Brandt L
-, Ernst-Udet-Str. 9, 85764, Oberschleißheim, Deutschland,
Anaesthesist. 2015 Feb;64(2):122-7. doi: 10.1007/s00101-014-2397-5. Epub 2014 Dec 20.
Nerve injuries are a rare complication of airway management. Two cases of Tapia's syndrome following orotracheal intubation are reported. Case 1: a 23-year-old male patient underwent an otorhinolaryngology (ENT) surgical procedure with orotracheal intubation. A left-sided Tapia's syndrome was verified 3 days later. Case 2: a 67-year-old patient developed a right-sided Tapia's syndrome following an arthroscopic intervention of the left shoulder in the beach-chair position. In both cases there was permanent damage of both nerves. On the basis of a comprehensive literature survey the reasons for an intubation-induced Tapia's syndrome are discussed. In order to avoid a glottis or immediate subglottic position it is recommended to check and to document the position of the cuff (depth of intubation) and the measured cuff pressure immediately after intubation. It also seems to be advisable to document an overstretched head position if required for the operation.
神经损伤是气道管理中一种罕见的并发症。本文报告了两例经口气管插管后发生塔皮亚综合征的病例。病例1：一名23岁男性患者在接受耳鼻喉科（ENT）手术时进行了经口气管插管。3天后证实发生了左侧塔皮亚综合征。病例2：一名67岁患者在沙滩椅位接受左肩关节镜干预后出现了右侧塔皮亚综合征。在这两个病例中，两条神经均发生了永久性损伤。基于全面的文献调查，讨论了插管引起塔皮亚综合征的原因。为了避免声门或声门下紧邻部位受压，建议在插管后立即检查并记录袖带位置（插管深度）和测量的袖带压力。如果手术需要，记录过度伸展的头部位置似乎也是可取的。
