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Nikandish, Reza, Zareizadeh, Alireza, Motazedian, Siavash, Zeraatian, Sam, Zakeri, Habib, Ghaffarpasand, Fariborz. (1391). Bilateral Vocal Cord Paralysis after Anterior Cervical Discectomy Following Cervical Spine Injury: A Case Report. سامانه مدیریت نشریات علمی, 1(Issue 1), 43-45.
Reza Nikandish; Alireza Zareizadeh; Siavash Motazedian; Sam Zeraatian; Habib Zakeri; Fariborz Ghaffarpasand. "Bilateral Vocal Cord Paralysis after Anterior Cervical Discectomy Following Cervical Spine Injury: A Case Report". سامانه مدیریت نشریات علمی, 1, Issue 1, 1391, 43-45.
Nikandish, Reza, Zareizadeh, Alireza, Motazedian, Siavash, Zeraatian, Sam, Zakeri, Habib, Ghaffarpasand, Fariborz. (1391). 'Bilateral Vocal Cord Paralysis after Anterior Cervical Discectomy Following Cervical Spine Injury: A Case Report', سامانه مدیریت نشریات علمی, 1(Issue 1), pp. 43-45.
Nikandish, Reza, Zareizadeh, Alireza, Motazedian, Siavash, Zeraatian, Sam, Zakeri, Habib, Ghaffarpasand, Fariborz. Bilateral Vocal Cord Paralysis after Anterior Cervical Discectomy Following Cervical Spine Injury: A Case Report. سامانه مدیریت نشریات علمی, 1391; 1(Issue 1): 43-45.

Bilateral Vocal Cord Paralysis after Anterior Cervical Discectomy Following Cervical Spine Injury: A Case Report

Bulletin of Emergency And Trauma
مقاله 10، دوره 1، Issue 1، فروردین 2013، صفحه 43-45    اصل مقاله (390.26 K)
نوع مقاله: Case Report
نویسندگان
Reza Nikandish1؛ Alireza Zareizadeh2؛ Siavash Motazedian3؛ Sam Zeraatian4؛ Habib Zakeri* 1؛ Fariborz Ghaffarpasand5
1Department of Anesthesiology, Fasa University of Medical Sciences, Fasa, Iran.
2Department of Neurosurgery, Fasa University of Medical Sciences, Fasa, Iran.
3Department of Otolaryngology, Fasa University of Medical Sciences, Fasa, Iran.
4Department of Acute Care Surgery, Fasa University of Medical Sciences, Fasa, Iran.
5Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
چکیده
Bilateral vocal cord paralysis is a rare and preventable complication of anterior cervical discectomy and fusion. Herein, we report a fatal case of bilateral vocal cord paralysis after anterior cervical discectomy and fusion (ACD/F). A 65-year-old man with cervical spine trauma and anterior cord syndrome, following car overturn presented to our emergency department. The patient had C6-T10 prolapsed discs for which ACD/F was performed. In the recovery room he developed stridor and respiratory distress immediately after extubation, and was reintubated. Otolaryngological evaluation revealed bilateral vocal cord paralysis. He later required a tracheostomy but finally died in a rehabilitation center after an acute coronary event. Awake fibroptic intubation is recommended in patients at high risk for preoperative recurrent laryngeal nerve injury. Intraoperative tracheal tube cuff pressure monitoring and modification of surgical approach to neck are recommended to prevent bilateral nerve damage.
کلیدواژه‌ها
Anterior cervical discectomy؛ Anterior cervical fusion؛ Cervical spine trauma؛ Vocal cord paralysis
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