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Postoperative Facial Nerve Palsy in a Pediatric Patient

Cindy B Yeoh1, Kathleen J Lee2, Luis E Tollinche1

  • 1Department of Anesthesiology and Critical Care Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

EC Clinical and Medical Case Reports
|February 2, 2022
PubMed

Insights

Peripheral nerve injury is rare after surgery, especially in children. This report details a rare case of facial nerve palsy in a pediatric patient following a thoracotomy.

Area of Science:

  • Neurology
  • Pediatric Surgery
  • Anesthesiology

Background:

  • Peripheral nerve injury (PNI) is a known surgical complication, with an incidence under 1%.
  • Commonly affected nerves include the ulnar nerve, brachial plexus, and lumbosacral nerve root.
  • Postoperative facial nerve palsy is a rare complication, even rarer in pediatric patients.

Purpose of the Study:

  • To report a rare case of postoperative facial nerve palsy in a pediatric patient.
  • To highlight the occurrence of nerve injury in the pediatric population after surgery.

Main Methods:

  • Case report of a pediatric patient.
  • Review of relevant literature on peripheral nerve injury and facial nerve palsy.

Main Results:

  • A pediatric patient developed facial nerve palsy after a thoracotomy.
  • This event is a rare complication, particularly in pediatric surgical cases.

Conclusions:

  • Facial nerve palsy is an uncommon complication of surgery and anesthesia.
  • The incidence of nerve injury in pediatric patients undergoing surgery is notably low but possible.

Keywords:
Facial Nerve PalsyMask VentilationPediatricPerioperative Peripheral Nerve InjuryPositioning

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