title: Use of sugammadex in parotid surgery: a case report.
abstract: BACKGROUND
  Parotid surgery is a common ear, nose, and throat procedure. Facial nerve paralysis is the main feared complication following this surgery. To avoid this paralysis, intraoperative facial nerve monitoring is often used, but neuromuscular blocking agents interfere with this technique. Therefore, the neuromuscular blocking agent used should have a short duration of muscle relaxation. With the discovery of sugammadex, a steroidal neuromuscular blocking agent has acquired the potential to be used in place of succinylcholine.
  
  
  METHODS
  A 41-year-old African woman was scheduled for a parotidectomy at our hospital. Rocuronium-induced neuromuscular block was reversed intraoperatively with sugammadex to facilitate identification of facial nerve function. The facial nerve was identified without incident, and surgical conditions were good for the removal of the tumor. During postoperative follow-up, no evidence of residual paralysis has been noted.
  
  
  CONCLUSIONS
  In parotid surgery, the use of sugammadex allows free use of a steroidal neuromuscular blocking agent for intubation and thus intraoperative facial nerve monitoring can be done safely.
authors.affiliation: Department of Anesthesiology, Military Hospital Med V Rabat, Faculty of Medicine and Pharmacy of Rabat, University of Souissi-Med V, Rabat, Morocco. Mustaphabens_15rea@hotmail.com.
authors.forename: Mustapha
authors.initials: M
authors.lastname: Bensghir
authors.affiliation: Department of Anesthesiology, Military Hospital Med V Rabat, Faculty of Medicine and Pharmacy of Rabat, University of Souissi-Med V, Rabat, Morocco.
authors.forename: Abdelghafour
authors.initials: A
authors.lastname: Elkoundi
authors.affiliation: Department of Anesthesiology, Military Hospital Med V Rabat, Faculty of Medicine and Pharmacy of Rabat, University of Souissi-Med V, Rabat, Morocco.
authors.forename: Redouane
authors.initials: R
authors.lastname: Ahtil
authors.affiliation: Department of Anesthesiology, Military Hospital Med V Rabat, Faculty of Medicine and Pharmacy of Rabat, University of Souissi-Med V, Rabat, Morocco.
authors.forename: Mohammed
authors.initials: M
authors.lastname: Meziane
authors.affiliation: Department of Anesthesiology, Military Hospital Med V Rabat, Faculty of Medicine and Pharmacy of Rabat, University of Souissi-Med V, Rabat, Morocco.
authors.forename: Charki
authors.initials: C
authors.lastname: Haimeur
mesh_terms: D000328:Adult; D000732:Androstanols / Q000008:administration & dosage; D005154:Facial Nerve / Q000502:physiology*; D020220:Facial Nerve Injuries / Q000517:prevention & control*; D005260:Female; D006801:Humans; D064795:Intraoperative Neurophysiological Monitoring / Q000379:methods*; D019148:Neuromuscular Blockade / Q000009:adverse effects; D003473:Neuromuscular Nondepolarizing Agents / Q000008:administration & dosage*; D010306:Parotid Gland / Q000473:pathology*; D010307:Parotid Neoplasms / Q000473:pathology / Q000601:surgery*; D000077123:Rocuronium; D000077122:Sugammadex; D047408:gamma-Cyclodextrins / Q000008:administration & dosage*
chemical_list: D000732:Androstanols; D003473:Neuromuscular Nondepolarizing Agents; D047408:gamma-Cyclodextrins; D000077122:Sugammadex; D000077123:Rocuronium
keywords: Case report; Intraoperative facial nerve monitoring; Intubation; Neuromuscular blocking agents; Parotid surgery; Sugammadex