Hostname: page-component-78c5997874-t5tsf Total loading time: 0 Render date: 2024-11-02T22:22:13.696Z Has data issue: false hasContentIssue false
  • English
  • Français

Unilateral hemiplegia: a unique complication of septoplasty

Published online by Cambridge University Press:  09 July 2013

L D'Ascanio ,
L Cappiello  and
F Piazza
L D'Ascanio*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, ‘Carlo Poma’ Civil Hospital, Mantova, Italy
L Cappiello
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, ‘Carlo Poma’ Civil Hospital, Mantova, Italy
F Piazza
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, ‘Carlo Poma’ Civil Hospital, Mantova, Italy
*
Address for correspondence: Dr Luca D'Ascanio, Department of Otolaryngology – Head and Neck Surgery, ‘Carlo Poma’ Civil Hospital, Strada Lago Paiolo 10, 46100 Mantova, Italy Fax: +39 (0)854214566 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

Septoplasty is one of the most common otolaryngological operations. It is often dismissed as a simple procedure, despite the wide range of potential complications. We describe the first reported case of unilateral hemiplegia as a complication of septoplasty.

Methods and results:

A 51-year-old man presented with right hemiplegia following a septoplasty and turbinoplasty procedure carried out elsewhere. Cranial imaging showed a breakthrough fracture of the left sphenoid sinus anterior wall and clivus, with a haemorrhagic area in the left paramedian pons, which was responsible for the patient's right hemiplegia. Despite neurological and physiotherapeutic rehabilitation, the patient gained only partial recovery from his right hemiplegia.

Conclusion:

Good intra-operative visualisation and appropriate surgical technique are essential to prevent complications and achieve a functional nasal airway. The importance of the presented case to the pre-operative informed consent process is underlined.

Keywords

SeptoplastyHemiplegiaNasal SeptumNasal Surgical ProceduresComplications
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 8 , August 2013 , pp. 809 - 810
Copyright
Copyright © JLO (1984) Limited 2013 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1D'Ascanio, L, Manzini, M.Quick septoplasty: surgical technique and learning curve. Aesthetic Plast Surg 2009;33:814–18CrossRefGoogle ScholarPubMed
2Ketcham, AS, Han, JK.Complications and management of septoplasty. Otolaryngol Clin North Am 2010;43:897–904CrossRefGoogle ScholarPubMed
3Leong, AC, Patel, T, Rehman, F, Oyarzabal, M, Gluckman, P.Cerebrospinal fluid rhinorrhea complicating septoplasty: a novel mechanism of injury. Ear Nose Throat J 2010;89:27–9CrossRefGoogle ScholarPubMed
4Rettinger, G, Kirsche, H.Complications in septoplasty. Facial Plast Surg 2006;22:289–97CrossRefGoogle ScholarPubMed
5Moradi, S, Poursadegh, M, Bakhshaee, M, Bonyadimanesh, R, Poursadegh, V.Pulp necrosis during septorhinoplasty. Laryngoscope 2010;120:673–5CrossRefGoogle ScholarPubMed
6Bloom, JD, Kaplan, SE, Bleier, BS, Goldstein, SA.Septoplasty complications: avoidance and management. Otolaryngol Clin North Am 2009;42:463–81CrossRefGoogle ScholarPubMed
7Tawadros, AM, Prahlow, JA.Death related to nasal surgery: case report with review of therapy-related deaths. Am J Forensic Med Pathol 2008;29:260–4CrossRefGoogle ScholarPubMed