Yavuzer Reha, Başterzi Y, Ozköse Zerrin, Yücel Demir H, Yilmaz Metin, Ceylan Alper
Gazi University, Ankara, Turkey.
Aesthetic Plast Surg. 2004 Jul-Aug;28(4):208-11. doi: 10.1007/s00266-003-3037-7.
No surgery is free of complications varying from common minor problems to very unexpected and severe ones. In the case presented here, unilateral paralysis of the muscles of the tongue and ipsilateral vocal cord paralysis due to a lesion of the 10th and 12th cranial nerves occurred following a septorhinoplasty that was performed under endotracheal general anesthesia. This rare entity known as Tapia's Syndrome is believed to be caused by pressure neuropathy of both nerves due to inflation of the cuff within the larynx. We remind surgeons of this unusual complication that can occur in any surgery under general anesthesia and discuss its diagnosis, treatment method, and the followup results in light of the literature.
没有任何手术能完全避免并发症，并发症的范围从常见的小问题到极其意外和严重的问题不等。在本文所呈现的病例中，一位患者在气管内全身麻醉下接受鼻中隔鼻成形术后，因第10和第12颅神经损伤出现了舌肌单侧麻痹和同侧声带麻痹。这种罕见的情况被称为塔皮亚综合征，据信是由于喉内袖带充气导致这两条神经受压性神经病变所致。我们提醒外科医生注意这种在全身麻醉下的任何手术中都可能发生的不寻常并发症，并根据文献讨论其诊断、治疗方法及随访结果。
