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BJA Advance Access published online on July 8, 2005
British Journal of Anaesthesia, doi:10.1093/bja/aei187
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2005. All rights reserved. For Permissions, please e-mail: journal.permissions@oupjournals.org
Accepted April 22, 2005

Case Report

Lingual nerve injury associated with the ProSeal laryngeal mask airway: a case report and review of the literature

J. Brimacombe 1*, G. Clarke 2, and C. Keller 3

1 Department of Anaesthesia and Intensive Care, Cairns Base Hospital, Cairns, Queensland, Australia
2 Far North Queensland Anaesthesia and Intensive Care, Cairns Private and Day Surgery Hospitals, Cairns, Queensland, Australia
3 Department of Anaesthesia and Intensive Care Medicine, Leopold-Franzens University, Innsbruck, Austria

* To whom correspondence should be addressed.
J. Brimacombe, E-mail: jbrimaco{at}bigpond.net.au


  Abstract

We present a case of lingual nerve injury that was associated with use of the ProSeal laryngeal mask airway during shoulder replacement in a 61-yr-old male. We also review other cases of cranial nerve injury, most of which were associated with use of the classic laryngeal mask airway. In principle, the frequency of cranial nerve injuries can be reduced by avoiding insertion trauma, using appropriate sizes, minimizing cuff volume, and early identification and correction of malposition.

Keywords: equipment, laryngeal mask airway; nerve, damage.
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