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腺样体扁桃体切除术中局部麻醉并发症导致的面神经麻痹和喉痉挛

Facial nerve palsy and laryngospasm as a complication of local anaesthesia during adenotonsillectomy.

作者信息

Lubszczyk Michał, Łuczyńska-Sopel Anna, Polaczkiewicz Dariusz

机构信息

Department of Otorhinolaryngology, Nysa District Hospital, Poland.

Department of Otorhinolaryngology, Nysa District Hospital, Poland.

出版信息

Auris Nasus Larynx. 2018 Oct;45(5):1113-1115. doi: 10.1016/j.anl.2018.03.003. Epub 2018 Apr 5.

DOI:10.1016/j.anl.2018.03.003
PMID:29628319
Abstract

Tonsil surgeries are the most frequently performed surgical procedures in ENT departments. We would like to present the case of a 5-year-old patient who suffered from unilateral peripheral facial nerve palsy and laryngeal spasm following adenotonsillectomy. Paresis was observed immediately after the transfer of the patient to the postoperative room. The activity of facial muscles was restored within 2 hours from the beginning of the surgery. We assume that this was the direct effect of an anaesthetic on the extracranial processes of the facial nerve.

摘要

扁桃体手术是耳鼻喉科最常开展的外科手术。我们想介绍一位5岁患者的病例，该患者在腺样体扁桃体切除术后出现单侧周围性面神经麻痹和喉痉挛。患者被转移至术后病房后立即观察到轻瘫。从手术开始后2小时内面部肌肉活动恢复。我们认为这是麻醉对面神经颅外段直接作用的结果。

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