心臓手術後に右舌下神経麻痺と左反回神経麻痺を発症した1症例

Right Hypoglossal Nerve Palsy and Left Recurrent Laryngeal Nerve Palsy after Cardiac Surgery：A Case Report

要旨

　心臓手術後の症例で右舌下神経麻痺と左反回神経麻痺を経験した。気管チューブや経食道心エコープローブなどの口腔内挿入物による圧迫，頸部伸展，長時間手術が原因と考えられた。周術期の気道管理を担う麻酔科医として，術中管理とこれらの神経麻痺の関連について十分に理解することが求められる。

　We experienced a case of transient right hypoglossal nerve palsy and contralateral left recurrent nerve palsy after cardiac surgery. The possible causes were oral-pharyngeal airway insertion, cervical extension, and prolonged surgery. In the case of transient conduction disturbances, it is believed that they often resolve on their own. Hoarseness, dysphagia, dysphagia, dyspnea that may be caused by these nerve palsies are complications that have a significant impact on the postoperative course. As an anesthesiologist responsible for airway management, we should understand the neuroanatomy running through the head and neck region, and perform careful techniques and intraoperative management.