of Otolaryngology Head and Neck Surgery, National Research Institute of Tuberculosis and Lung Diseases, Masih Daneshvari Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors.forename: Mohammadreza
authors.initials: M
authors.lastname: Najafi
mesh_terms: D000328:Adult; D000505:Alopecia / Q000209:etiology*; D000770:Anesthesia, Endotracheal; D003389:Cranial Nerve Diseases / Q000209:etiology*; D006801:Humans; D020437:Hypoglossal Nerve Diseases / Q000209:etiology*; D008297:Male; D009300:Nasal Septum / Q000601:surgery*; D010243:Paralysis / Q000209:etiology*; D011183:Postoperative Complications; D012009:Recurrent Laryngeal Nerve; D012225:Rhinoplasty; D013577:Syndrome
keywords: alopecia; general anesthesia; hypoglossal nerve injuries; rhinoplasty; vocal cord paralysis