2011
DOI: 10.1093/icvts/ivr056
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Tapia's syndrome -- a rare complication following cardiac surgery

Abstract: Tapia's syndrome is a rare complication following cardiac surgery. It includes the extracranial involvement of the recurrent laryngeal nerve and the hypoglossal nerve and results in ipsilateral paralysis of the vocal cord and the tongue. It is usually a complication related to anaesthesia and positioning of the head of the patient during surgery. We describe this rare complication which occurred at our institute. A 49-year old man developed Tapia's syndrome after an uneventful coronary artery bypass surgery. H… Show more

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Cited by 37 publications
(24 citation statements)
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“…5,16,37,46 During cardiac surgery, neck hyperextension and lateral flexion during sternotomy can compress the ETT cuff against the hypoglossal-recurrent laryngeal nerve, resulting in Tapia’s syndrome. 13,42,43,57 Similarly, unanticipated position changes resulting in accidental extubation, 36 LMA malposition, 28 or change in airway management 34 (e.g., switching from LMA to ETT) are associated with HNP.…”
Section: Resultsmentioning
confidence: 99%
“…5,16,37,46 During cardiac surgery, neck hyperextension and lateral flexion during sternotomy can compress the ETT cuff against the hypoglossal-recurrent laryngeal nerve, resulting in Tapia’s syndrome. 13,42,43,57 Similarly, unanticipated position changes resulting in accidental extubation, 36 LMA malposition, 28 or change in airway management 34 (e.g., switching from LMA to ETT) are associated with HNP.…”
Section: Resultsmentioning
confidence: 99%
“…The administration of intravenous or oral steroids in combinations with B1, B6, B12 vitamins or hialuronic acid injection has been proposed by many authors in the acute setting. At least 4 patients[8,17,23] required percutaneous endoscopic gastrostomy and 2 a naso-gastric tube insertion[20,42] to ensure nutritional requirements while the oro-esofageal route was unable to be used. In two cases (Takimoto[43] and ours), where bilateral paralyses were discovered, reintubation with subsequent tracheotomy was necessary to prevent respiratory failure.…”
Section: Resultsmentioning
confidence: 99%
“…The most frequently involved operations were septoplasty and septorhinoplasty [4,5,9,10]. However, Tapia's syndromes following a shoulder surgery [2], a repair of a fractured mandible [12] and thoracotomies including coronary artery bypass surgery [3,6,7,11] were also described. Although most of the cases are unilateral, bilateral Tapia's syndromes have been reported.…”
Section: Discussionmentioning
confidence: 99%