Peripheral Tapiaʼs syndrome after cardiac surgery

Rotondo, Federica; Paulis, Stefano De; Modoni, Anna; Schiavello, R

doi:10.1097/eja.0b013e3283340ac3

Cited by 20 publications

(13 citation statements)

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“…5,16,37,46 During cardiac surgery, neck hyperextension and lateral flexion during sternotomy can compress the ETT cuff against the hypoglossal-recurrent laryngeal nerve, resulting in Tapia’s syndrome. 13,42,43,57 Similarly, unanticipated position changes resulting in accidental extubation, 36 LMA malposition, 28 or change in airway management 34 (e.g., switching from LMA to ETT) are associated with HNP.…”

Section: Resultsmentioning

confidence: 99%

Hypoglossal Nerve Palsy After Airway Management for General Anesthesia

Shah

Barnes

Spiekerman

2015

Anesthesia &Amp; Analgesia

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Isolated hypoglossal nerve palsy (HNP), or neurapraxia, a rare postoperative complication after airway management, causes ipsilateral tongue deviation, dysarthria, and dysphagia. We reviewed the pathophysiological causes of hypoglossal nerve injury and discuss the associated clinical and procedural characteristics of affected patients. Furthermore, we identified procedural factors potentially affecting HNP recovery duration and propose several measures that may reduce the risk of HNP. While HNP can occur after a variety of surgeries, most cases in the literature were reported after orthopedic and otolaryngology operations, typically in males. The diagnosis is frequently missed by the anesthesia care team in the recovery room due to the delayed symptomatic onset and often requires neurology and otolaryngology evaluations to exclude serious etiologies. Signs and symptoms are self-limited, with resolution occurring within 2 months in 50% of patients, and 80% resolving within 4 months. Currently, there are no specific preventive or therapeutic recommendations. We found 69 cases of HNP after procedural airway management reported in the literature from 1926–2013.

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Section: Resultsmentioning

confidence: 99%

Hypoglossal Nerve Palsy After Airway Management for General Anesthesia

Shah

Barnes

Spiekerman

2015

Anesthesia &Amp; Analgesia

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“…The other 5 cases of Tapia's syndrome after endotracheal anesthesia reported in the literature occurred after cardiac surgery (2 cases) [7,8], thoracic surgery (1 case) [9], shoulder surgery (1 case) [10], and repair of a fractured mandible (1 case) [11]. The etiology was also nerve injury due to stretching or compression as a result of mechanisms similar to those associated with rhinoplasty or septorhinoplasty.…”

Section: Discussionmentioning

confidence: 90%

“…When rhinoplasty/ septorhinoplasty is performed under endotracheal anesthesia, both anesthesiologists and plastic surgeons should be aware of the following preventive measures suggested in the existing literature [3][4][5][6][7][8][9][10][11]:…”

Section: Discussionmentioning

confidence: 99%

Tapia’s Syndrome: An Unexpected but Real Complication of Rhinoplasty: Case Report and Literature Review

Lykoudis

Seretis

2011

Aesth Plast Surg

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Extracranial involvement of the recurrent laryngeal and hypoglossal nerves, also known as Tapia's syndrome, is a rare complication of airway management under general anesthesia. We report such a case after an otherwise uncomplicated rhinoplasty. After reviewing the other nine reported cases of Tapia's syndrome, we found that half of the patients had undergone rhinoplasty or septorhinoplasty. The risk factors, etiology, clinical course, recovery potential, and preventive measures are analyzed and discussed. Although Tapia's syndrome after rhinoplasty/septorhinoplasty appears to be rare, it should be considered by both the anesthetist and the plastic surgeon, and most importantly, special attention should be paid to preventive strategies.

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“…Johnson and Moore [10] reported this syndrome after an interscalene brachial plexus block. There was a case caused by the placement of a nasogastric tube, and was worsened by the administration of heparin during cardiac surgery [11]. The most frequently involved operations were septoplasty and septorhinoplasty [4,5,9,10].…”

Section: Discussionmentioning

confidence: 99%

“…The most frequently involved operations were septoplasty and septorhinoplasty [4,5,9,10]. However, Tapia's syndromes following a shoulder surgery [2], a repair of a fractured mandible [12] and thoracotomies including coronary artery bypass surgery [3,6,7,11] were also described. Although most of the cases are unilateral, bilateral Tapia's syndromes have been reported.…”

Section: Discussionmentioning

confidence: 99%

Tapia's syndrome following cervical laminoplasty -A case report-

Lim

Kim

Kang

et al. 2013

Korean J Anesthesiol

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Tapia's syndrome is the palsy of the 10th and 12th cranial nerves, resulting in ipsilateral paralysis of the vocal cord and tongue. It is a rare complication which is related to the anesthetic airway management and positioning of the patient's head during the surgery. We describe a patient with a postoperative unilateral Tapia's syndrome, after general anesthesia, with uncomplicated endotracheal intubation. The patient's symptoms improved gradually for three months.

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Peripheral Tapiaʼs syndrome after cardiac surgery

Cited by 20 publications

References 0 publications

Hypoglossal Nerve Palsy After Airway Management for General Anesthesia

Hypoglossal Nerve Palsy After Airway Management for General Anesthesia

Tapia’s Syndrome: An Unexpected but Real Complication of Rhinoplasty: Case Report and Literature Review

Tapia's syndrome following cervical laminoplasty -A case report-

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