Inferior alveolar nerve injury with laryngeal mask airway: a case report.

Hdl Handle:
http://hdl.handle.net/10147/198756
Title:
Inferior alveolar nerve injury with laryngeal mask airway: a case report.
Authors:
Hanumanthaiah, Deepak; Masud, Sarmad; Ranganath, Anil
Affiliation:
Department of Anaesthesia, Cork University Hospital, Cork, Ireland. drdeepakhrh@yahoo.co.in.
Citation:
Inferior alveolar nerve injury with laryngeal mask airway: a case report. 2011, 5:122 J Med Case Reports
Journal:
Journal of medical case reports
Issue Date:
2011
URI:
http://hdl.handle.net/10147/198756
DOI:
10.1186/1752-1947-5-122
PubMed ID:
21447166
Additional Links:
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3073919/pdf/1752-1947-5-122.pdf
Abstract:
The incidence of damage to the individual cranial nerves and their branches associated with laryngeal mask airway use is low; there have been case reports of damage to the lingual nerve, hypoglossal nerve and recurrent laryngeal nerve. To the best of our knowledge we present the first reported case of inferior alveolar nerve injury associated with laryngeal mask airway use.; A 35-year-old Caucasian man presented to our facility for elective anterior cruciate ligament repair. He had no background history of any significant medical problems. He opted for general anesthesia over a regional technique. He was induced with fentanyl and propofol and a size 4 laryngeal mask airway was inserted without any problems. His head was in a neutral position during the surgery. After surgery in the recovery room, he complained of numbness in his lower lip. He also developed extensive scabbing of the lower lip on the second day after surgery. The numbness and scabbing started improving after a week, with complete recovery after two weeks.; We report the first case of vascular occlusion and injury to the inferior alveolar nerve, causing scabbing and numbness of the lower lip, resulting from laryngeal mask airway use. This is an original case report mostly of interest for anesthetists who use the laryngeal mask airway in day-to-day practice. Excessive inflation of the laryngeal mask airway cuff could have led to this complication. Despite the low incidence of cranial nerve injury associated with the use of the laryngeal mask airway, vigilant adherence to evidence-based medicine techniques and recommendations from the manufacturer's instructions can prevent such complications.
Language:
en
Description:
INTRODUCTION: The incidence of damage to the individual cranial nerves and their branches associated with laryngeal mask airway use is low; there have been case reports of damage to the lingual nerve, hypoglossal nerve and recurrent laryngeal nerve. To the best of our knowledge we present the first reported case of inferior alveolar nerve injury associated with laryngeal mask airway use. CASE PRESENTATION: A 35-year-old Caucasian man presented to our facility for elective anterior cruciate ligament repair. He had no background history of any significant medical problems. He opted for general anesthesia over a regional technique. He was induced with fentanyl and propofol and a size 4 laryngeal mask airway was inserted without any problems. His head was in a neutral position during the surgery. After surgery in the recovery room, he complained of numbness in his lower lip. He also developed extensive scabbing of the lower lip on the second day after surgery. The numbness and scabbing started improving after a week, with complete recovery after two weeks. CONCLUSION: We report the first case of vascular occlusion and injury to the inferior alveolar nerve, causing scabbing and numbness of the lower lip, resulting from laryngeal mask airway use. This is an original case report mostly of interest for anesthetists who use the laryngeal mask airway in day-to-day practice. Excessive inflation of the laryngeal mask airway cuff could have led to this complication. Despite the low incidence of cranial nerve injury associated with the use of the laryngeal mask airway, vigilant adherence to evidence-based medicine techniques and recommendations from the manufacturer's instructions can prevent such complications.
ISSN:
1752-1947

Full metadata record

DC FieldValue Language
dc.contributor.authorHanumanthaiah, Deepaken
dc.contributor.authorMasud, Sarmaden
dc.contributor.authorRanganath, Anilen
dc.date.accessioned2011-12-22T16:11:00Z-
dc.date.available2011-12-22T16:11:00Z-
dc.date.issued2011-
dc.identifier.citationInferior alveolar nerve injury with laryngeal mask airway: a case report. 2011, 5:122 J Med Case Reportsen
dc.identifier.issn1752-1947-
dc.identifier.pmid21447166-
dc.identifier.doi10.1186/1752-1947-5-122-
dc.identifier.urihttp://hdl.handle.net/10147/198756-
dc.descriptionINTRODUCTION: The incidence of damage to the individual cranial nerves and their branches associated with laryngeal mask airway use is low; there have been case reports of damage to the lingual nerve, hypoglossal nerve and recurrent laryngeal nerve. To the best of our knowledge we present the first reported case of inferior alveolar nerve injury associated with laryngeal mask airway use. CASE PRESENTATION: A 35-year-old Caucasian man presented to our facility for elective anterior cruciate ligament repair. He had no background history of any significant medical problems. He opted for general anesthesia over a regional technique. He was induced with fentanyl and propofol and a size 4 laryngeal mask airway was inserted without any problems. His head was in a neutral position during the surgery. After surgery in the recovery room, he complained of numbness in his lower lip. He also developed extensive scabbing of the lower lip on the second day after surgery. The numbness and scabbing started improving after a week, with complete recovery after two weeks. CONCLUSION: We report the first case of vascular occlusion and injury to the inferior alveolar nerve, causing scabbing and numbness of the lower lip, resulting from laryngeal mask airway use. This is an original case report mostly of interest for anesthetists who use the laryngeal mask airway in day-to-day practice. Excessive inflation of the laryngeal mask airway cuff could have led to this complication. Despite the low incidence of cranial nerve injury associated with the use of the laryngeal mask airway, vigilant adherence to evidence-based medicine techniques and recommendations from the manufacturer's instructions can prevent such complications.en
dc.description.abstractThe incidence of damage to the individual cranial nerves and their branches associated with laryngeal mask airway use is low; there have been case reports of damage to the lingual nerve, hypoglossal nerve and recurrent laryngeal nerve. To the best of our knowledge we present the first reported case of inferior alveolar nerve injury associated with laryngeal mask airway use.-
dc.description.abstractA 35-year-old Caucasian man presented to our facility for elective anterior cruciate ligament repair. He had no background history of any significant medical problems. He opted for general anesthesia over a regional technique. He was induced with fentanyl and propofol and a size 4 laryngeal mask airway was inserted without any problems. His head was in a neutral position during the surgery. After surgery in the recovery room, he complained of numbness in his lower lip. He also developed extensive scabbing of the lower lip on the second day after surgery. The numbness and scabbing started improving after a week, with complete recovery after two weeks.-
dc.description.abstractWe report the first case of vascular occlusion and injury to the inferior alveolar nerve, causing scabbing and numbness of the lower lip, resulting from laryngeal mask airway use. This is an original case report mostly of interest for anesthetists who use the laryngeal mask airway in day-to-day practice. Excessive inflation of the laryngeal mask airway cuff could have led to this complication. Despite the low incidence of cranial nerve injury associated with the use of the laryngeal mask airway, vigilant adherence to evidence-based medicine techniques and recommendations from the manufacturer's instructions can prevent such complications.-
dc.language.isoenen
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC3073919/pdf/1752-1947-5-122.pdfen
dc.titleInferior alveolar nerve injury with laryngeal mask airway: a case report.en
dc.contributor.departmentDepartment of Anaesthesia, Cork University Hospital, Cork, Ireland. drdeepakhrh@yahoo.co.in.en
dc.identifier.journalJournal of medical case reportsen
dc.description.provinceMunster-
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