Tetraplegia After a Tracheal Resection Procedure

Pitz, Cordula; Duurkens, Vincent A.M.; Goossens, D.; Knaepen, Paul J.; Siegers, Peter; Hoogenboom, Leo J.

doi:10.1378/chest.106.4.1264

Cited by 21 publications

(12 citation statements)

References 2 publications

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“…However in neurosurgical and cardio surgical procedures, it is a well-known complication especially in aortic reconstruction with prolonged cross clamping of the aorta or division of one or more intercostal arteries when the blood supply of spinal cord medulla is jeopardized. 3 Head flexion is a common procedure done post trachea resection anastomosis to prevent skin breakdown and anastomotic dehiscence. Aydinyan et al study regarding option for neck flexion comparing chest to skin suture by Grillo, Aspen cervical collar and cervical thoracic orthosis.…”

Section: Discussionmentioning

confidence: 99%

Paraplegia as a rare complication of tracheal resection anastomosis

Noh

Mohamad

Maruthamuthu

et al. 2018

Int J Otorhinolaryngol Head Neck Surg

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<p class="abstract">Tracheal resection is the definitive surgical treatment whereby resection of stenotic segment with end-to-end anastomosis is performed. The procedure is indicated in a case of grade IV tracheal stenosis. Known complications include granulation tissue formation, restenosis of the trachea, anastomotic separation, tracheoesophageal fistula (TEF) and tracheoinnominate fistula (TIF), wound infection, laryngeal edema and laryngeal dysfunction. We present an 18- year-old gentleman whom previously ambulating, developed acute paraplegia following this surgery. In this report we discuss the possible causes that may lead to paraplegia in our case.</p>

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Section: Discussionmentioning

confidence: 99%

Paraplegia as a rare complication of tracheal resection anastomosis

Noh

Mohamad

Maruthamuthu

et al. 2018

Int J Otorhinolaryngol Head Neck Surg

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“…CTscan revealed compression of the spinal cord by a large osteophyte of the cervical column [3]. Pitz (1994) reported a 27-year-old male who underwent tracheal resection via sternotomy for adenoidcystic carcinoma. Chin-to-chest sutures were used at the end of the operation.…”

Section: Discussionmentioning

confidence: 99%

“…Immediate removal of the chinto-chest sutures resulted in progressive improvement of symptoms. MRI revealed compression of the spinal cord by abnormally shaped vertebral bodies [4]. Dominguez (1996) reported the case of a 21-year-old female who required orotracheal intubation for 18 days after a traffic accident.…”

Section: Discussionmentioning

confidence: 99%

Spinal cord infarction following cricotracheal resection

Windfuhr¹,

Dülks²

2010

International Journal of Pediatric Otorhinolaryngology

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“…3,7,11 A variety of postures, including the sitting, prone, and lateral oblique positions, have been used for posterior fossa surgery. Each position has advantages and disadvantages.…”

Section: Discussionmentioning

confidence: 99%

Quadriplegia in a patient who underwent posterior fossa surgery in the prone position

Rau¹,

Liang²,

Lui³

et al. 2002

Journal of Neurosurgery: Spine

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✓ Quadriplegia is a well-known complication of posterior fossa surgery performed while the patient is in the sitting position but is rarely associated with the prone position. A case of an 18-year-old man with a cerebellar medulloblastoma is described. There was no evidence of previous cervical disease. The patient suffered quadriplegia after undergoing surgery in the prone position. Postoperative magnetic resonance imaging demonstrated a long hyperintense C2—T1 lesion on T2-weighted sequences. The authors speculate that, during the prolonged period in which the neck was in hyperflexion, overstretching of the cervical spinal cord and compromise of its blood supply might have caused this devastating complication.

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Tetraplegia After a Tracheal Resection Procedure

Cited by 21 publications

References 2 publications

Paraplegia as a rare complication of tracheal resection anastomosis

Paraplegia as a rare complication of tracheal resection anastomosis

Spinal cord infarction following cricotracheal resection

Quadriplegia in a patient who underwent posterior fossa surgery in the prone position

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