Skip to main content

Advertisement

SpringerLink
Log in

Tapia’s Syndrome Following Septorhinoplasty

  • Published:
Aesthetic Plastic Surgery Aims and scope Submit manuscript

Abstract

No surgery is free of complications varying from common minor problems to very unexpected and severe ones. In the case presented here, unilateral paralysis of the muscles of the tongue and ipsilateral vocal cord paralysis due to a lesion of the 10th and 12th cranial nerves occurred following a septorhinoplasty that was performed under endotracheal general anesthesia. This rare entity known as Tapia’s Syndrome is believed to be caused by pressure neuropathy of both nerves due to inflation of the cuff within the larynx. We remind surgeons of this unusual complication that can occur in any surgery under general anesthesia and discuss its diagnosis, treatment method, and the followup results in light of the literature.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Figure 1

Similar content being viewed by others

References

  1. Baumgarten V, Jalinski W, Bohm S, Galle E: Hypoglossal paralysis after septum correction with intubation anaethesia. Der Anaesthesist 46:34–37, 1997

    Article  PubMed  CAS  Google Scholar 

  2. Dearing J: Transient contralateral hypoglossal nerve palsy following third molar surgery under day-case general anaesthesia: a case report and review of the literature. Br J Oral Maxillofac Surg 36:24–26, 1998

    Article  PubMed  CAS  Google Scholar 

  3. Gelmers HJ: Tapia’s syndrome after thoracotomy. Arch Otolaryngol 109:622–623, 1989

    Article  Google Scholar 

  4. Keane JR: Twelfth nerve palsy: analysis of 100 cases. Arch Neurol 53:561–566, 1996

    Article  PubMed  CAS  Google Scholar 

  5. Lagalla G, Logullo F, Di Bella P, Provinciali L, Ceravolo MG: Influence of early high dose steroid treatment on Bell’s palsy evolution. Neurol Sci 23:107– 112, 2002

    Article  PubMed  CAS  Google Scholar 

  6. Lu YH, Hsieh MW, Tong YH: Unilateral vocal cord paralysis following endotracheal intubation—a case report. Acta Anaesthesiol Sin 37:221–224, 1999

    PubMed  CAS  Google Scholar 

  7. O’Brien JP, Yau ACMC, Hodgson AR: Halo pelvic traction: A technic for severe spinal deformities. Clin Orthop 93:179–190, 1973

    Article  PubMed  Google Scholar 

  8. Ono S, Nishiyama T, Hanaoka K: Hoarseness after endotracheal intubation caused by submucosal hemorrage of the vocal cord and reccurent nerve palsy. Masui 49:881–883, 2000

    PubMed  CAS  Google Scholar 

  9. Rubio-Nazabal E, Marey-Lopez J, Lopez-Facal S, Alverez-Perez P, Martinez-Fiqueroa A, Rey del Corral P: Isolated bilateral paralysis of the hypoglossal nerve after transoral intubation for general anesthesia. 96:245–247, 2002

    Google Scholar 

  10. Stewart A, Lindsay WA: Bilateral hypoglossal nerve injury following the use of the laryngeal mask airway. Anaesthesia 57:264–265, 2002

    Article  PubMed  CAS  Google Scholar 

  11. Streppel M, Bachmann G, Stennert E: Hypoglossal nerve palsy as a complication of transoral intubation for general anaesthesia. Anesthesiology 86:1007, 1997

    Article  PubMed  CAS  Google Scholar 

  12. Tapia AG: Un caso de paralisis del lado derecho de la laringe y de la ungue, con paralisis del externo-cleidomastoidea y trapecio del mismo lado. Siglo Medica 52:211–213, 1905

    Google Scholar 

  13. Venkatesh B, Walker D: Hypoglossal neuropraxia following endotracheal intubation. Anaesth Intensive Care 25:699–700, 1997

    PubMed  CAS  Google Scholar 

  14. Wael BK, Mayerson J, Gordon BR: Cranial nerve palsy as a complication of operative traction. Spine 24:585–586, 1999

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Gazi University, Ankara, Turkey

    Reha Yavuzer M.D., Y. Başterzi M.D., Zerrin Æzköse M.D., H. Yücel Demir M.D., Metin Yilmaz M.D. & Alper Ceylan M.D.

Authors
  1. Reha Yavuzer M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Y. Başterzi M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Zerrin Æzköse M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. H. Yücel Demir M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Metin Yilmaz M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Alper Ceylan M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Y. Başterzi M.D..

Rights and permissions

Reprints and permissions

About this article

Cite this article

Yavuzer, R., Başterzi, Y., Æzköse, Z. et al. Tapia’s Syndrome Following Septorhinoplasty . Aesth. Plast. Surg. 28, 208–211 (2004). https://doi.org/10.1007/s00266-003-3037-7

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00266-003-3037-7

Keywords

Search

Navigation