From the expert’s office: localized neural lesions following tonsillectomy

摘要: Due to various reasons, localized neural lesions following tonsillectomy are presumably an under-reported complication in the literature. This study was undertaken compile our experiences including a literature review disseminate useful insights etiology and prognosis of this rare entity. A retrospective chart expert reports written by at least one authors for malpractice claims relation undertaken. Additionally, analysis 648 patient documents that had undergone 2001 institution comprehensive were performed. The research restricted item “localized lesion”. Seven cases from expert’s offices, patients who 122 matched search criteria. Including own cases, glossopharyngeal nerve affected 82 patients. Other encompassed injury hypoglossal as solitary (15) or combined (5) lesion, recurrent paralysis with (2) without additional (7), facial (10) combination other (1), lingual deficiency (4) lesion (9). single report existed phrenic nerve. There five reported blindness nine Horner’s syndrome. Albeit rare, may occur troublesome and/or means achieve hemostasis. Some these not result dissection itself but injection procedures. Surgical should include careful mouth gag insertion meticulous minimize risk complications. long-term follow-up is recommended dysgeusia related dysfunction. much less likely resolve long-term. Localized adequately be included informed consent well surgical treatment post-tonsillectomy hemorrhage.