Unilateral Hypoglossal Nerve Palsy after Use of the Laryngeal Mask Airway Supreme
Purpose. Hypoglossal nerve palsy after use of the laryngeal mask airway (LMA) is an exceptionally rare complication. We present the first case of unilateral hypoglossal nerve palsy after use of the LMA Supreme. Clinical Features. A healthy 67-year-old female was scheduled for a hallux valgus correct...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Anesthesiology |
| Online Access: | http://dx.doi.org/10.1155/2014/369563 |
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| author | Kenichi Takahoko Hajime Iwasaki Tomoki Sasakawa Akihiro Suzuki Hideki Matsumoto Hiroshi Iwasaki |
| author_facet | Kenichi Takahoko Hajime Iwasaki Tomoki Sasakawa Akihiro Suzuki Hideki Matsumoto Hiroshi Iwasaki |
| author_sort | Kenichi Takahoko |
| collection | DOAJ |
| description | Purpose. Hypoglossal nerve palsy after use of the laryngeal mask airway (LMA) is an exceptionally rare complication. We present the first case of unilateral hypoglossal nerve palsy after use of the LMA Supreme. Clinical Features. A healthy 67-year-old female was scheduled for a hallux valgus correction under general anesthesia combined with femoral and sciatic nerve blocks. A size 4 LMA Supreme was inserted successfully at the first attempt and the cuff was inflated with air at an intracuff pressure of 60 cmH2O using cuff pressure gauge. Anesthesia was maintained with oxygen, nitrous oxide (67%), and sevoflurane under spontaneous breathing. The surgery was uneventful and the duration of anesthesia was two hours. The LMA was removed as the patient woke and there were no immediate postoperative complications. The next morning, the patient complained of dysarthria and dysphasia. These symptoms were considered to be caused by the LMA compressing the nerve against the hyoid bone. Conservative treatment was chosen and the paralysis recovered completely after 5 months. Conclusion. Hypoglossal nerve injury may occur despite correct positioning of the LMA under the appropriate intracuff pressure. A follow-up period of at least 6 months should be taken into account for the recovery. |
| format | Article |
| id | doaj-art-53c12c0ce0164893a747c2f08b8d4521 |
| institution | Kabale University |
| issn | 2090-6382 2090-6390 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Anesthesiology |
| spelling | doaj-art-53c12c0ce0164893a747c2f08b8d45212025-02-03T06:07:21ZengWileyCase Reports in Anesthesiology2090-63822090-63902014-01-01201410.1155/2014/369563369563Unilateral Hypoglossal Nerve Palsy after Use of the Laryngeal Mask Airway SupremeKenichi Takahoko0Hajime Iwasaki1Tomoki Sasakawa2Akihiro Suzuki3Hideki Matsumoto4Hiroshi Iwasaki5Department of Anesthesiology and Critical Care Medicine, Asahikawa Medical University, Midorigaoka Higashi 2-1-1-1, Asahikawa, Hokkaido 078-8510, JapanDepartment of Anesthesiology and Critical Care Medicine, Asahikawa Medical University, Midorigaoka Higashi 2-1-1-1, Asahikawa, Hokkaido 078-8510, JapanDepartment of Anesthesiology and Critical Care Medicine, Asahikawa Medical University, Midorigaoka Higashi 2-1-1-1, Asahikawa, Hokkaido 078-8510, JapanDepartment of Anesthesiology and Critical Care Medicine, Asahikawa Medical University, Midorigaoka Higashi 2-1-1-1, Asahikawa, Hokkaido 078-8510, JapanDepartment of Anesthesiology and Critical Care Medicine, Asahikawa Medical University, Midorigaoka Higashi 2-1-1-1, Asahikawa, Hokkaido 078-8510, JapanDepartment of Anesthesiology and Critical Care Medicine, Asahikawa Medical University, Midorigaoka Higashi 2-1-1-1, Asahikawa, Hokkaido 078-8510, JapanPurpose. Hypoglossal nerve palsy after use of the laryngeal mask airway (LMA) is an exceptionally rare complication. We present the first case of unilateral hypoglossal nerve palsy after use of the LMA Supreme. Clinical Features. A healthy 67-year-old female was scheduled for a hallux valgus correction under general anesthesia combined with femoral and sciatic nerve blocks. A size 4 LMA Supreme was inserted successfully at the first attempt and the cuff was inflated with air at an intracuff pressure of 60 cmH2O using cuff pressure gauge. Anesthesia was maintained with oxygen, nitrous oxide (67%), and sevoflurane under spontaneous breathing. The surgery was uneventful and the duration of anesthesia was two hours. The LMA was removed as the patient woke and there were no immediate postoperative complications. The next morning, the patient complained of dysarthria and dysphasia. These symptoms were considered to be caused by the LMA compressing the nerve against the hyoid bone. Conservative treatment was chosen and the paralysis recovered completely after 5 months. Conclusion. Hypoglossal nerve injury may occur despite correct positioning of the LMA under the appropriate intracuff pressure. A follow-up period of at least 6 months should be taken into account for the recovery.http://dx.doi.org/10.1155/2014/369563 |
| spellingShingle | Kenichi Takahoko Hajime Iwasaki Tomoki Sasakawa Akihiro Suzuki Hideki Matsumoto Hiroshi Iwasaki Unilateral Hypoglossal Nerve Palsy after Use of the Laryngeal Mask Airway Supreme Case Reports in Anesthesiology |
| title | Unilateral Hypoglossal Nerve Palsy after Use of the Laryngeal Mask Airway Supreme |
| title_full | Unilateral Hypoglossal Nerve Palsy after Use of the Laryngeal Mask Airway Supreme |
| title_fullStr | Unilateral Hypoglossal Nerve Palsy after Use of the Laryngeal Mask Airway Supreme |
| title_full_unstemmed | Unilateral Hypoglossal Nerve Palsy after Use of the Laryngeal Mask Airway Supreme |
| title_short | Unilateral Hypoglossal Nerve Palsy after Use of the Laryngeal Mask Airway Supreme |
| title_sort | unilateral hypoglossal nerve palsy after use of the laryngeal mask airway supreme |
| url | http://dx.doi.org/10.1155/2014/369563 |
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