Greater auricular nerve neuropraxia with beach chair positioning during open reduction and internal fixation with plate for clavicular fracture: A case report.
10.17085/apm.2017.12.3.286
- Author:
Jin A KIM
1
;
Jin Hyub PAEK
;
Jin Hye MIN
;
Joon Yub KIM
;
Hyung Rae CHO
Author Information
1. Department of Anesthesiology and Pain Medicine, Myongji Hospital, Goyang, Korea. callmex@hanmail.net
- Publication Type:Case Report
- Keywords:
Entrapment neuropathies;
Hyperesthesia;
Patient positioning;
Postoperative complication
- MeSH:
Arthroscopy;
Follow-Up Studies;
Humans;
Hyperesthesia;
Hypesthesia;
Intubation;
Mandible;
Middle Aged;
Nerve Compression Syndromes;
Outpatients;
Paralysis;
Patient Positioning;
Postoperative Complications;
Sensation;
Shoulder;
Skin
- From:Anesthesia and Pain Medicine
2017;12(3):286-289
- CountryRepublic of Korea
- Language:English
-
Abstract:
Greater auricular nerve neuropathy is a reported as complication in some cases of shoulder arthroscopy in the beach chair position using a horse-shoe headrest. Due to this risk, intubation pad-type headrest is recommended for the beach chair position, to effectively prevent greater auricular nerve palsy. In this case report, we described a patient who experienced greater auricular nerve neuropraxia after open reduction and internal fixation with plate of clavicular fracture in beach chair position using an intubation pad-type headrest. A 49-year-old man was diagnosed with left clavicular fracture without accompanying injury or complication. He underwent an operation for open reduction and internal fixation with a plate. After surgery, the patient reported numbness, and a tingling sensation without pain or skin lesion in the auricular area and the lower margin of the left mandible. Based on the clinical symptoms, greater auricular nerve neuropraxia was diagnosed. The symptoms disappeared completely after four weeks of outpatient follow-up.
