Tekin Muhammet, Acar Gul Ozbilen, Kaytaz Asim, Savrun Feray Karaali, Çelik Melek, Cam Osman Halit
SB İstanbul Goztepe Training and Research Hospital, and İstanbul University Cerrahpasa School of Medicine, Istanbul, Turkey.
J Craniofac Surg. 2012 Jan;23(1):135-7. doi: 10.1097/SCS.0b013e3182413d71.
Even endotracheal intubation could be considered safe in operations under general anesthesia; rarely, it could cause recurrent laryngeal nerve paralysis as a complication. As mentioned in the literature, as a possible reason for this, anterior branches of the recurrent laryngeal nerve in the larynx could suffer from compression between the posteromedial part of the thyroid cartilage and the cuff of the tube. In the literature, unilateral vocal cord paralysis due to endotracheal intubation occurs more frequently in comparison to bilateral vocal cord paralysis. These types of palsies usually totally improve in approximately 6 months. A patient who experienced bilateral vocal cord paralysis in the early postoperative period after undergoing an endotracheal intubation process for general anesthesia and primary partial lip resection and supraomohyoid neck dissection due to lower lip carcinoma is presented in our article. Although vocal cord paralysis occurring after head and neck surgery is first thought as a complication of the surgery, endotracheal intubation should be considered as a possible cause of this paralysis. In relation with this patient, causes, clinical symptoms, and treatment procedures of vocal cord paralysis due to endotracheal intubation are discussed under guidance of the literature.
即使在全身麻醉下进行手术时气管插管也可被认为是安全的；但很少见的是，它可能导致喉返神经麻痹作为一种并发症。如文献中所述，其可能的原因之一是，喉内喉返神经的前支可能受到甲状软骨后内侧部分与气管导管套囊之间的压迫。在文献中，与双侧声带麻痹相比，气管插管导致的单侧声带麻痹更为常见。这些类型的麻痹通常在大约6个月内完全恢复。我们的文章介绍了一名患者，该患者在因下唇癌接受全身麻醉下的气管插管过程、一期部分唇切除和肩胛舌骨上颈部清扫术后早期出现了双侧声带麻痹。虽然头颈部手术后发生的声带麻痹首先被认为是手术的并发症，但气管插管也应被视为这种麻痹的可能原因。结合该患者，在文献指导下讨论了气管插管导致声带麻痹的原因、临床症状及治疗方法。
