Al-Benna Sammy
Department of Plastic and Reconstructive Surgery, Nottingham University Hospitals NHS Trust, Nottingham, United Kingdom.
Saudi J Anaesth. 2013 Jul;7(3):341-3. doi: 10.4103/1658-354X.115331.
Aesthetic and functional complications caused by general anesthesia have been rarely described after aesthetic surgery. We report a case of unilateral right hypoglossal nerve paralysis following the use of a cuffed endotracheal airway in a 24-year-old woman undergoing aesthetic breast surgery. Neurological examination and magnetic resonance imaging of the head failed to provide additional insights into the cause of the nerve injury. Postoperatively, the patient was carefully monitored and made a full recovery within 2 weeks without any pharmacological treatment. The transient hypoglossal nerve paralysis seemed to be due to neuropraxia. In this patient, we postulate that the right hypoglossal nerve was compressed between the endotracheal tube cuff and the hyoid bone, which was inflated with 30 cm H2O. Patients undergoing aesthetic surgery must be appropriately and adequately informed that postoperative aesthetic and functional deficits can occur due to anesthesia as well as the surgery.
美容手术中全身麻醉引起的美学和功能并发症鲜有报道。我们报告一例24岁接受美容隆胸手术的女性，在使用带套囊气管内导管后出现右侧舌下神经单侧麻痹的病例。头部的神经学检查和磁共振成像未能为神经损伤的原因提供更多见解。术后，对患者进行了仔细监测，未经任何药物治疗，患者在2周内完全康复。短暂性舌下神经麻痹似乎是由于神经失用症。在该患者中，我们推测右侧舌下神经被套囊充有30 cm H2O的气管导管套囊与舌骨之间压迫。必须适当地充分告知接受美容手术的患者，麻醉以及手术可能导致术后美学和功能缺陷。
