Unilateral Hypoglossus Nerve Palsy Following Intubation
Unilateral Hypoglossus Nerve Palsy Following Intubation
Tarih
2016-01-01
Yazarlar
Güvenç, M. Güven
Özata, A. Sanem
Şengül, Türker
Şener, Sibel
Süreli Yayın başlığı
Süreli Yayın ISSN
Cilt Başlığı
Yayınevi
Acıbadem Mehmet Ali Aydınlar Üniversitesi
Dergi Adı
Özet
ABSTRACT
Some neurological diseases, malignant tumors, trauma and surgery might cause hypoglossal nerve palsy.
However XIIth nerve palsy following intubation is unusual.
A 40 year-old woman underwent surgery for nasal and right phalangeal fractures. The patient had a left hypoglossal
nerve palsy which was detected on the first postoperative day. Her neurological and otorhinolaryngological
evaluation showed no other pathology. The palsy resolved completely in the 6th postoperative week.
Post-intubation hypoglossal nerve palsy is very rare. Appropriate cuff pressure, uneventful oro-tracheal
intubation, and avoiding malpositioning of the head during surgery are of considerable importance in avoiding
this complication. A meticulous neurologic and otorhinolaryngologic evaluation and follow-up of these patients
is critical. The majority of cases recover without sequela.