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Maksillofasiyal deformite düzeltmesi sonrası gelişen unilateral vokal kord paralizi

Yıl 2020, Cilt: 4 Sayı: 5, 414 - 416, 01.05.2020

Kıvanç Berke Ak Mine Özen Akay Sina Uçkan

https://doi.org/10.28982/josam.615486

Öz

Genel anestezi, düşük morbidite ve mortalite oranına sahip, güvenli bir işlemdir. Tek seferde sağlanan, girişimsel olmayan endotrakeal entübasyon sonrası minor travma ile gelişen orta derecede ses kısıklığı ve boğaz ağrısı, erken postoperatif dönemde normal kabul edilir. Ses kısıklığı ile seyreden vokal kord paralizi ise endotrakeal entübasyonun çok nadir görülen bir komplikasyonudur. Bu nedenle özellikle ortognatik cerrahiden sonra ortaya çıkarsa erken tanı koymak zordur. Ortognatik cerrahi sonrası bu komplikasyon, sadece bir vaka raporunda bildirilmiştir. Bu olguda, 33 yaşında sağlıklı bir kadın hastada bimaksiller ortognatik cerrahi sonrası gelişen, ses kısıklığı ile seyreden tek taraflı vokal kord paralizi bildirildi. Ses kısıklığı entübasyona bağlı olarak kabul edildi ve hastada video laringoskopik inceleme yapılana kadar erken postop fazda vokal kord paralizi teşhis edilemedi. Vokal kord paralizi beş ay sürdü ve herhangi bir girişimsel tedavi uygulanmadan düzeldi. Çok nadir bir komplikasyon olmasına rağmen, vokal kord paralizi cerrahlar veya anestezi uzmanları tarafından göz ardı edilmemelidir ve ortognatik cerrahi sonrası vokal kord fonksiyonlarına dikkat etmelidir. Aspirasyon riski yoksa, herhangi bir girişimsel tedavi yapmadan önce en az 6 ay beklenmesi gerekir.

Anahtar Kelimeler

Unilateral vokal kord paralizi Ortognatik cerrahi Komplikasyon Maksilofasiyal deformite

Kaynakça

  • 1. Maktabi MA, Smith RB, Todd MM. Is routine endotracheal intubation as safe as we think or wish? Anesthesiology. 2003;99:247–8.
  • 2. Kikura M, Suzuki K, Itagaki T, Takada T, Sato S. Age and comorbidity as risk factors for vocal cord paralysis associated with tracheal intubation. Br J Anaesth. 2007;98:524–30. doi:10.1093/bja/aem005.
  • 3. Hurtado Nazal C, Araneda Vilches A, Vergara Marín C, García Contreras K, Napolitano Valenzuela C, Badía Ventí P. Vocal cord paralysis after endotracheal intubation: an uncommon complication of general anesthesia. Brazilian J Anesthesiol (English Ed. 2018;68:637–40. doi:10.1016/j.bjane.2017.12.007.
  • 4. Beebe DS. Complications of tracheal intubation. Semin Anesth Perioper Med Pain. 2001;20:166–72.
  • 5. Complications of the endotracheal tube following initial placement: Prevention and management in adult intensive care unit patients - UpToDate. https://www.uptodate.com/contents/complications-of-the-endotracheal-tube-following-initial-placement-prevention-and-management-in-adult-intensive-care-unit-patients. Accessed 12 Jan 2020.
  • 6. Ellis SF, Pollak AC, Hanson DG, Jiang JJ. Videolaryngoscopic evaluation of laryngeal intubation injury: Incidence and predictive factors. Otolaryngol - Head Neck Surg. 1996;114:729–31.
  • 7. Fauzdar S, Kraus J, Papageorge M. Vocal cord paralysis following orthognathic surgery intubation. Ann Maxillofac Surg. 2011;1:166.

Unilateral vocal cord paralysis following maxillofacial deformity correction

Yıl 2020, Cilt: 4 Sayı: 5, 414 - 416, 01.05.2020

Kıvanç Berke Ak Mine Özen Akay Sina Uçkan

https://doi.org/10.28982/josam.615486

Öz

General anesthesia has a low morbidity and mortality rate and is considered a safe procedure. Moderate hoarseness and sore throat are considered acceptable during the early postoperative period due to minor trauma even after first attempt noninvasive intubation. Vocal cord paralysis is an infrequent complication of endotracheal intubation. It also presents with hoarseness and that is why early diagnosis is difficult, especially if it appears after the orthognathic surgery procedure. There is only one case report of this complication after orthognathic surgery. In this case report, a 33-year-old healthy female patient who had unilateral vocal cord paralysis after bimaxillary orthognathic surgery is presented. Although hoarseness was the first symptom, it was considered as mild hoarseness due to intubation and could not be diagnosed in the early postoperative phase until the video-laryngoscopic examination was performed. Vocal cord paralysis lasted for five months and resolved spontaneously. Although very unusual, surgeons or anesthesiologists should be aware of this unpleasant complication and pay attention to vocal cord functions after orthognathic surgery. If there is no risk of aspiration, at least six months is required before performing any interventions.

Anahtar Kelimeler

Unilateral Vocal Cord Paralysis Orthognathic surgery Complication Maxillofacial deformity

Kaynakça

  • 1. Maktabi MA, Smith RB, Todd MM. Is routine endotracheal intubation as safe as we think or wish? Anesthesiology. 2003;99:247–8.
  • 2. Kikura M, Suzuki K, Itagaki T, Takada T, Sato S. Age and comorbidity as risk factors for vocal cord paralysis associated with tracheal intubation. Br J Anaesth. 2007;98:524–30. doi:10.1093/bja/aem005.
  • 3. Hurtado Nazal C, Araneda Vilches A, Vergara Marín C, García Contreras K, Napolitano Valenzuela C, Badía Ventí P. Vocal cord paralysis after endotracheal intubation: an uncommon complication of general anesthesia. Brazilian J Anesthesiol (English Ed. 2018;68:637–40. doi:10.1016/j.bjane.2017.12.007.
  • 4. Beebe DS. Complications of tracheal intubation. Semin Anesth Perioper Med Pain. 2001;20:166–72.
  • 5. Complications of the endotracheal tube following initial placement: Prevention and management in adult intensive care unit patients - UpToDate. https://www.uptodate.com/contents/complications-of-the-endotracheal-tube-following-initial-placement-prevention-and-management-in-adult-intensive-care-unit-patients. Accessed 12 Jan 2020.
  • 6. Ellis SF, Pollak AC, Hanson DG, Jiang JJ. Videolaryngoscopic evaluation of laryngeal intubation injury: Incidence and predictive factors. Otolaryngol - Head Neck Surg. 1996;114:729–31.
  • 7. Fauzdar S, Kraus J, Papageorge M. Vocal cord paralysis following orthognathic surgery intubation. Ann Maxillofac Surg. 2011;1:166.
Toplam 7 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Cerrahi
Bölüm Olgu sunumu
Yazarlar

Kıvanç Berke Ak 0000-0002-7623-0473

Mine Özen Akay Bu kişi benim 0000-0001-5825-4650

Sina Uçkan 0000-0003-1077-7342

Yayımlanma Tarihi 1 Mayıs 2020
Yayımlandığı Sayı Yıl 2020 Cilt: 4 Sayı: 5

Kaynak Göster

APA Ak, K. B., Özen Akay, M., & Uçkan, S. (2020). Unilateral vocal cord paralysis following maxillofacial deformity correction. Journal of Surgery and Medicine, 4(5), 414-416. https://doi.org/10.28982/josam.615486
AMA Ak KB, Özen Akay M, Uçkan S. Unilateral vocal cord paralysis following maxillofacial deformity correction. J Surg Med. Mayıs 2020;4(5):414-416. doi:10.28982/josam.615486
Chicago Ak, Kıvanç Berke, Mine Özen Akay, ve Sina Uçkan. “Unilateral Vocal Cord Paralysis Following Maxillofacial Deformity Correction”. Journal of Surgery and Medicine 4, sy. 5 (Mayıs 2020): 414-16. https://doi.org/10.28982/josam.615486.
EndNote Ak KB, Özen Akay M, Uçkan S (01 Mayıs 2020) Unilateral vocal cord paralysis following maxillofacial deformity correction. Journal of Surgery and Medicine 4 5 414–416.
IEEE K. B. Ak, M. Özen Akay, ve S. Uçkan, “Unilateral vocal cord paralysis following maxillofacial deformity correction”, J Surg Med, c. 4, sy. 5, ss. 414–416, 2020, doi: 10.28982/josam.615486.
ISNAD Ak, Kıvanç Berke vd. “Unilateral Vocal Cord Paralysis Following Maxillofacial Deformity Correction”. Journal of Surgery and Medicine 4/5 (Mayıs 2020), 414-416. https://doi.org/10.28982/josam.615486.
JAMA Ak KB, Özen Akay M, Uçkan S. Unilateral vocal cord paralysis following maxillofacial deformity correction. J Surg Med. 2020;4:414–416.
MLA Ak, Kıvanç Berke vd. “Unilateral Vocal Cord Paralysis Following Maxillofacial Deformity Correction”. Journal of Surgery and Medicine, c. 4, sy. 5, 2020, ss. 414-6, doi:10.28982/josam.615486.
Vancouver Ak KB, Özen Akay M, Uçkan S. Unilateral vocal cord paralysis following maxillofacial deformity correction. J Surg Med. 2020;4(5):414-6.
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