A case report of Tapia's syndrome after mastectomy and breast reconstruction under general anesthesia

Jee, Chan Hee; Kim, Hyun Jee; Kwak, Kyung Hwa

doi:10.1097/md.0000000000010980

Cited by 6 publications

(2 citation statements)

References 12 publications

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“…Dysphagia is the biggest challenge for patients with Tapia’s syndrome, it not only affects the intake of water and food, but also causes aspiration pneumonia and delays the postoperative recovery process [ 14 , 15 ]. In terms of treatment, people usually combine medication with rehabilitation at the same time [ 16 , 17 ]. Corticosteroids and vitamin B complex are most widely used, but swallowing and speech therapy play a more prominent role during the treatment [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

Electroacupuncture as an effective therapy for Tapia’s syndrome after transoral intubation for general anesthesia: a case report and review of the literature

et al. 2022

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Background Tapia’s syndrome is a rare complication of airway manipulation under general anesthesia. Injuries to the vagus nerve (X) and hypoglossal nerve (XII) during transoral intubation are the primary cause of the disease. The typical symptoms include hoarseness, dysarthria, dysphagia, tongue muscle atrophy, and tongue deviation toward the affected side. We report a case of Tapia’s syndrome treated with electroacupuncture to accelerate the recovery process, and discuss the potential mechanism behind our findings based on previous research. Case presentation In this report, we describe a 57-year-old Chinese man who suffered Tapia’s syndrome after craniotomy evacuation of hematoma with general anesthesia and transoral intubation. After 52 days of electroacupuncture therapy along with standard swallowing training, the patient achieved significant improvement in deglutition and speech function. Conclusion Electroacupuncture is effective and safe for Tapia’s syndrome. It can shorten the recovery time when combined with routine swallowing rehabilitation.

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Section: Discussionmentioning

confidence: 99%

Electroacupuncture as an effective therapy for Tapia’s syndrome after transoral intubation for general anesthesia: a case report and review of the literature

et al. 2022

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“…Communication between anesthesiologists and surgeons about posture may prevent this complication. Moreover, close attention should be given to coexisting symptoms in patients with hoarseness, a common complication of general anesthesia; this will ensure the accurate and timely diagnosis of Tapia's syndrome, possibly preventing poor recovery or a life-threatening outcome, such as aspiration [4,11,14]. Fig.…”

Section: Discussionmentioning

confidence: 99%

A case of combined cranial nerve palsy after general anesthesia

Uneda¹,

Yano²,

Imaizumi³

2018

JA Clin Rep

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To the editor We encountered concomitant paralysis of the unilateral vocal cord and tongue after upper extremity surgery under general anesthesia. This presentation is very rare but may be clinically instructive for both anesthesiologists and surgeons. Case presentation A 51-year-old man (165 cm, 81 kg) underwent internal fixation of a left proximal humeral fracture under general anesthesia. After inducing anesthesia with propofol, remifentanil, and rocuronium, an 8.0-mm tracheal tube was placed using a Macintosh blade uneventfully. The depth and intracuff pressure of the tracheal tube were 23 cm and ≤ 12 cmH 2 O, respectively. The 105-min long procedure was performed in the beach-chair position. Anesthesia was uneventful, except for the displacement of the patient's head and neck, which required repositioningthe head and neck were often deflected to the right while traction was applied to the left forearm during fracture reduction. After emergence from anesthesia, the patient was hoarse. On postoperative day 1, he complained of dysarthria, dysphagia, and leftward deviation of the tongue. On postoperative day 2, magnetic resonance imaging of the head did not show any abnormalities. Subsequent swallowing videofluoroscopy and laryngeal endoscopy revealed pharyngeal retention without aspiration and left vocal cord paralysis. He was diagnosed with

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Tapia’s syndrome as an uncommon complication after cervical spine surgery with tracheostomy: a case report and literature review

et al. 2020

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A case report of Tapia's syndrome after mastectomy and breast reconstruction under general anesthesia

Cited by 6 publications

References 12 publications

Electroacupuncture as an effective therapy for Tapia’s syndrome after transoral intubation for general anesthesia: a case report and review of the literature

Electroacupuncture as an effective therapy for Tapia’s syndrome after transoral intubation for general anesthesia: a case report and review of the literature

A case of combined cranial nerve palsy after general anesthesia

Tapia’s syndrome as an uncommon complication after cervical spine surgery with tracheostomy: a case report and literature review

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