Transient unilateral hypoglossal nerve palsy after orotracheal intubation for general anesthesia

Nan K. Hung, Chian H. Lee, Shun Ming Chan, Chung Chang Yeh, Chen Hwan Cherng, Chih Shung Wong, Ching Tang Wu

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Perioperative hypoglossal nerve palsy is a rare postoperative complication. Here, we present a case of transient unilateral hypoglossal nerve palsy after shoulder surgery. The cause of the hypoglossal nerve palsy in our patient was assumed to be a complication of oropharyngeal manipulation during orotracheal intubation for general anesthesia. However, direct compression of the hypoglossal nerve beneath the angle of the mandible during mask ventilation and the surgical procedure may have been a concomitant cause. Therefore, in order to prevent this complication, we must perform mask ventilation and direct laryngoscopy carefully. Head and neck manipulation should be gentle during anesthesia for shoulder surgery.

Original languageEnglish
Pages (from-to)48-50
Number of pages3
JournalActa Anaesthesiologica Taiwanica
Volume47
Issue number1
DOIs
Publication statusPublished - Mar 2009

Fingerprint

Hypoglossal Nerve Diseases
Intubation
General Anesthesia
Masks
Hypoglossal Nerve
Laryngoscopy
Mandible
Neck
Anesthesia
Head

Keywords

  • Arthroscopy
  • Hypoglossal nerve diseases
  • Palsy
  • Postoperative complications
  • Posture
  • Shoulder joint

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Transient unilateral hypoglossal nerve palsy after orotracheal intubation for general anesthesia. / Hung, Nan K.; Lee, Chian H.; Chan, Shun Ming; Yeh, Chung Chang; Cherng, Chen Hwan; Wong, Chih Shung; Wu, Ching Tang.

In: Acta Anaesthesiologica Taiwanica, Vol. 47, No. 1, 03.2009, p. 48-50.

Research output: Contribution to journalArticle

Hung, Nan K. ; Lee, Chian H. ; Chan, Shun Ming ; Yeh, Chung Chang ; Cherng, Chen Hwan ; Wong, Chih Shung ; Wu, Ching Tang. / Transient unilateral hypoglossal nerve palsy after orotracheal intubation for general anesthesia. In: Acta Anaesthesiologica Taiwanica. 2009 ; Vol. 47, No. 1. pp. 48-50.
@article{07fc8f57f52c488cafc5c98567db205c,
title = "Transient unilateral hypoglossal nerve palsy after orotracheal intubation for general anesthesia",
abstract = "Perioperative hypoglossal nerve palsy is a rare postoperative complication. Here, we present a case of transient unilateral hypoglossal nerve palsy after shoulder surgery. The cause of the hypoglossal nerve palsy in our patient was assumed to be a complication of oropharyngeal manipulation during orotracheal intubation for general anesthesia. However, direct compression of the hypoglossal nerve beneath the angle of the mandible during mask ventilation and the surgical procedure may have been a concomitant cause. Therefore, in order to prevent this complication, we must perform mask ventilation and direct laryngoscopy carefully. Head and neck manipulation should be gentle during anesthesia for shoulder surgery.",
keywords = "Arthroscopy, Hypoglossal nerve diseases, Palsy, Postoperative complications, Posture, Shoulder joint",
author = "Hung, {Nan K.} and Lee, {Chian H.} and Chan, {Shun Ming} and Yeh, {Chung Chang} and Cherng, {Chen Hwan} and Wong, {Chih Shung} and Wu, {Ching Tang}",
year = "2009",
month = "3",
doi = "10.1016/S1875-4597(09)60022-9",
language = "English",
volume = "47",
pages = "48--50",
journal = "Asian Journal of Anesthesiology",
issn = "2468-824X",
publisher = "Elsevier Taiwan LLC",
number = "1",

}

TY - JOUR

T1 - Transient unilateral hypoglossal nerve palsy after orotracheal intubation for general anesthesia

AU - Hung, Nan K.

AU - Lee, Chian H.

AU - Chan, Shun Ming

AU - Yeh, Chung Chang

AU - Cherng, Chen Hwan

AU - Wong, Chih Shung

AU - Wu, Ching Tang

PY - 2009/3

Y1 - 2009/3

N2 - Perioperative hypoglossal nerve palsy is a rare postoperative complication. Here, we present a case of transient unilateral hypoglossal nerve palsy after shoulder surgery. The cause of the hypoglossal nerve palsy in our patient was assumed to be a complication of oropharyngeal manipulation during orotracheal intubation for general anesthesia. However, direct compression of the hypoglossal nerve beneath the angle of the mandible during mask ventilation and the surgical procedure may have been a concomitant cause. Therefore, in order to prevent this complication, we must perform mask ventilation and direct laryngoscopy carefully. Head and neck manipulation should be gentle during anesthesia for shoulder surgery.

AB - Perioperative hypoglossal nerve palsy is a rare postoperative complication. Here, we present a case of transient unilateral hypoglossal nerve palsy after shoulder surgery. The cause of the hypoglossal nerve palsy in our patient was assumed to be a complication of oropharyngeal manipulation during orotracheal intubation for general anesthesia. However, direct compression of the hypoglossal nerve beneath the angle of the mandible during mask ventilation and the surgical procedure may have been a concomitant cause. Therefore, in order to prevent this complication, we must perform mask ventilation and direct laryngoscopy carefully. Head and neck manipulation should be gentle during anesthesia for shoulder surgery.

KW - Arthroscopy

KW - Hypoglossal nerve diseases

KW - Palsy

KW - Postoperative complications

KW - Posture

KW - Shoulder joint

UR - http://www.scopus.com/inward/record.url?scp=65249144548&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=65249144548&partnerID=8YFLogxK

U2 - 10.1016/S1875-4597(09)60022-9

DO - 10.1016/S1875-4597(09)60022-9

M3 - Article

C2 - 19318302

AN - SCOPUS:65249144548

VL - 47

SP - 48

EP - 50

JO - Asian Journal of Anesthesiology

JF - Asian Journal of Anesthesiology

SN - 2468-824X

IS - 1

ER -