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Bilateral phrenic nerve injury after neck dissection: an uncommon cause of respiratory failure

Published online by Cambridge University Press:  29 June 2007

Sandhya Yaddanapudi  and
S. C. Shah
Sandhya Yaddanapudi*
Affiliation:
Department of Anaesthesia, Tata Memorial Hospital, Bombay, India.
S. C. Shah
Affiliation:
Department of Anaesthesia, Tata Memorial Hospital, Bombay, India.
*
Address for correspondence: Dr Sandhya Yaddanapudi, Assistant Professor, Department of Anaesthesiology, Postgraduate Institute of Medical Education and Research, Chandigarh, 160 012, India. Fax: (0091)-172-540401
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Abstract

The case of a patient with carcinoma larynx who developed diaphragmatic paralysis and post-operative respiratory failure due to bilateral phrenic nerve injury is reported. The use of portable ultrasonography for an early diagnosis of diaphragmatic paralysis is discussed.

Keywords

Respiratory insufficiencyRespiratory paralysisPhrenic nervePost-operative complications
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 3 , March 1996 , pp. 281 - 283
Copyright
Copyright © JLO (1984) Limited 1996

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References

Beahrs, O. H. (1977) Complications of surgery of the head and neck. Surgical Clinics of North America 57: 823–829.CrossRefGoogle ScholarPubMed
Coleman, J. J. (1986) Complications in head and neck surgery. Surgical Clinics of North America 66: 149–167.CrossRefGoogle ScholarPubMed
de Jong, A. A., Manni, J. J. (1991) Phrenic nerve paralysis following neck dissection. European Archives of Otorhinolaryngology 248: 132–134.CrossRefGoogle ScholarPubMed
Everts, E. C, Cohen, J. I., McMenomey, S. O. (1993) Surgical complications. In Otolaryngology - Head and Neck Surgery. 2nd Edition. (Cummings, C. W., Fredrickson, J. M., Harker, L. A., Kranse, C. J., Schuller, D. E., eds.), Mosby Yearbook Publishers, St Louis, pp 1673–1690.Google Scholar
Fedullo, A. J., Lerner, R. M., Gibson, J., Shayne, D. S. (1992) Sonographic measurement of diaphragmatic motion after coronary artery bypass surgery. Chest 102: 1683–1686.CrossRefGoogle ScholarPubMed
Grant, I. S. (1990) Intercurrent disease and anaesthesia. In Textbook of Anaesthesia. 2nd Edition. (Aitkenhead, A. R., Smith, G., eds.), Churchill Livingstone, UK. pp 645–676.Google Scholar
Harris, R. S., Giovannetti, M., Kim, B. K. (1983) Normal ventilatory movement of the right hemidiaphragm studied by ultrasonography and pneumotachography. Radiology 146: 141–144.CrossRefGoogle ScholarPubMed
Havlik, R. J., Hubert, H. B., Fabsitz, R. R., Feinleib, M. (1983) Weight and hypertension. Annals of Internal Medicine 98: 855–859.CrossRefGoogle ScholarPubMed
Iverson, L. I. G., Mittal, A., Dugan, D. J., Samson, P. C. (1976) Injuries to the phrenic nerve resulting in diaphragmatic paralysis with special reference to stretch trauma. American Journal of Surgery 132: 263–269.CrossRefGoogle Scholar
Marrone, O., Sanci, S., Cibella, F., Pipitone, P., Milone, F., Bellia, V. (1989) Obesity as a possible cause of respiratory failure in bilateral diaphragmatic paralysis. Italian Annals of Internal Medicine 4: 408–412.Google ScholarPubMed
Milne, E. N. C. (1980) Chest radiology in the surgical patient. Surgical Clinics of North America 60: 1503–1518.CrossRefGoogle ScholarPubMed
Moorthy, S. S., Gibbs, P. S., Losasso, A. M., Lingeman, R. E. (1983) Transient paralysis of the diaphragm following radical neck surgery. Laryngoscope 93: 642–644.CrossRefGoogle ScholarPubMed
Nachazel, J., Palecek, F. (1992) Hypoventilation after acute phrenicotomy of the urethane anaesthetized rats. Physiological Research 41: 375–380.Google ScholarPubMed
Ninane, V., Farkas, G. A., Baer, R., de Troyer, A. (1989) Mechanism of rib cage inspiratory muscle recruitment in diaphragmatic paralysis. American Review of Respiratory Diseases 139: 146–149.CrossRefGoogle ScholarPubMed
Rosett, R. L. (1987) An unusual cause of post-operative respiratory failure. Anesthesiology 66: 695–697.CrossRefGoogle Scholar