[经鼻气管插管和咽喉填塞后迷走神经和舌下神经麻痹]

[Vagus and hypoglossus palsy after nasotracheal intubation and throat packing].

作者信息

Schmidt Troels, Philipsen Bahareh Bakshaie, Manhoobi Yavar, Bruun Christiansen Elsebeth Lene

出版信息

Ugeskr Laeger. 2018 Jul 2;180(27).

Abstract

Ipsilateral extracranial palsy of the hypoglossus and vagus nerve is a rare complication of intubation. This is a case report of a 50-year-old male with unilateral palsy of the hypoglossus and vagus nerve after reoperation for a mandibular fracture. The patient underwent logopaedic treatment, and ten months after the operation there was significant but not complete remission of symptoms. Videostroboscopy revealed near-normalisation of vocal cord movement.

摘要

舌下神经和迷走神经同侧颅外麻痹是插管的一种罕见并发症。本文报告一例50岁男性，在下颌骨骨折再次手术后出现舌下神经和迷走神经单侧麻痹。患者接受了言语治疗，术后十个月症状有显著但未完全缓解。频闪喉镜检查显示声带运动接近正常。