Disfunção temporária do nervo lingual após uso de máscara laríngea. Relato de caso
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Data
2007-07-01
Autores
Cardoso, Hugo Eckener Dantas de Pereira
Kraychete, Durval Campos
Lima Filho, José A.
Garrido, Luciano S.
Rocha, Anita Perpétua Carvalho [UNESP]
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Resumo
BACKGROUND AND OBJECTIVES: The laryngeal mask has been frequently used in Anesthesiology. Although the rate of complications with this technique is smaller than that of the endotracheal tube, it is not devoid of risks, especially in cases of difficult airways. The objective of this study was to report a case of unilateral lingual nerve damage after the use of the laryngeal mask airway. CASE REPORT: A female patient underwent a surgical procedure for removal of bilateral breast prosthesis under general, balanced anesthesia, with a size three laryngeal mask. The balloon was inflated with 30 mL of air. After the first postoperative hour, she developed decreased sensation and pain in the oropharynx and posterior two thirds of the tongue, which evolved for loss of taste in the next 24 hours. A tentative diagnosis of lingual nerve neuropraxis secondary to the use of the laryngeal mask was made. After three weeks, her symptoms subsided. CONCLUSION: Although complications after the use of the laryngeal mask airway are rare, they do occur, and neuropraxis of the lingual nerve is one of them. The diagnosis is clinical and it has a good outcome, with resolution of the symptoms within a few weeks or months. © Sociedade Brasileira de Anestesiologia, 2007.
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Complications: nerve damage, lingual nerve, Equipment, laryngeal mask, fentanyl, midazolam, propofol, rocuronium, abnormal sensation, adult, ageusia, anesthesia induction, breast prosthesis, case report, clinical feature, cranial nerve injury, diagnostic test, female, general anesthesia, human, laryngeal mask, lingual nerve, oropharynx, pain, postoperative period, tongue
Como citar
Revista Brasileira de Anestesiologia, v. 57, n. 4, p. 410-413, 2007.