Wang ZY, Liu WZ, Wang FQ, Chen YZ, Huang T, Yuan HS, Cheng Y. Lingual nerve injury caused by laryngeal mask airway during percutaneous nephrolithotomy: A case report. World J Clin Cases 2021; 9(35): 11095-11101 [PMID: 35047623 DOI: 10.12998/wjcc.v9.i35.11095]
Corresponding Author of This Article
Yue Cheng, MD, Professor, Department of Urology, Ningbo First Hospital, The Affiliated Hospital of Ningbo University, No. 78 Liuting Road, Ningbo 315010, Zhejiang Province, China. dongbaba2@foxmail.com
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Zheng-Yi Wang, Feng-Qi Wang, Ying-Zhi Chen, Medical College, Ningbo University, Ningbo 315211, Zhejiang Province, China
Wan-Zhang Liu, Ting Huang, He-Sheng Yuan, Yue Cheng, Department of Urology, Ningbo First Hospital, The Affiliated Hospital of Ningbo University, Ningbo 315010, Zhejiang Province, China
Author contributions: Cheng Y designed the research study; Wang ZY and Liu WZ reviewed the literature and prepared the manuscript; Wang FQ, Chen YZ, Huang T, and Yuan HS drafted the work or revised it critically for important intellectual content; all authors have read and approved the final manuscript.
Informed consent statement: Verbal and written consent was obtained from the patient for his anonymized information to be published in this article.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest related to this manuscript.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yue Cheng, MD, Professor, Department of Urology, Ningbo First Hospital, The Affiliated Hospital of Ningbo University, No. 78 Liuting Road, Ningbo 315010, Zhejiang Province, China. dongbaba2@foxmail.com
Received: July 9, 2021 Peer-review started: July 9, 2021 First decision: July 26, 2021 Revised: August 7, 2021 Accepted: October 27, 2021 Article in press: October 27, 2021 Published online: December 16, 2021
Abstract
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.
Core Tip: This is the case report of a 49-year-old male patient who reported numbness on the tip of his tongue after a percutaneous nephrolithotomy surgery. A diagnosis of lingual nerve injury caused by laryngeal mask airway (LMA) was made after ruling out other possible causes. The occurrence of this rare complication may be associated with several factors, such as inappropriate LMA size, intraoperative movement, and special surgical position. The patient completely recovered after 3 wk of conservative medical therapy.
