Case Study

Atypical Neuralgia of Lingual Nerve after General Anesthesia: A Case Report

Abbas Al-Ramzi
Bnied-Al-gar Dental Centre and Mubarak-Al-Kabeer Hospital, Kuwait
Karim M. Adel
Bnied-Al-gar Dental Centre and Mubarak-Al-Kabeer Hospital, Kuwait
* Corresponding author
Maysoun Kassem
Bnied-Al-gar Dental Centre and Mubarak-Al-Kabeer Hospital, Kuwait
DOI icon 10.24018/ejdent.2023.4.2.195

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Submitted 2022-05-07
Published 2023-04-27

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Table of Contents

Article Main Content

Objectives: Injury of lingual nerve is a rare complication of general anesthesia. The causes of lingual nerve injury following general anesthesia are multifactorial; possible mechanisms may include difficult laryngoscopy, prolonged anterior mandibular displacement, improper placement of the oropharyngeal airway, macroglossia and tongue compression.

Case Report: A case of atypical neuralgia of lingual nerve that was associated with orotracheal intubation for 54 years old female.

Treatment: Carbamazepine was effectively aided the recovery of the injured lingual nerve.

Conclusion: Lingual nerve injury following orotracheal intubation is rare but can cause irritation to patients.

Keywords: Carbamazepine lingual nerve injury neuralgia

References

  1. Ahmad NS, Yentis SM. Laryngeal mask airway and lingual nerve injury. Anesthesia. 1996; 51: 707 708.
     Google Scholar
  2. Brain AI, Howard D. Lingual nerve injury associated with laryngeal mask use. Anaesthesia. 1998; 53: 713-714.
     Google Scholar
  3. Jones BC. Lingual nerve injury. A complication of intubation. Br J Anaesth. 1971; 43: 730.
     Google Scholar
  4. Laxton CH, Kipling R. Lingual nerve paralysis following the use of laryngeal mask airway. Anaesthesia. 1996; 51: 869-870.
     Google Scholar
  5. Loughman E. Lingual nerve injury following tracheal intubation. Anaesth Intensive Care. 1983; 11: 171.
     Google Scholar
  6. Majumder S, Hopkins PM. Bilateral lingual nerve injury following the use of laryngeal mask airway. Anaesthesia. 1998; 53: 184-186.
     Google Scholar
  7. Al-Benna S. Right hypoglossal nerve paralysis after tracheal intubation for aesthetic breast surgery. Saudi J Anaesth. 2013; 7(3): 341-343.
     Google Scholar
  8. Cheng-Shing Kuo, Kok-Min Seow, Jiann-Loung Hwang, Gong-Jhe Wu, Lingual Nerve Injury Resulting from Oral Airway Compression During a Myomectomy. Taiwanese Journal of Obstetrics and Gynecology. 2004; 43(4): 216-218.
     Google Scholar
  9. Gaut A, Williams M. Lingual Nerve Injury During Suspension Microlaryngoscopy. Arch Otolaryngol Head Neck Surg. 2000; 126(5): 669-671
     Google Scholar
  10. Lehman CD, Bartoshuk LM, Catalanotto FC, Kveton JF, Lowlicht RA. Effect of anesthesia of the chorda tympani nerve on taste perception in humans. Physiology & Behavior. 1995; 57(5): 943-951
     Google Scholar
  11. Kawashima M, Yajima T, Tachiya D, Kokubun S, Ichikawa H, Sato T. Parasympathetic neurons in the huma submandibular ganglion. Tissue and Cell. 2021; 70: 101496.
     Google Scholar
  12. Evers KA, Eindhoven GB, Wierda JMKH. Transient nerve damage following intubation for trans-sphenoidal hypophysectomy. Canadian Journal of Anesthesia. 1999; 46(12): 1143-1145.
     Google Scholar
  13. Laxton CH. Lingual nerve paralysis following the use of the laryngeal mask airway. Anaesthesia. 1996; 51(9): 869-870.
     Google Scholar
  14. Lang MS, Waite PD. Bilateral lingual nerve injury after laryngoscopy for intubation. Journal of Oral and Maxillofacial Surgery. 2001; 59(12): 1497-1499.
     Google Scholar
  15. Su YK, Wang JH, Hsieh SY, Liu XZ, Lam CF, Huang SC. Incidence and risk factors for postoperative lingual neuropraxia following airway instrumentation: A retrospective matched case-control study. PLoS One. 2018; 13(1): e0190589.
     Google Scholar
  16. Kadry MA, Popat MT. Lingual nerve injury after use of a cuffed oropharyngeal airway. Eur J Anaesthesiol. 2001; 18: 264-266.
     Google Scholar
  17. Teichner RL. Lingual nerve injury: a complication of orotracheal intubation. Case report. Br J Anaesth. 1971; 43: 413-414.
     Google Scholar
  18. Silva DA, Colingo KA, Miller R. Lingual nerve injury following laryngoscopy. Anesthesiology. 1992; 76: 650.
     Google Scholar
  19. Mirenda JO. Lingual nerve injury. Anesthesiology. 1992; 77: 220.
     Google Scholar