Tapia's syndrome following the orthognathic surgery under general anaesthesia

Ota, Nobutaka; Izumi, Kiyotaka; Okamoto, Yoshihiko; Toshitani, Koji; Nakayama, Keiji; Fukuzawa, Hideaki; Ozeki, Satoru; Ikebe, Tetsuro

doi:10.1016/j.ajoms.2012.02.001

Cited by 12 publications

(14 citation statements)

References 10 publications

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“…Similar pathology has been noted after fixation of a fractured mandible 4 and orthognathic surgery. 5 The literature suggests that almost all of these presentations were transient and showed significant improvement within 3 months, which was true for our case as well.…”

Section: Discussionsupporting

confidence: 78%

Tapia's Syndrome

Mumtaz

Henry

Singh

2018

Anesthesia Progress

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More than 100,000 general anesthetic procedures are conducted in United Kingdom every year for dental interventions, according to large survey of the National Health Services. The risk of mortality has reduced considerably in the past few decades because of the use of safe and effective techniques. However, adverse effects still exist and are dependent on patient, environmental, and operator factors. We present an uncommon complication of intubation that merits due awareness.

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Section: Discussionsupporting

confidence: 78%

Tapia's Syndrome

Mumtaz

Henry

Singh

2018

Anesthesia Progress

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“…We encountered a case of serious associated peripheral laryngeal paralysis with repeated episodes of aspiration pneumonia after oral surgery. Although there are reports regarding the onset of associated laryngeal paralysis after oral surgery [2,3], there are no reports on a combination of bilateral glossopharyngeal and vagus nerve paralysis, right recurrent nerve paralysis, and right hypoglossal nerve paralysis after tooth extraction under general anesthesia so far. In our case, MRI images and the healing process ruled out central nerve origin complications so that peripheral neuropathy was possibly considered.…”

Section: Discussionmentioning

confidence: 99%

“…Associated laryngeal paralysis is a clinical condition merged with other cranial nerve disorders associated with vocal cord paralysis [1] and is a rare complication in patients after general anesthesia [2]. In this study, we report our experience with a patient who developed postoperative associated laryngeal paralysis as well as a literature review.…”

Section: Introductionmentioning

confidence: 96%

Recurrent aspiration pneumonia due to bilateral associated laryngeal paralysis after tooth extraction under general anesthesia: a case report

et al. 2020

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Background: Associated laryngeal paralysis is a clinical condition merged with other cranial nerve disorders associated with vocal cord paralysis. It is a rare complication in patients after general anesthesia. Here, we report our experience with a patient who developed associated laryngeal paralysis after oral surgery. Case presentation: A healthy 31-year-old man underwent extraction of horizontally impacted wisdom teeth in the bilateral mandible under general anesthesia. During the surgery, no significant changes in respiratory and cardiovascular parameters or neurosurgical abnormalities occurred. After the surgery, the patient was diagnosed with aspiration pneumonia. Furthermore, the results of otorhinolaryngological and neurological examinations led to a diagnosis of a combination of bilateral glossopharyngeal and vagus nerve paralysis, right recurrent nerve paralysis, and right hypoglossal nerve paralysis. In this case, seriously associated peripheral laryngeal paralysis with repeated episodes of aspiration pneumonia improved in approximately 6 months with rehabilitation and vitamin B12 administration, and no complications remained. Conclusions: We suggest that the anesthesiologist should take care of each procedure minutely. It is important to diagnose cases of nerve palsy as soon as possible to reduce the damage. Having had experience with this case, we believe sharing our experience with anesthesiologists is important.

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“…They also cross the lateral prominence of the anterior surface of the transverse process of C1. The nerves may be compressed between the ETT and a stiff structure such as greater cornu of the hyoid bone, thyroid cartilage, or cervical vertebrae [19]. Compression may also be caused by a combination of excessive throat pack and the ETT cuff [20].…”

Section: Discussionmentioning

confidence: 99%

Tongue Tied after Shoulder Surgery: A Case Series and Literature Review

Kraus

Cain

Rosenfeld

et al. 2019

Case Reports in Anesthesiology

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This article presents three cases of cranial nerve palsy following shoulder surgery with general anesthesia in the beach chair position. All patients underwent preoperative ultrasound-guided interscalene nerve block. Two cases of postoperative hypoglossal and one case of combined hypoglossal and recurrent laryngeal nerve palsies (Tapia's syndrome) were identified. Through this case series, we provide a literature review identifying postoperative cranial nerve palsies in addition to the discussion of possible etiologies. We suggest that intraoperative patient positioning and/or airway instrumentation is most likely causative. We conclude that the beach chair position is a risk factor for postoperative hypoglossal nerve palsy and Tapia's syndrome.

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Tapia's syndrome following the orthognathic surgery under general anaesthesia

Cited by 12 publications

References 10 publications

Tapia's Syndrome

Tapia's Syndrome

Recurrent aspiration pneumonia due to bilateral associated laryngeal paralysis after tooth extraction under general anesthesia: a case report

Tongue Tied after Shoulder Surgery: A Case Series and Literature Review

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