Lingual nerve injury caused by laryngeal mask airway during percutaneous nephrolithotomy:A case report  

作　　者：Zheng-Yi Wang Wan-Zhang Liu Feng-Qi Wang Ying-Zhi Chen Ting Huang He-Sheng Yuan Yue Cheng 

机构地区：[1]Medical College,Ningbo University,Ningbo 315211,Zhejiang Province,China [2]Department of Urology,Ningbo First Hospital,The Affiliated Hospital of Ningbo University,Ningbo 315010,Zhejiang Province,China

出　　处：《World Journal of Clinical Cases》2021年第35期11095-11101,共7页世界临床病例杂志

摘　　要：BACKGROUND Lingual nerve injury(LNI)is a rare complication following the use of laryngeal mask airway(LMA).The occurrence of this unexpected complication causes uncomfortable symptoms in patients and worsens their quality of life.We present an unusual case of LNI caused by the use of an LMA in percutaneous nephrolithotomy(PCNL).CASE SUMMARY A 49-year-old man presented to our hospital with a 3-year history of intermittent left lower back pain.Abdominal computed tomography showed a 25 mm×20 mm stone in the left renal pelvis.PCNL surgery using LMA was performed to remove the renal stone.The patient reported numbness on the tip of his tongue after the operation,but there were no signs of swelling or trauma.The patient was diagnosed with LNI after other possible causes were ruled out.The symptom of numbness eventually improved after conservative medical therapy for 1 wk.The patient completely recovered 3 wk after surgery.CONCLUSION This is the first case report describing LNI with the use of LMA in PCNL.In our case,an inappropriate LMA size,intraoperative movement,and a specific surgical position might be potential causes of this rare complication.

关 键 词：Lingual nerve injury Laryngeal mask airway Percutaneous nephrolithotomy Case report 

分 类 号：R699.2[医药卫生—泌尿科学]