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Bulletin of Emergency and Trauma، جلد ۱، شماره Issue ۱، صفحات ۴۳-۴۵

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عنوان انگلیسی Bilateral Vocal Cord Paralysis after Anterior Cervical Discectomy Following Cervical Spine Injury: A Case Report
چکیده انگلیسی مقاله Bilateral vocal cord paralysis is a rare and preventable complication of anterior cervical discectomy and fusion. Herein, we report a fatal case of bilateral vocal cord paralysis after anterior cervical discectomy and fusion (ACD/F). A 65-year-old man with cervical spine trauma and anterior cord syndrome, following car overturn presented to our emergency department. The patient had C6-T10 prolapsed discs for which ACD/F was performed. In the recovery room he developed stridor and respiratory distress immediately after extubation, and was reintubated. Otolaryngological evaluation revealed bilateral vocal cord paralysis. He later required a tracheostomy but finally died in a rehabilitation center after an acute coronary event. Awake fibroptic intubation is recommended in patients at high risk for preoperative recurrent laryngeal nerve injury. Intraoperative tracheal tube cuff pressure monitoring and modification of surgical approach to neck are recommended to prevent bilateral nerve damage.
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نویسندگان مقاله Reza Nikandish |
Department of Anesthesiology, Fasa University of Medical Sciences, Fasa, Iran.

Alireza Zareizadeh |
Department of Neurosurgery, Fasa University of Medical Sciences, Fasa, Iran.

Siavash Motazedian |
Department of Otolaryngology, Fasa University of Medical Sciences, Fasa, Iran.

Sam Zeraatian |
Department of Acute Care Surgery, Fasa University of Medical Sciences, Fasa, Iran.

Habib Zakeri |
Department of Anesthesiology, Fasa University of Medical Sciences, Fasa, Iran.

Fariborz Ghaffarpasand |
Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.


نشانی اینترنتی http://beat.sums.ac.ir/article_44202_e5b44d1771cf284cc789bfe8c07b7ebb.pdf
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زبان مقاله منتشر شده en
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