Vocal Fold Paralysis After Spinal and Epidural Anesthesia: A Case Report and Scoping Review

Author:

Contu Nicolò123,Gallus Roberto3ORCID,Profice Paolo24,Lucchetti Dario1,Degni Emilia5,Rizzo Davide56,Artuso Alberto3,Bussu Francesco56

Affiliation:

1. Physical Medicine and Rehabilitation Mater Olbia Hospital Olbia Italy

2. Institute of Neurology Mater Olbia Hospital Olbia Italy

3. Otolaryngology Mater Olbia Hospital Olbia Italy

4. UOC Neurologia—Dipartimento Scienze dell'invecchiamento, Neurologiche, Ortopediche e della Testa‐Collo Fondazione Policlinico Universitario A. Gemelli IRCCS Rome Italy

5. Otolaryngology Division Azienda Ospedaliero Universitaria Sassari Italy

6. Department of Medicine, Surgery and Pharmacy University of Sassari Sassari Italy

Abstract

ObjectivesCranial nerve paralysis is a rare complication of spinal and epidural anesthesia, and some cases of vocal fold paralysis (VFP) have been reported. The aim of this article is to report a case, identify evidence supporting the possibility of VFP being a complication of spinal and epidural anesthesia and to investigate the frequency, the characteristics, and the possible mechanisms of such a complication.Data SourcesCINAHL Complete, Google Scholar, Cochrane Library, Pubmed, and EMBASE.MethodsCase report according to CARE guidelines; scoping review according to PRISMA‐ScR criteria. All types of studies that reported on patients of any age and sex, all types of spinal/epidural anesthesia regardless of the location and of drugs used were included. A data extraction sheet was completed for each study selected for inclusion based on the full‐text screenings. Extracted data included: study characteristics, participant characteristics, intervention characteristics, outcome measures, clinical investigations. The study did not receive external funding.ResultsEight studies met inclusion criteria and a total of 13 events (in 12 patients, including ours) were reported to date. Although there are some hypotheses in regard to the mechanism underlying the phenomena, including mechanical and inflammatory ones, the exact cause is still unclear.ConclusionsOnly few cases of VFP after spinal or epidural anesthesia have been reported to date; however, it seems possible that VFP might be a potential underreported complication of such procedures. We believe that more research on the topic is warranted, especially considering the wide population potentially at risk.Level of EvidenceNA Laryngoscope, 134:3477–3484, 2024

Publisher

Wiley

Reference15 articles.

1. Single institutional analysis of trends over 45 years in etiology of vocal fold paralysis

2. Vocal Fold Immobility: A Longitudinal Analysis of Etiology Over 20 Years

3. Framework Surgery for Treatment of Unilateral Vocal Fold Paralysis

4. Parálisis de cuerda vocal tras anestesia epidural por cesárea

5. The 3rd National Audit Project of The Royal College of Anesthesists. NAP3: Major Complications of Central Neuraxial Block in the United Kingdom. Accessed November 1 2022.https://www.nationalauditprojects.org.uk/NAP3_home.

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3