ABSTRACT
Bilateral vocal cord paralysis generally arises from trauma, tumor compression of the recurrent laryngeal nerves, surgery on neck and neurological diseases. Progressive supranuclear palsy is a rare degenerative disease showing supranuclear ophthalnoplegia, rigidity, bradykinesia, dysarthria and dementia. Bilateral vocal cord paralysis in patients with progressive supranuclear palsy can be found only in a few cases reported in literature. The finding of bilateral vocal cord paralysis is important because it can be life threatening. We managed a patient with the laterofixation of vocal cord for preventing respiratory failure due to glottic airway compromise. We report this case with a review of literature.
Subject(s)
Humans , Dementia , Dysarthria , Hypokinesia , Neck , Recurrent Laryngeal Nerve , Respiratory Insufficiency , Supranuclear Palsy, Progressive , Vocal Cord Paralysis , Vocal CordsABSTRACT
Endoscopic sinus surgery has been used popularly for treatment of chronic paranasal sinusitis. Sometimes endoscopic sinus surgery is complicated by narrow visual field and anatomical variations. Oculocardiac reflex is developed by surgical or nonsurgical procedures to the eyeball. It occurs because of decreasing of heart rate and other arrhythmia including atrioventricular block, ventricular premature beat and cardiac arrest. Oculocardiac reflex during endoscopic sinus surgery is unusual and it is potentially a life threatening complication. The authors report the first case of oculocardiac reflex experienced during endoscopic sinus surgery in Korea with a review of the literature.
Subject(s)
Arrhythmias, Cardiac , Atrioventricular Block , Cardiac Complexes, Premature , Heart Arrest , Heart Rate , Korea , Reflex, Oculocardiac , Sinusitis , Visual FieldsABSTRACT
Epinephrine is used to control bleeding and clear operative field during tonsillectomy procedure by local and general anesthesia. But epinephrine also has many adverse effects, such as palpitation, headache, hypertension, arrhythmia, tachycardia, anxiety and some significantly more dangerous conditions including intracranial hemorrhage, pulmonary edema, cardiac arrest, etc. We have experienced two acute pulmonary edema owing to infiltration of epinephrine during tonsillectomy, where the condition of patients rapidly became more serious. We performed intensive care and ventilation therapy. In all cases, patients were recovered after intensive care and additional postoperative complication has not been detected until now. We report these cases with literature.