2012
DOI: 10.1097/lbr.0b013e318241414a
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Lingual Nerve Paralysis After Endobronchial Ultrasound Utilizing Laryngeal Mask Airway

Abstract: A 52-year-old woman developed loss of sensation and taste in the anterior two thirds of her tongue after undergoing endobronchial ultrasound-guided transbronchial needle aspiration using a laryngeal mask airway (LMA). This was believed to be due to bilateral lingual nerve injury, likely caused by stretching of tissue of the upper airway because of repetitive movements of LMA during attempts to obtain a clearer ultrasound image to direct needle insertion. To the best of our knowledge, this is the first report o… Show more

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Cited by 5 publications
(5 citation statements)
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“…3 We conducted a PubMed search and found a total of 23 articles on sublingual nerve paralysis after LMA application. 325 The patients described in these reports had different degrees of sublingual nerve paralysis after surgery, and they basically recovered completely within 6 months after conservative treatment (Table 1). Notably, these reports mainly involved normal patients.…”
Section: Introductionmentioning
confidence: 92%
“…3 We conducted a PubMed search and found a total of 23 articles on sublingual nerve paralysis after LMA application. 325 The patients described in these reports had different degrees of sublingual nerve paralysis after surgery, and they basically recovered completely within 6 months after conservative treatment (Table 1). Notably, these reports mainly involved normal patients.…”
Section: Introductionmentioning
confidence: 92%
“…Flexible fibreoptic bronchoscopy or nasal endoscopy may help in the immediate diagnosis of the more serious bilateral presentations and assist in identifying conditions that might require urgent treatment such as mucosal trauma and arytenoid dislocation. Electromyography, CT scan, MRI scan or video stroboscopy may also help in distinguishing arytenoid dislocation [24] and other causes of cord palsy. Of the 16 patients, five were managed conservatively with recovery times varying from 1 h up to 19 months.…”
Section: Recurrent Laryngeal Nerve Damagementioning
confidence: 99%
“…The cuff pressure was described in only three patients [24,25,29]; the cuff volume was recorded in 11 patients. The contributing factors discussed included: nitrous oxide use; malpositioning; incorrect sizing; prolonged duration of surgery; and chemical neuronitis secondary to the use of wrong lubricant (Table 4).…”
Section: Trigeminal Nerve Injurymentioning
confidence: 99%
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