Lingual nerve injury following the use of an oropharyngeal airway under endotracheal general anesthesia

Kuo Ching Wang, Wing Sum Chan, Cheng Tsong Tsai, Gong Jhe Wu, Yi Chang, Hsiang Chien Tseng

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

We report a patient who presented for elective myomectomy. Laryngoscopy and endotracheal intubation were achieved smoothly without unduly force. An oropharyngeal airway was inserted after endotracheal intubation for biting and was left in the oral cavity until the end of surgery. Two days after surgery, the patient complained of numbness on the right side of her tongue. Neurological examination revealed an area of hypesthesia about 1 cm in diameter on the right side of the tongue tip. The motor function, taste perception, and speech articulation were all intact. A right lingual nerve lesion with terminal branch involvement was diagnosed. The patient was then reassured and discharged home. At the 4-week follow-up, spontaneous resolution occurred. After reviewing the history, we speculated that the mechanism of nerve injury in this case was a direct compression of the tongue tip by the oropharyngeal airway. This is the first report of lingual nerve injury caused by improper placement of the oropharyngeal airway. We recommend careful manipulation in the use of the oropharyngeal airway and vigilant surveillance being undertaken when an oropharyngeal airway is left in place for a prolonged period.

Original languageEnglish
Pages (from-to)119-122
Number of pages4
JournalActa Anaesthesiologica Taiwanica
Volume44
Issue number2
Publication statusPublished - Jun 2006
Externally publishedYes

Fingerprint

Lingual Nerve Injuries
Endotracheal Anesthesia
Tongue
General Anesthesia
Intratracheal Intubation
Hypesthesia
Uterine Myomectomy
Lingual Nerve
Taste Perception
Laryngoscopy
Neurologic Examination
Ambulatory Surgical Procedures
Mouth
History
Wounds and Injuries

Keywords

  • Airway
  • Laryngoscopy
  • Lingual nerve
  • Neuropraxia

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Lingual nerve injury following the use of an oropharyngeal airway under endotracheal general anesthesia. / Wang, Kuo Ching; Chan, Wing Sum; Tsai, Cheng Tsong; Wu, Gong Jhe; Chang, Yi; Tseng, Hsiang Chien.

In: Acta Anaesthesiologica Taiwanica, Vol. 44, No. 2, 06.2006, p. 119-122.

Research output: Contribution to journalArticle

Wang, Kuo Ching ; Chan, Wing Sum ; Tsai, Cheng Tsong ; Wu, Gong Jhe ; Chang, Yi ; Tseng, Hsiang Chien. / Lingual nerve injury following the use of an oropharyngeal airway under endotracheal general anesthesia. In: Acta Anaesthesiologica Taiwanica. 2006 ; Vol. 44, No. 2. pp. 119-122.
@article{79669b053fe64931ab26b7ee7565fe80,
title = "Lingual nerve injury following the use of an oropharyngeal airway under endotracheal general anesthesia",
abstract = "We report a patient who presented for elective myomectomy. Laryngoscopy and endotracheal intubation were achieved smoothly without unduly force. An oropharyngeal airway was inserted after endotracheal intubation for biting and was left in the oral cavity until the end of surgery. Two days after surgery, the patient complained of numbness on the right side of her tongue. Neurological examination revealed an area of hypesthesia about 1 cm in diameter on the right side of the tongue tip. The motor function, taste perception, and speech articulation were all intact. A right lingual nerve lesion with terminal branch involvement was diagnosed. The patient was then reassured and discharged home. At the 4-week follow-up, spontaneous resolution occurred. After reviewing the history, we speculated that the mechanism of nerve injury in this case was a direct compression of the tongue tip by the oropharyngeal airway. This is the first report of lingual nerve injury caused by improper placement of the oropharyngeal airway. We recommend careful manipulation in the use of the oropharyngeal airway and vigilant surveillance being undertaken when an oropharyngeal airway is left in place for a prolonged period.",
keywords = "Airway, Laryngoscopy, Lingual nerve, Neuropraxia",
author = "Wang, {Kuo Ching} and Chan, {Wing Sum} and Tsai, {Cheng Tsong} and Wu, {Gong Jhe} and Yi Chang and Tseng, {Hsiang Chien}",
year = "2006",
month = "6",
language = "English",
volume = "44",
pages = "119--122",
journal = "Asian Journal of Anesthesiology",
issn = "2468-824X",
publisher = "Elsevier Taiwan LLC",
number = "2",

}

TY - JOUR

T1 - Lingual nerve injury following the use of an oropharyngeal airway under endotracheal general anesthesia

AU - Wang, Kuo Ching

AU - Chan, Wing Sum

AU - Tsai, Cheng Tsong

AU - Wu, Gong Jhe

AU - Chang, Yi

AU - Tseng, Hsiang Chien

PY - 2006/6

Y1 - 2006/6

N2 - We report a patient who presented for elective myomectomy. Laryngoscopy and endotracheal intubation were achieved smoothly without unduly force. An oropharyngeal airway was inserted after endotracheal intubation for biting and was left in the oral cavity until the end of surgery. Two days after surgery, the patient complained of numbness on the right side of her tongue. Neurological examination revealed an area of hypesthesia about 1 cm in diameter on the right side of the tongue tip. The motor function, taste perception, and speech articulation were all intact. A right lingual nerve lesion with terminal branch involvement was diagnosed. The patient was then reassured and discharged home. At the 4-week follow-up, spontaneous resolution occurred. After reviewing the history, we speculated that the mechanism of nerve injury in this case was a direct compression of the tongue tip by the oropharyngeal airway. This is the first report of lingual nerve injury caused by improper placement of the oropharyngeal airway. We recommend careful manipulation in the use of the oropharyngeal airway and vigilant surveillance being undertaken when an oropharyngeal airway is left in place for a prolonged period.

AB - We report a patient who presented for elective myomectomy. Laryngoscopy and endotracheal intubation were achieved smoothly without unduly force. An oropharyngeal airway was inserted after endotracheal intubation for biting and was left in the oral cavity until the end of surgery. Two days after surgery, the patient complained of numbness on the right side of her tongue. Neurological examination revealed an area of hypesthesia about 1 cm in diameter on the right side of the tongue tip. The motor function, taste perception, and speech articulation were all intact. A right lingual nerve lesion with terminal branch involvement was diagnosed. The patient was then reassured and discharged home. At the 4-week follow-up, spontaneous resolution occurred. After reviewing the history, we speculated that the mechanism of nerve injury in this case was a direct compression of the tongue tip by the oropharyngeal airway. This is the first report of lingual nerve injury caused by improper placement of the oropharyngeal airway. We recommend careful manipulation in the use of the oropharyngeal airway and vigilant surveillance being undertaken when an oropharyngeal airway is left in place for a prolonged period.

KW - Airway

KW - Laryngoscopy

KW - Lingual nerve

KW - Neuropraxia

UR - http://www.scopus.com/inward/record.url?scp=33745608434&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33745608434&partnerID=8YFLogxK

M3 - Article

VL - 44

SP - 119

EP - 122

JO - Asian Journal of Anesthesiology

JF - Asian Journal of Anesthesiology

SN - 2468-824X

IS - 2

ER -