Incidence and risk factors for postoperative lingual neuropraxia following airway instrumentation: A retrospective matched case-control study.

Lingual nerve injury or neuropraxia is a rare but potentially serious perioperative complication following airway instrumentation during general anesthesia. This study explored the the incidence and perioperative risk factors for lingual nerve injury in patients receiving laryngeal mask (LMA) or end...

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Main Authors: Yi-Kai Su, Jen-Hung Wang, Shiu-Ying Hsieh, Xiu-Zhu Liu, Chen-Fuh Lam, Shian-Che Huang
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2018-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC5766107?pdf=render
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author Yi-Kai Su
Jen-Hung Wang
Shiu-Ying Hsieh
Xiu-Zhu Liu
Chen-Fuh Lam
Shian-Che Huang
author_facet Yi-Kai Su
Jen-Hung Wang
Shiu-Ying Hsieh
Xiu-Zhu Liu
Chen-Fuh Lam
Shian-Che Huang
author_sort Yi-Kai Su
collection DOAJ
description Lingual nerve injury or neuropraxia is a rare but potentially serious perioperative complication following airway instrumentation during general anesthesia. This study explored the the incidence and perioperative risk factors for lingual nerve injury in patients receiving laryngeal mask (LMA) or endotracheal (ETGA) general anesthesia in a single center experience.All surgical patients in our hospital who received LMA or ETGA from 2009 to 2013 were included, and potential perioperative risk factors were compared. Matched controls were randomly selected (in 1:5 ratio) from the same database in non-case patients. A total of 36 patients in the records had reported experiencing tongue numbness after anesthesia in this study. Compared with the non-case surgical population (n = 54314), patients with tongue numbness were significantly younger (52.2±19.5 vs 42.0±14.5; P = 0.002) and reported lower ASA physical statuses (2.3±0.7 vs 1.6±0.6; P<0.001). Patient gender, anesthesia technique used, and airway device type (LMA or ETGA) did not differ significantly across the two groups. A significantly higher proportion of patients underwent operations of the head-and-neck region (38.9 vs 15.6%; P = 0.002) developed tongue numbness after anesthesia. Multivariate logistic regression analysis indicated that head-and-neck operations remained the most significant independent risk factor for postoperative lingual nerve injury (AOR 7.63; 95% CI 2.03-28.70).The overall incidence rate of postoperative lingual neuropraxy was 0.066% in patients receiving general anesthesia with airway device in place. Young and generally healthy patients receiving head-and-neck operation are at higher risk in developing postoperative lingual neuropraxy. Attention should be particularly exercised to reduce the pressure of endotracheal tube or laryngeal mask on the tongue during head-and-neck operation to avert the occurrence of postoperative lingual neuropraxy.
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spelling doaj.art-0361300ddc6e41889e52a50c852f8d6e2022-12-22T00:56:49ZengPublic Library of Science (PLoS)PLoS ONE1932-62032018-01-01131e019058910.1371/journal.pone.0190589Incidence and risk factors for postoperative lingual neuropraxia following airway instrumentation: A retrospective matched case-control study.Yi-Kai SuJen-Hung WangShiu-Ying HsiehXiu-Zhu LiuChen-Fuh LamShian-Che HuangLingual nerve injury or neuropraxia is a rare but potentially serious perioperative complication following airway instrumentation during general anesthesia. This study explored the the incidence and perioperative risk factors for lingual nerve injury in patients receiving laryngeal mask (LMA) or endotracheal (ETGA) general anesthesia in a single center experience.All surgical patients in our hospital who received LMA or ETGA from 2009 to 2013 were included, and potential perioperative risk factors were compared. Matched controls were randomly selected (in 1:5 ratio) from the same database in non-case patients. A total of 36 patients in the records had reported experiencing tongue numbness after anesthesia in this study. Compared with the non-case surgical population (n = 54314), patients with tongue numbness were significantly younger (52.2±19.5 vs 42.0±14.5; P = 0.002) and reported lower ASA physical statuses (2.3±0.7 vs 1.6±0.6; P<0.001). Patient gender, anesthesia technique used, and airway device type (LMA or ETGA) did not differ significantly across the two groups. A significantly higher proportion of patients underwent operations of the head-and-neck region (38.9 vs 15.6%; P = 0.002) developed tongue numbness after anesthesia. Multivariate logistic regression analysis indicated that head-and-neck operations remained the most significant independent risk factor for postoperative lingual nerve injury (AOR 7.63; 95% CI 2.03-28.70).The overall incidence rate of postoperative lingual neuropraxy was 0.066% in patients receiving general anesthesia with airway device in place. Young and generally healthy patients receiving head-and-neck operation are at higher risk in developing postoperative lingual neuropraxy. Attention should be particularly exercised to reduce the pressure of endotracheal tube or laryngeal mask on the tongue during head-and-neck operation to avert the occurrence of postoperative lingual neuropraxy.http://europepmc.org/articles/PMC5766107?pdf=render
spellingShingle Yi-Kai Su
Jen-Hung Wang
Shiu-Ying Hsieh
Xiu-Zhu Liu
Chen-Fuh Lam
Shian-Che Huang
Incidence and risk factors for postoperative lingual neuropraxia following airway instrumentation: A retrospective matched case-control study.
PLoS ONE
title Incidence and risk factors for postoperative lingual neuropraxia following airway instrumentation: A retrospective matched case-control study.
title_full Incidence and risk factors for postoperative lingual neuropraxia following airway instrumentation: A retrospective matched case-control study.
title_fullStr Incidence and risk factors for postoperative lingual neuropraxia following airway instrumentation: A retrospective matched case-control study.
title_full_unstemmed Incidence and risk factors for postoperative lingual neuropraxia following airway instrumentation: A retrospective matched case-control study.
title_short Incidence and risk factors for postoperative lingual neuropraxia following airway instrumentation: A retrospective matched case-control study.
title_sort incidence and risk factors for postoperative lingual neuropraxia following airway instrumentation a retrospective matched case control study
url http://europepmc.org/articles/PMC5766107?pdf=render
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