Aysun POSTACI, EMRAH OTAN, Derya TOPUZ, Abdülselam EKİN, Beyazıt DİKMEN

Nazogastrik sonda uygulaması sonrası gelişen tek taraflı vokal kord paralizisi (olgu sunumu)

Nazogastrik (NG) sonda uygulanması nedeniyle nadir de olsa rekürren laringeal sinir yaralanmasına bağlı vokal kord paralizisi gelişebilmektedir. Bu olgu sunumunda abdominal cerrahi öncesi NG sonda uygulanan, postoperatif 1. günde ses kısıklığı ve boğaz ağrısı gelişen, videolaringostroboskopik incelemede sağ vokal kord paralizisi tanısı konan bir erkek hasta sunulmaktadır. NG sonda uygulanması sonrası vokal kord paralizisi olguları nadir görülse de, NG sonda uygulanmasının yararları yanında potansiyel riskleri de göz önüne alınmalı ve zorlayıcı girişimlerden kaçınılmalıdır.

Anahtar Kelimeler:

Ameliyat sonrası komplikasyonlar, Orta yaşlı, Erkek, Entübasyon, intratrakeal, Larinks sinirleri, Vokal kord paralizi

Unilateral vocal cord paralysis following nasogastric tube insertion (case report)

Nasogastric (NG) tube insertion may, on rare occasions, cause vocal cord paralysis due to recurrent laringeal nerve injury. We reported the case of a male patient who developed hoarseness and throat pain on the first postoperative day following NG tube application before an abdominal operation. Videolaryngostroboscopic evaluation revealed right vocal cord paralysis. He recovered almost completely after twelve weeks. Although there have been few reports concerning vocal cord paralysis following NG tube insertion, potential risks should be taken into account alongside its benefits. Avoiding forced manipulations may prevent unfavorable results.

Keywords:

Postoperative Complications, Middle Aged, Male, Intubation, Intratracheal, Laryngeal Nerves, Vocal Cord Paralysis,

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1. Wason R, Gupta P, Gogia AR. Bilateral adductor vocal cord paresis following endotracheal intubation for general anaesthesia. Anaesth Intensive Care 2004; 32: 417- 8.
2. Minuck M. Unilateral vocal cord paralysis following endotracheal intubation. Anesthesiology 1976; 45: 448-9.
3. Kreienbiihl G, Bischoff H. Stimmstörung infolge Lahmung des Nervus laryngeus cranialis nach Intubationsnarkose. Fehler und Gefahren. Anaesthesist 1978; 27: 544-5.
4. Hahn FW Jr, Martin JT, Lillie JC. Vocal cord paralysis with en dotracheal intubation. Arch Otolaryngol 1970; 92: 226-9.
5. Friedman M, Toriumi DM. Esophageal Stethoscope. Another possible cause of vocal cord paralysis. Arch Otolaryngol Head Neck Surg 1989; 115:95-8.
6. Apostolakis LW, Funk GF, Urdaneta LF, McCulloch TM, Jeyapalan MM. The nasogastric tube syndrome: Two case reports and review of the literature. Head Neck 2001; 23: 59-63.
7. Ibuki T, Ando N, Tanaka Y. Vocal cord paralysis associated with difficult gastric tube insertion. Can J Anaesth 1994; 41: 431-4.
8. Sofferrnan RA, Haisch CE, Kirchner JA, Hardin NJ. The Nasogastric tube syndrome. Laryngoscope 1990; 100: 962-8.
9. Friedman M, Baim H, Shelton V ve ark. Laryngeal injuries secondary to nasogastric tubes. Ann Otol Rhinol Laryngol 1981; 90: 469-74.
10. Brousseau VJ, Kost KM. A rare but serious entity: Nasogastric tube syndrome. Otolaryngology-Head and Neck Surgery 2006; 135: 677-9.
11. To EW, Tsang WM, Pang PC, Cheng JH, Lai EC. Nasogastric-tube-induced unilateral vocal cord palsy. Anaesthesia 2001; 56: 695-6.