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Type: Journal article
Title: Cranial nerve injuries with supraglottic airway devices: a systematic review of published case reports and series
Author: Thiruvenkatarajan, V.
Van Wijk, R.
Rajbhoj, A.
Citation: Anaesthesia, 2015; 70(3):344-359
Publisher: Wiley
Issue Date: 2015
ISSN: 0003-2409
Statement of
V. Thiruvenkatarajan, R. M. Van Wijk, and A. Rajbhoj
Abstract: Cranial nerve injuries are unusual complications of supraglottic airway use. Branches of the trigeminal, glossopharyngeal, vagus and the hypoglossal nerve may all be injured. We performed a systematic review of published case reports and case series of cranial nerve injury from the use of supraglottic airway devices. Lingual nerve injury was the most commonly reported (22 patients), followed by recurrent laryngeal (17 patients), hypoglossal (11 patients), glossopharyngeal (three patients), inferior alveolar (two patients) and infra-orbital (one patient). Injury is generally thought to result from pressure neuropraxia. Contributing factors may include: an inappropriate size or misplacement of the device; patient position; overinflation of the device cuff; and poor technique. Injuries other than to the recurrent laryngeal nerve are usually mild and self-limiting. Understanding the diverse presentation of cranial nerve injuries helps to distinguish them from other complications and assists in their management.
Keywords: Humans; Cranial Nerve Injuries; Postoperative Complications; Case-Control Studies; Intubation, Intratracheal; Female; Male
Rights: © 2014 The Association of Anaesthetists of Great Britain and Ireland
RMID: 0030027489
DOI: 10.1111/anae.12917
Appears in Collections:Anaesthesia and Intensive Care publications

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