Year 2020, Volume 4 , Issue 5, Pages 414 - 416 2020-05-01

Unilateral vocal cord paralysis following maxillofacial deformity correction
Maksillofasiyal deformite düzeltmesi sonrası gelişen unilateral vokal kord paralizi

Kıvanç Berke AK [1] , Mine ÖZEN AKAY [2] , Sina UÇKAN [3]


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.

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.

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Primary Language en
Subjects Surgery
Journal Section Case report
Authors

Orcid: 0000-0002-7623-0473
Author: Kıvanç Berke AK (Primary Author)
Institution: İSTANBUL MEDİPOL ÜNİVERSİTESİ, DİŞ HEKİMLİĞİ FAKÜLTESİ, KLİNİK BİLİMLER BÖLÜMÜ, AĞIZ, DİŞ VE ÇENE CERRAHİSİ ANABİLİM DALI, AĞIZ, DİŞ VE ÇENE HASTALIKLARI BİLİM DALI
Country: Turkey


Orcid: 0000-0001-5825-4650
Author: Mine ÖZEN AKAY
Institution: İSTANBUL MEDİPOL ÜNİVERSİTESİ, TIP FAKÜLTESİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, ANESTEZİYOLOJİ VE REANİMASYON ANABİLİM DALI
Country: Turkey


Orcid: 0000-0003-1077-7342
Author: Sina UÇKAN
Institution: İSTANBUL MEDİPOL ÜNİVERSİTESİ, DİŞ HEKİMLİĞİ FAKÜLTESİ, KLİNİK BİLİMLER BÖLÜMÜ, AĞIZ, DİŞ VE ÇENE CERRAHİSİ ANABİLİM DALI
Country: Turkey


Dates

Publication Date : May 1, 2020

Bibtex @case report { josam615486, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2020}, volume = {4}, pages = {414 - 416}, doi = {10.28982/josam.615486}, title = {Unilateral vocal cord paralysis following maxillofacial deformity correction}, key = {cite}, author = {Ak, Kıvanç Berke and Özen Akay, Mine and Uçkan, Sina} }
APA Ak, K , Özen Akay, M , Uçkan, S . (2020). Unilateral vocal cord paralysis following maxillofacial deformity correction. Journal of Surgery and Medicine , 4 (5) , 414-416 . DOI: 10.28982/josam.615486
MLA Ak, K , Özen Akay, M , Uçkan, S . "Unilateral vocal cord paralysis following maxillofacial deformity correction". Journal of Surgery and Medicine 4 (2020 ): 414-416 <http://jsurgmed.com/en/pub/issue/54145/615486>
Chicago Ak, K , Özen Akay, M , Uçkan, S . "Unilateral vocal cord paralysis following maxillofacial deformity correction". Journal of Surgery and Medicine 4 (2020 ): 414-416
RIS TY - JOUR T1 - Unilateral vocal cord paralysis following maxillofacial deformity correction AU - Kıvanç Berke Ak , Mine Özen Akay , Sina Uçkan Y1 - 2020 PY - 2020 N1 - doi: 10.28982/josam.615486 DO - 10.28982/josam.615486 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 414 EP - 416 VL - 4 IS - 5 SN - -2602-2079 M3 - doi: 10.28982/josam.615486 UR - https://doi.org/10.28982/josam.615486 Y2 - 2020 ER -
EndNote %0 Journal of Surgery and Medicine Unilateral vocal cord paralysis following maxillofacial deformity correction %A Kıvanç Berke Ak , Mine Özen Akay , Sina Uçkan %T Unilateral vocal cord paralysis following maxillofacial deformity correction %D 2020 %J Journal of Surgery and Medicine %P -2602-2079 %V 4 %N 5 %R doi: 10.28982/josam.615486 %U 10.28982/josam.615486
ISNAD Ak, Kıvanç Berke , Özen Akay, Mine , Uçkan, Sina . "Unilateral vocal cord paralysis following maxillofacial deformity correction". Journal of Surgery and Medicine 4 / 5 (May 2020): 414-416 . https://doi.org/10.28982/josam.615486
AMA Ak K , Özen Akay M , Uçkan S . Unilateral vocal cord paralysis following maxillofacial deformity correction. J Surg Med. 2020; 4(5): 414-416.
Vancouver Ak K , Özen Akay M , Uçkan S . Unilateral vocal cord paralysis following maxillofacial deformity correction. Journal of Surgery and Medicine. 2020; 4(5): 416-414.