BackgroundTapia’s syndrome is an uncommon disease described in 1904 by Antonio Garcia Tapia, a Spanish otolaryngologist. It is characterized by concomitant paralysis of the hypoglossal (XIIth) and pneumogastric (Xth) nerves. Only 69 cases have been described in the literature. Typically, the reported patients presented with a history of orotracheal intubation. Common symptoms are dysphonia, tongue deviation toward the affected side, lingual motility disturbance, and swallowing difficulty.Case presentationIn the report, we describe three cases of Tapia’s syndrome in three Caucasian patients who underwent surgery with general anesthesia. Two of these patients underwent neck abscess drainage, and the third had an open reduction of a shoulder fracture. The clinical symptoms of Tapia’s syndrome appeared after extubation. All three of our patients recovered their lost function at 3 months after diagnosis.ConclusionsWe underline the importance of performing airway endoscopy and a specific program of swallowing rehabilitation for the proper management of Tapia’s syndrome.

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AbstrasctPatients underwent head and neck surgery might present numerous respiratory and gastrointestinal complications. The need to administrate enteral nutrition for long time periods promotes the emergence of such problems. In this line, is important to underline that these complications could be life threatening for the patients. The main aim of the present report is to examine the importance of performing a radiographic control after a NG tubes placement. We firmly believe that it represent the most reliable method to avoid respiratory complications related with NG tubes in high risk patients. ResumenLos pacientes sometidos a cirugía de cabeza y cuello pueden presentar numerosas complicaciones respiratorias y gastrointestinales. La necesidad de administrar la nutrición enteral durante largos períodos de tiempo promueve la aparición de tales problemas. En esta línea, es importante subrayar que estas complicaciones podrían poner en peligro la vida de los pacientes. El objetivo principal del presente informe es examinar la importancia de realizar un control radiográfico después de una colocación de tubos NG. Creemos firmemente que representa el método más fiable para evitar las complicaciones respiratorias relacionadas con los tubos NG en pacientes de alto riesgo.

Aim We present the use of the Fasciotens-abdomen® fascial traction device for the closure of large eventrations in three patients treated in our department. Material & Methods Description of three cases of large eventration in which we used the Fasciotens-abdomen® device. Results The first patient is a 61-year-old woman with a history of anterior ultra-low rectal resection. She presents an M2-M4W3 10 cm eventration. A Rives eventroplasty was performed with placement of a 25×10cm retromuscular PPL mesh. Fasciotens-abdomen® device was applied with a 14–16 kg load during 25 minutes. The second case is a 45-year-old female patient with a previous umbilical hernioplasty in 2016. She presents an M2-M4W3R1 11 cm eventration. During the eventroplasty, fascial approach with Fasciotens-abdomen® device was performed for 25 minutes/14–16 kg, and a mesh of 22×11 cm was placed onlay. Thirdly, a 60-year-old female patient with a previous eventroplasty in 2015. She presented an M2-M3W3 14 cm eventration. During the Rives eventroplasty, 70 cm of small bowel were resected due to firm adhesions. The closure was performed with retromuscular mesh placement and fascial approximation with Fasciotens-abdomen®, for 25 minutes/14kg. All three patients received an infiltration of 15 IU of botulinum toxin weeks before the reconstruction surgery and were discharged from the hospital uneventflul. Conclusions Large incisional hernias pose a challenge to the surgeon. Adjunctive procedures for abdominal wall reconstruction, like the Fasciotens®fascial traction device, help to achieve tension-free midline closure.