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A Case of Contralateral Hypoglossal Nerve Palsy after Peroral Resection of Submandibular Gland

경구강 악하선 절제술 후 발생한 반대측 설하신경 마비 1례

  • Ban, Won Woo (Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine) ;
  • Ban, Myung Jin (Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine) ;
  • Lee, Chi-Kyou (Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine) ;
  • Park, Jae Hong (Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine)
  • 반원우 (순천향대학교 의과대학 천안병원 이비인후과학교실) ;
  • 반명진 (순천향대학교 의과대학 천안병원 이비인후과학교실) ;
  • 이치규 (순천향대학교 의과대학 천안병원 이비인후과학교실) ;
  • 박재홍 (순천향대학교 의과대학 천안병원 이비인후과학교실)
  • Received : 2016.04.07
  • Accepted : 2016.04.29
  • Published : 2016.05.30

Abstract

The resection of submandibular gland is usually performed via trascervical, transoral approach. The authors suspected the stenosis of Wharton's duct of 54 years old female patient after transoral removal of submandibular stone and the resection of submandibular gland was decided. Because of cosmetic need, the resection was performed transorally. The operation was completed successfully without any injury to unilateral lingual nerve or hypoglossal nerve but contralateral paralysis of hypoglossal nerve was seen. In our knowledge, this is the first report of contralateral hypoglossal nerve palsy during transoral resection of submandibular gland.

Keywords

References

  1. Hald J, Andreassen UK. Submandibular gland excision: short- and long-term complications. ORL J Otorhinolaryngol Relat Spec. 1994;56:87-91. https://doi.org/10.1159/000276616
  2. van den Akker HP, Busemann-Sokole E. Submandibular gland function following transoral sialolithectomy. Oral Surg Oral Med Oral Pathol. 1983;56:351-356. https://doi.org/10.1016/0030-4220(83)90341-9
  3. Dong Il Choi JKO, Yun Su Yang,Ki Hwan Hong. The Surgical Managements for the Stone in the Hilum of the Submandibular Gland. Korean J Otorhinolaryngol-Head Neck Surg. 2007;50:1135-1140.
  4. Hong KH, Kim YK. Intraoral removal of the submandibular gland: a new surgical approach. Otolaryngol Head Neck Surg. 2000;122:798-802. https://doi.org/10.1016/S0194-5998(00)70004-0
  5. Goudal JY, Bertrand JC. [Complications of surgical treatment for submandibular calculi (author's transl)]. Rev Stomatol Chir Maxillofac. 1979;80:349-350.
  6. Lustmann J, Regev E, Melamed Y. Sialolithiasis. A survey on 245 patients and a review of the literature. Int J Oral Maxillofac Surg. 1990;19:135-138. https://doi.org/10.1016/S0901-5027(05)80127-4
  7. Hong SJ, Lee JY. Isolated unilateral paralysis of the hypoglossal nerve after transoral intubation for general anesthesia. Dysphagia. 2009;24:354-356. https://doi.org/10.1007/s00455-008-9197-5
  8. Shah AC, Barnes C, Spiekerman CF, Bollag LA. Hypoglossal nerve palsy after airway management for general anesthesia: an analysis of 69 patients. Anesth Analg. 2015;120:105-120. https://doi.org/10.1213/ANE.0000000000000495