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[Hypoglossus paresis after tonsillectomy]
Mathias Barfred1, Michael Frantz Howitz1
1Øre-Næse-Hals-Afdelingen, Københavns Universitetshospital - Nordsjællands Hospital, Hillerød.
Ugeskrift for Laeger
|January 3, 2025
Summary
A rare case of hypoglossal nerve paresis occurred after tonsillectomy in a healthy woman, causing temporary speech and swallowing difficulties. Precautions during airway management may prevent this rare complication.
Area of Science:
- Otolaryngology
- Neurology
Background:
- Tonsillectomy is a common surgical procedure.
- Hypoglossal nerve paresis is a rare but significant complication.
Observation:
- A healthy 29-year-old woman developed hypoglossal nerve paresis post-tonsillectomy.
- She experienced 6-8 weeks of dysphagia and dysarthria, requiring readmission for dehydration.
Findings:
- Direct intraoperative trauma is unlikely given the nerve's protected anatomical course.
- Possible mechanisms include pressure from airway devices or manipulation during surgery.
Implications:
- Suggests specific precautions to avoid hypoglossal nerve neuropraxia during tonsillectomy.
- Highlights the importance of careful airway management and intraoperative technique.
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