文章基本信息

标题：Tongue Tied after Shoulder Surgery: A Case Series and Literature Review
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作者：Molly B. Kraus ; Rachel B. Cain ; David M. Rosenfeld 等
期刊名称：Case Reports in Anesthesiology
印刷版ISSN：2090-6382
出版年度：2019
卷号：2019
页码：1-9
DOI：10.1155/2019/5392847
出版社：Hindawi Publishing Corporation
摘要：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.