Aly Mohamed, Dadak Rohan, Lin Cheng, Kumar Kamal
Schulich School of Medicine and Dentistry, The University of Western Ontario, London, ON, Canada.
Michael G. DeGroote School of Medicine, McMaster University, Hamilton, ON, Canada.
J Perioper Pract. 2025 Apr;35(4):143-152. doi: 10.1177/17504589241270238. Epub 2024 Aug 27.
Postoperative lingual nerve injury is a rare but serious complication following airway management and can lead to significant discomfort and disability. This literature review explores the aetiology, clinical presentation, management strategies and potential preventive measures for lingual nerve injuries associated with airway management during surgery. A search of PubMed, MEDLINE, EMBASE Science Direct, Cochrane library and Web of Science databases was done since inception to January 2024, including any observational studies and clinical trials describing patients diagnosed with lingual nerve injury following airway instrumentation. Multiple risk factors for lingual nerve injury were identified. Anaesthesia factors include difficulty with intubation and use of laryngeal mask airway. Surgical factors are long duration of operation and surgery of the head and neck. Patient factor includes female sex. Anaesthetists should proactively inform patients about the potential for this nerve injury and control modifiable risk factors to mitigate the risk of injury.
术后舌神经损伤是气道管理后一种罕见但严重的并发症，可导致明显不适和功能障碍。本文献综述探讨了手术期间与气道管理相关的舌神经损伤的病因、临床表现、管理策略和潜在预防措施。自数据库建立至2024年1月，对PubMed、MEDLINE、EMBASE、科学Direct、Cochrane图书馆和Web of Science数据库进行了检索，包括任何描述气道器械操作后被诊断为舌神经损伤患者的观察性研究和临床试验。确定了舌神经损伤的多个危险因素。麻醉因素包括插管困难和使用喉罩气道。手术因素是手术时间长以及头颈部手术。患者因素包括女性。麻醉医生应主动告知患者这种神经损伤的可能性，并控制可改变的危险因素以降低损伤风险。
