|
KMID : 0361020100530030172
|
|
Korean Journal of Otolaryngology - Head and Neck Surgery
2010 Volume.53 No. 3 p.172 ~ p.174
|
|
|
A Case of Hypoglossal Nerve Palsy after Tonsillectomy
|
|
Cho Jung-Hae
Park Sung-Chun
Lee Jong-Min
Park Yong-Jin
|
|
|
Abstract
|
|
|
|
Tonsillectomy is a common procedure in the ENT department but unusual complications related to nerve injury might be associated with the surgery. We report a case of permanent hypoglossal nerve palsy following tonsillectomy in a 33-year-old female patient. The findings from the neurologic examination were unremarkable except for tongue deviation to the left, hemiatrophy of the tongue and associated dysarthria. Forceful pressure and stretch of hypoglossal nerve during surgery can explain the cause of injury. To avoid nerve compression, intermittent release of the mouth gag and avoidance of neck hyperextension are suggested especially when long operation time would be expected. Although rare, having knowledge of the existence of hypoglossal nerve injury complicating tonsillectomy is important when counseling patients.
|
|
|
KEYWORD
|
|
|
Tonsillectomy, Hypoglossal nerve palsy
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|