Tapia’s Syndrome after Cosmetic Malar Augmentation: a Case Report

Ghorbani, Farhad; Tavanafar, Saeid; Eftekharian, Hamidreza

doi:10.30476/dentjods.2019.44566

Tapia’s Syndrome after Cosmetic Malar Augmentation: a Case Report

Document Type : Case Report

Authors

Farhad Ghorbani ¹

Saeid Tavanafar ¹

Hamidreza Eftekharian ²

¹ Postgraduate Student, Dept. of Oral and Maxillofacial Surgery, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.

² Dept. of Oral and Maxillofacial Surgery, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.

https://doi.org/10.30476/dentjods.2019.44566

Abstract

Tapia’s syndrome is an infrequent complication of airway manipulation. It is usually due to an extra-cranial ipsilateral injury to the hypoglossal nerve and the recurrent laryngeal branch of the vagal nerve, which can happen after any surgery. It is usually characterized by unilateral paralysis of the muscle of the tongue and vocal cords although it can also occur bilaterally. We present a patient with postoperative unilateral hypoglossal and recurrent laryngeal nerves palsy that occurred after cosmetic malar augmentation for esthetic correction of the left cheek flatness with an uncomplicated transnasal intubation. We report the first case of Tapia’s syndrome after porous polyethylene implantation for cosmetic cheek reconstruction. The patient was treated immediately after the diagnosis with 0.5mg dexamethasone for two weeks. After three months, the movements of the vocal cord and tongue movement started to improve and the patient’s hoarseness fully recovered after six months.

Keywords

Airway Management

Hoarseness

Hypoglossal Nerve Palsy

Recurrent Laryngeal Nerve

Vocal Cord Paralysis

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