Lingual and Buccal Nerve Neuropathy in a Patient in the Prone Position

R, Winter; Munro, Mark

doi:10.1097/00000542-198909000-00025

Cited by 32 publications

(16 citation statements)

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“…Other reports of lingual nerve injury resulting from laryngoscopy describe complete recovery times of between 1 and 6 weeks. [1][2][3][4][5][6] This course of recovery is consistent with neurapraxia, an injury to the nerve fiber that may result from compression or, more commonly, stretching. In contrast to other types of injury in which nerve regeneration must occur, neurapraxia is characterized by rapid, spontaneous, and complete recovery of nerve function.…”

Section: Commentmentioning

confidence: 73%

“…[1][2][3] Anterior displacement of the mandible, mandibular retraction, and cricoid pressure have also been cited as possible causes of lingual nerve injury. [4][5][6] Closely related to the pterygoid muscles, tongue, and mandible, the anatomic course of the lingual nerve places it at risk during laryngoscopy and related maneuvers.…”

Section: Arch Otolaryngol Head Neck Surg 2000;126:669-671mentioning

confidence: 99%

“…Bilateral anterior pressure at the mandibular angles to maintain airway patency has been associated with lingual nerve injury, and mandibular retraction was implicated in a case of combined lingual and buccal neuropathy. 5,6 In both maneuvers, compression of the lingual nerve between the medial and lateral pterygoid muscles was cited as the likely cause of injury.…”

Section: Commentmentioning

confidence: 99%

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Lingual Nerve Injury During Suspension Microlaryngoscopy

Gaut¹,

Williams²

2000

Arch Otolaryngol Head Neck Surg

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Lingual nerve injury is an uncommon complication of laryngoscopy. We report a case of isolated unilateral lingual nerve injury that occurred during suspension microlaryngoscopy. The injury was transient, with complete return of sensation within 3 months after surgery. Several mechanisms have been proposed to explain the occurrence of lingual nerve injury during laryngoscopy, including direct compression of the nerve caused by the laryngoscope, stretching of the nerve caused by cricoid pressure or instrumentation, and compression of the nerve between the medial and lateral pterygoid caused by manipulation of the mandible. The precise mechanism of injury in this case was not obvious, but stretching of the lingual nerve caused by pressure of the suspended laryngoscope on the tongue or retrolingual region was likely. The transient nature of the injury and the rapid return of the nerve to baseline function in this case are consistent with a neurapraxic injury.

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Section: Commentmentioning

confidence: 73%

Section: Arch Otolaryngol Head Neck Surg 2000;126:669-671mentioning

confidence: 99%

Section: Commentmentioning

confidence: 99%

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Lingual Nerve Injury During Suspension Microlaryngoscopy

Gaut¹,

Williams²

2000

Arch Otolaryngol Head Neck Surg

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“…Nerve ischemia occurs because of tension and direct pressure on the ulnar, median, radial, brachial plexus, and axillary nerve; peripheral nerve damage is more likely occur more under GA than SA (7,16,29). Moreover, damage to the lingual, buccal, and supraorbital nerve, phrenic nerve damage due to extension and rotation of neck, damage to the dorsal nerve of the penis, and recurrent laryngeal nerve damage have also been reported (11,23,30,31). In addition, in the prone position under GA, face, ear, breast, and genital injuries can occur, as well as skin necrosis (1,(22)(23)(24)(25)(26)(27)(28).…”

Section: Discussionmentioning

confidence: 99%

Lumbar microdiscectomy under spinal and general anesthesia: a comparative study

Dağıstan¹,

Ökmen²,

Dağıstan³

et al. 2014

Turkish Neurosurgery

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AIm:To compare the safety and efficacy of spinal anesthesia (SA) in patients undergoing lumbar microdiscectomy (LM). mAterIAl and methOds:We evaluated 180 patients who underwent LM between 1 January 2012 and 5 July 2013. Demographic, clinical, laboratory, and pre-, intra-, and postoperative information was determined from the patients' medical records. results:Total anesthetic times were longer in the general anesthesia (GA) group. There was less bleeding at the surgical site in the SA group. Intraoperative blood pressure was significantly also lower in the SA group. Meanwhile, tachycardia was significantly higher in the GA group. The analgesic requirement in post-anesthesia care unit (PACU) was higher in the general anesthesia group. At PACU admission, analgesic requirement, heart rate, and the mean arterial pressure were higher in the GA group. Postoperative nausea and vomiting was more frequent among patients recovering in general anesthesia group. SA patients had an increased incidence of urinary retention compared with GA patients. Pulmonary complications requiring specific treatment were insignificantly higher among GA patients. COnClusIOn:In patients who undergo lumbar disc surgery, SA is a good alternative for experienced surgeons because of a more comfortable healing process.

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“…The injury may happen: 13,14 • between the pterigoid muscles -the maneuvers used to bring the mandible forward and mandible angle compression -used to keep the airway open -are described as cause of nerve injury by nerve compression between the lateral and medial pterigoid muscles. 15,16 • between the medial pterigoid and the mandible -muscle contraction compresses the nerve against a hard bony surface (mandible).…”

Section: Neurological Injuriesmentioning

confidence: 99%

Complicações extralaríngeas das cirurgias por laringoscopia direta de suspensão

Corvo¹,

Inacio

Mello³

et al. 2007

Rev. Bras. Otorrinolaringol.

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Al though suspension laryngoscopy is routinely used in laryngeal surgery, there are only few studies on the complications of this procedure. Aim: to evaluate the complications outside the larynx following suspension laryngoscopy and analyze their relation with surgery duration. Materials and Methods: Thirty-seven procedures were prospectively analyzed for intervention-related complications. The study included patient preoperative and postoperative assessment, focusing on dental, mucosal and nerve status (hypoglossal and lingual nerves). Results: Most procedures (27/37) were associated to some kind of complication, and mucosal injuries were the most common; temporary nerve lesions were observed in five cases and dental injuries in one case. Statistic significance was found between surgery duration and mucosal injury (lesions smaller than 1 centimeter), showing that longer procedure pose higher risks for these complications. Conclusion: These findings suggest that suspension laryngoscopy is frequently associated with complications outside the larynx. Although these injuries represent a low risk of significant morbidity, they can be avoided if more accurate techniques are used.

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Lingual and Buccal Nerve Neuropathy in a Patient in the Prone Position

Cited by 32 publications

References 0 publications

Lingual Nerve Injury During Suspension Microlaryngoscopy

Lingual Nerve Injury During Suspension Microlaryngoscopy

Lumbar microdiscectomy under spinal and general anesthesia: a comparative study

Complicações extralaríngeas das cirurgias por laringoscopia direta de suspensão

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