Great auricular neuropraxia with beach chair position
Minal Joshi,1 Ruth Cheng,2 Hattiyangadi Kamath,1 Joel Yarmush1 1Department of Anesthesiology, New York Methodist Hospital, New York, NY, USA; 2School of Medicine, St. George’s University, Grenada, West Indies Abstract: Shoulder arthroscopy has been shown to be the procedure of choice for m...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2017-07-01
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| Series: | Local and Regional Anesthesia |
| Subjects: | |
| Online Access: | https://www.dovepress.com/great-auricular-neuropraxia-with-beach-chair-position-peer-reviewed-article-LRA |
| _version_ | 1819125529950814208 |
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| author | Joshi M Cheng R Kamath H Yarmush J |
| author_facet | Joshi M Cheng R Kamath H Yarmush J |
| author_sort | Joshi M |
| collection | DOAJ |
| description | Minal Joshi,1 Ruth Cheng,2 Hattiyangadi Kamath,1 Joel Yarmush1 1Department of Anesthesiology, New York Methodist Hospital, New York, NY, USA; 2School of Medicine, St. George’s University, Grenada, West Indies Abstract: Shoulder arthroscopy has been shown to be the procedure of choice for many diagnostic and therapeutic interventions. Neuropraxia of the great auricular nerve (GAN) is an uncommon complication of shoulder surgery, with the patient in the beach chair position. We report a case of great auricular neuropraxia associated with direct compression by a horseshoe headrest, used in routine positioning for uncomplicated shoulder surgery. In this case, an arthroscopic approach was taken, under regional anesthesia with sedation in the beach chair position. The GAN, a superficial branch of the cervical plexus, is vulnerable to neuropraxia due to its superficial anatomical location. We recommend that for the procedures of the beach chair position, the auricle be protected and covered with cotton and gauze to avoid direct compression and the position of the head and neck be checked and corrected frequently. Keywords: neuropraxia, anesthesia, arthroscopy, great auricular nerve |
| first_indexed | 2024-12-22T07:41:36Z |
| format | Article |
| id | doaj.art-93e45e76c5384d22bcdc143c689707e0 |
| institution | Directory Open Access Journal |
| issn | 1178-7112 |
| language | English |
| last_indexed | 2024-12-22T07:41:36Z |
| publishDate | 2017-07-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Local and Regional Anesthesia |
| spelling | doaj.art-93e45e76c5384d22bcdc143c689707e02022-12-21T18:33:44ZengDove Medical PressLocal and Regional Anesthesia1178-71122017-07-01Volume 10757733876Great auricular neuropraxia with beach chair positionJoshi MCheng RKamath HYarmush JMinal Joshi,1 Ruth Cheng,2 Hattiyangadi Kamath,1 Joel Yarmush1 1Department of Anesthesiology, New York Methodist Hospital, New York, NY, USA; 2School of Medicine, St. George’s University, Grenada, West Indies Abstract: Shoulder arthroscopy has been shown to be the procedure of choice for many diagnostic and therapeutic interventions. Neuropraxia of the great auricular nerve (GAN) is an uncommon complication of shoulder surgery, with the patient in the beach chair position. We report a case of great auricular neuropraxia associated with direct compression by a horseshoe headrest, used in routine positioning for uncomplicated shoulder surgery. In this case, an arthroscopic approach was taken, under regional anesthesia with sedation in the beach chair position. The GAN, a superficial branch of the cervical plexus, is vulnerable to neuropraxia due to its superficial anatomical location. We recommend that for the procedures of the beach chair position, the auricle be protected and covered with cotton and gauze to avoid direct compression and the position of the head and neck be checked and corrected frequently. Keywords: neuropraxia, anesthesia, arthroscopy, great auricular nervehttps://www.dovepress.com/great-auricular-neuropraxia-with-beach-chair-position-peer-reviewed-article-LRANeuropraxiaAnesthesiaArthroscopyGreat auricular nerve |
| spellingShingle | Joshi M Cheng R Kamath H Yarmush J Great auricular neuropraxia with beach chair position Local and Regional Anesthesia Neuropraxia Anesthesia Arthroscopy Great auricular nerve |
| title | Great auricular neuropraxia with beach chair position |
| title_full | Great auricular neuropraxia with beach chair position |
| title_fullStr | Great auricular neuropraxia with beach chair position |
| title_full_unstemmed | Great auricular neuropraxia with beach chair position |
| title_short | Great auricular neuropraxia with beach chair position |
| title_sort | great auricular neuropraxia with beach chair position |
| topic | Neuropraxia Anesthesia Arthroscopy Great auricular nerve |
| url | https://www.dovepress.com/great-auricular-neuropraxia-with-beach-chair-position-peer-reviewed-article-LRA |
| work_keys_str_mv | AT joshim greatauricularneuropraxiawithbeachchairposition AT chengr greatauricularneuropraxiawithbeachchairposition AT kamathh greatauricularneuropraxiawithbeachchairposition AT yarmushj greatauricularneuropraxiawithbeachchairposition |