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Vocal fold palsy after use of the laryngeal mask airway

Published online by Cambridge University Press:  29 June 2007

Hamid Daya ,
William J. Fawcett  and
Neil Weir
Hamid Daya
Affiliation:
Department of Otolaryngology and Anaesthetics, The Royal Surrey County Hospital, Egerton Road, Guildford, UK
William J. Fawcett
Affiliation:
Department of Otolaryngology and Anaesthetics, The Royal Surrey County Hospital, Egerton Road, Guildford, UK
Neil Weir*
Affiliation:
Department of Otolaryngology and Anaesthetics, The Royal Surrey County Hospital, Egerton Road, Guildford, UK
*
Address for correspondence: Mr Neil Weir, F.R.C.S., Departments of Otolaryngology, The Royal Surrey County Hospital, Egerton Road, Guildford GU2 5XX
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Abstract

We report two cases of left vocal fold palsy following use of the laryngeal mask airway. In both cases anaesthesia was uneventful with a duration of about 60 minutes. It is proposed that high intra-cuff pressures induced during anaesthesia resulted in distension of the hypopharynx and subsequent neuropraxia of the motor branches of the recurrent laryngeal nerve and the external branch of the superior laryngeal nerve.

Keywords

Vocal fold paresisAnaesthesia, inhalationLaryngeal mask airway, complications
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 4 , April 1996 , pp. 383 - 384
Copyright
Copyright © JLO (1984) Limited 1996

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References

Benumof, J. L. (1992) Laryngeal mask airway: indications and contraindications. (Editorial). Journal of Anesthesiology 77: 843–846.CrossRefGoogle Scholar
Bowden, R. E. M. (1955) The surgical anatomy of the recurrent laryngeal nerve. British Journal of Surgery 43: 153–157.CrossRefGoogle ScholarPubMed
Dedo, H. (1970) The paralyzed larynx: an electromyographic study on dogs and humans. Laryngoscope 10: 1455–1511.CrossRefGoogle Scholar
Durham, C. F., Harrison, T. S. (1964) The surgical anatomy of the superior laryngeal nerve. Surgery Gynecology and Obstetrics 118: 38–44.Google ScholarPubMed
Harris, T. M., Johnston, D. F., Collins, S. R. C., Heath, M. L. (1990) A new general anaesthetic technique for use in singers: the brain laryngeal mask airway versus endotracheal intubation. Journal of Voice 4: 81–85.CrossRefGoogle Scholar
King, C., Street, M. K. (1994) Twelfth cranial nerve paralysis following use of a laryngeal mask airway. Anaesthesia 71: 786–787.CrossRefGoogle Scholar
Lee, S. K., Hong, K. H., Choe, H., Song, H. S. (1993) Comparison of the effects of the laryngeal mask airway and endotracheal intubation on vocal infection. British Journal of Anaesthesia 71: 648–650.CrossRefGoogle Scholar
Marjot, R. (1993) Pressure exerted by the laryngeal mask airway cuff upon the pharyngeal mucosa. British Journal of Anaesthesia 70: 25–29.CrossRefGoogle ScholarPubMed
Nagai, K., Sakuramoto, C., Goto, F. (1994) Unilateral hypoglossal nerve paralysis following the use of the laryngeal mask airway. Anaesthesia 49: 603–604.CrossRefGoogle ScholarPubMed
O'Kelly, S. W., Heath, K. J., Lawes, E. G. (1993) A study of laryngeal mask inflation. Anaesthesia 48: 1075–1078.CrossRefGoogle ScholarPubMed