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A case report of Tapia's syndrome after mastectomy and breast reconstruction under general anesthesia.

Abstract Tapia's syndrome is a rare and potentially anesthesia-related complication that may cause considerable distress to the patient. Here we describe a case of unilateral Tapia's syndrome in a patient undergoing a skin sparing mastectomy and immediate breast reconstruction which, to the best of our knowledge, has not been reported in the literature.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 29851851
OWN - NLM
STAT- MEDLINE
DCOM- 20180612
LR  - 20180612
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 22
DP  - 2018 Jun
TI  - A case report of Tapia's syndrome after mastectomy and breast reconstruction
      under general anesthesia.
PG  - e10980
LID - 10.1097/MD.0000000000010980 [doi]
AB  - RATIONALE: Tapia's syndrome is a rare and potentially anesthesia-related
      complication that may cause considerable distress to the patient. Here we
      describe a case of unilateral Tapia's syndrome in a patient undergoing a skin
      sparing mastectomy and immediate breast reconstruction which, to the best of our 
      knowledge, has not been reported in the literature. PATIENT CONCERNS: A 41-years 
      old female underwent right skin sparing total mastectomy and breast
      reconstruction with latissimus dorsi flap under general anesthesia. On the first 
      postoperative day, she complained left sided tongue deviation, subtle hoarseness 
      and swallowing difficulty. DIAGNOSIS: Tapia's syndrome, a combined paralysis of
      ipsilateral vocal cord and tongue due to injury to the hypoglossal and recurrent 
      laryngeal nerves, in this case, resulting potentially from head and neck position
      changes INTERVENTIONS:: The patient was closely observed with the administration 
      of empirical prednisolone 5 mg/day for 3 weeks. OUTCOMES: One month after the
      surgery, functions of the tongue and vocal cord were completely resolved.
      LESSONS: Particular attention should be paid to the maintenance of adequate cuff 
      pressure, proper position of endotracheal tube and correct neck positioning,
      especially when procedures taking a long operation time under endotracheal
      anesthesia and requiring frequent position changes of the patient's head and
      neck.
FAU - Jee, Chan Hee
AU  - Jee CH
AD  - Department of Anesthesiology and Pain Medicine, School of Medicine, Kyungpook
      National University Hospital.
FAU - Kim, Hyun Jee
AU  - Kim HJ
AD  - Department of Anesthesiology and Pain Medicine, School of Medicine, Keimyung
      University.
FAU - Kwak, Kyung-Hwa
AU  - Kwak KH
AD  - Department of Anesthesiology and Pain Medicine, School of Medicine, Kyungpook
      National University, Daegu, South Korea.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
RN  - 0 (Glucocorticoids)
RN  - 9PHQ9Y1OLM (Prednisolone)
SB  - AIM
SB  - IM
MH  - Adult
MH  - Anesthesia, General/*adverse effects
MH  - Deglutition Disorders/etiology
MH  - Female
MH  - Glucocorticoids/therapeutic use
MH  - Humans
MH  - Hypoglossal Nerve Injuries/*etiology
MH  - Intubation, Intratracheal/*adverse effects
MH  - Mammaplasty/adverse effects
MH  - Mastectomy/adverse effects
MH  - Prednisolone/therapeutic use
MH  - Recovery of Function
MH  - Vocal Cord Paralysis/*etiology
EDAT- 2018/06/01 06:00
MHDA- 2018/06/13 06:00
CRDT- 2018/06/01 06:00
PHST- 2018/06/01 06:00 [entrez]
PHST- 2018/06/01 06:00 [pubmed]
PHST- 2018/06/13 06:00 [medline]
AID - 10.1097/MD.0000000000010980 [doi]
AID - 00005792-201806010-00079 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 Jun;97(22):e10980. doi: 10.1097/MD.0000000000010980.