Lingual Nerve Injury following Tracheal Intubation

Loughman, Eamon

doi:10.1177/0310057x8301100216

Cited by 32 publications

(8 citation statements)

References 1 publication

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“…2 A decade later, however, Loughman reported a right-sided neuropraxia in which cricoid pressure was not applied, confirming that forceful laryngoscopy alone could cause the lesion. 3 The case reported here is unusual in that neuropraxia was bilateral despite pressure being applied to the right side of the tongue. The simplest explanation for this is that both nerves were stretched, adding some support to lones's hypothesis about the aetiology of this rare lesion, although a direct pressure effect on both nerves cannot be excluded.…”

Section: Discussionmentioning

confidence: 76%

Bilaterial Lingual Nerve Injury following Tracheal Intubation

Brimacombe

1993

Anaesth Intensive Care

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Section: Discussionmentioning

confidence: 76%

Bilaterial Lingual Nerve Injury following Tracheal Intubation

Brimacombe

1993

Anaesth Intensive Care

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“…[630] Lingual nerve injury, on one occasion in combination with hypoglossal nerve damage, has been reported as a result of compression from the blade of a laryngoscope at the root of the tongue. [3132333435]…”

Section: Discussionmentioning

confidence: 99%

Right hypoglossal nerve paralysis after tracheal intubation for aesthetic breast surgery

Al-Benna

2013

Saudi J Anaesth

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Aesthetic and functional complications caused by general anesthesia have been rarely described after aesthetic surgery. We report a case of unilateral right hypoglossal nerve paralysis following the use of a cuffed endotracheal airway in a 24-year-old woman undergoing aesthetic breast surgery. Neurological examination and magnetic resonance imaging of the head failed to provide additional insights into the cause of the nerve injury. Postoperatively, the patient was carefully monitored and made a full recovery within 2 weeks without any pharmacological treatment. The transient hypoglossal nerve paralysis seemed to be due to neuropraxia. In this patient, we postulate that the right hypoglossal nerve was compressed between the endotracheal tube cuff and the hyoid bone, which was inflated with 30 cm H2O. Patients undergoing aesthetic surgery must be appropriately and adequately informed that postoperative aesthetic and functional deficits can occur due to anesthesia as well as the surgery.

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“…Lingual nerve injury is a rare complication of laryngoscopy and tracheal intubation and is usually transient [1, 2]. Only one case has been reported of the nerve being injured secondary to the use of the laryngeal mask and this was a unilateral injury [3].…”

Section: Discussionmentioning

confidence: 99%

Bilateral lingual nerve injury following the use of the laryngeal mask airway

Majumder

Hopkins

1998

Anaesthesia

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SummaryWe present a woman in her first pregnancy, with known aortic stenosis prior to conception, who successfully underwent regional anaesthesia for an elective Caesarean section using a subarachnoid microcatheter. The anaesthetic management of patients with aortic stenosis requiring noncardiac surgery is a complex and contentious matter, particularly when the situation is compounded by the physiological changes accompanying pregnancy and delivery. This is the first reported use of a subarachnoid microcatheter in such a patient. The choice of technique is discussed and compared with other options for providing anaesthesia. Patients with aortic stenosis are at risk of increased morbidity and mortality when undergoing anaesthesia [1]. Their compensatory left ventricular hypertrophy renders them vulnerable to ischaemia and they are difficult to resuscitate [2]. The added stress of the physiological changes of pregnancy and delivery can result in an unstable situation with maternal mortality being quoted as 17% and a perinatal mortality of 32% [3]. The choice of anaesthetic should be appropriate to the well-being of both mother and fetus. There are very few reports in the literature regarding the anaesthetic management of patients with aortic stenosis requiring delivery by Caesarean section [4][5][6][7] and the successful use of a subarachnoid microcatheter for this procedure has not been previously reported. Case historyA 21-year-old Asian primigravida, known to have aortic stenosis, presented for an elective Caesarean section at 36 weeks gestation. Prior to conception she had been under review by a cardiologist and at this time she had no cardiac-related symptoms and was otherwise fit and well. She was noted to have an ejection systolic murmur graded 4/6 and a pressure gradient across the valve, estimated by echocardiography, of 48 mmHg. Her electrocardiograph (ECG) was normal.Her pregnancy had progressed uneventfully and, when reviewed by the cardiologist at 16 weeks gestation, she was normotensive, in sinus rhythm and there had been a slight increase in her pressure gradient to 57 mmHg. The echocardiograph showed good left ventricular function with no significant hypertrophy. The decision was made by her consultant obstetrician to deliver the baby by Caesarean section at 36 weeks gestation and she was referred for an anaesthetic opinion.Twenty-four hours prior to surgery she was found to be fit and well, in sinus rhythm, normotensive and with no signs or symptoms of cardiac failure. After a full discussion with the patient and having explained the advantages and disadvantages of both general and regional anaesthesia it was decided to employ a regional anaesthetic technique. It was felt that the use of a spinal microcatheter would allow precise titration of local anaesthetic to effect and thereby minimise physiological changes.Following an overnight fast and routine gastric acid prophylaxis, the patient was transferred to the delivery suite anaesthetic room. A 14 gauge peripheral cannula was inserted under local...

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Lingual Nerve Injury following Tracheal Intubation

Cited by 32 publications

References 1 publication

Bilaterial Lingual Nerve Injury following Tracheal Intubation

Bilaterial Lingual Nerve Injury following Tracheal Intubation

Right hypoglossal nerve paralysis after tracheal intubation for aesthetic breast surgery

Bilateral lingual nerve injury following the use of the laryngeal mask airway

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