Lingual nerve paresthesia after endoscopic laryngeal surgery | ||||
| Egyptian Journal of Neck Surgery and Otorhinolaryngology | ||||
| Article 5, Volume 11, Issue 2, August 2025, Page 52-58 PDF (268.27 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejnso.2025.393585.1124 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Eman Ezzat Abd El-Wahed1; Ahmad Mahmoud Hamdan  2; Mostafa Saieed Mansour 3
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| 1Phoniatric Unit, ORL Department, Faculty of Medicine, Menoufia University, Menoufia, Egypt | ||||
| 2Otorhinlaryngology Department, Faculty of Medicine, Menoufia University | ||||
| 3Anesthesiology, Intensive care and pain management, Faculty of Medicine, Menoufia University, Menoufia, Egypt | ||||
| Abstract | ||||
| Objectives: To investigate demographic, anatomical, procedural, and intraoperative variables associated with the development of LNP. Methods: A total of 196 adult patients who underwent SL were retrospectively analyzed. Patients were divided into two groups: those who developed LNP (n = 38) and those who did not (n = 158). The two groups were compared regarding the demographic, anatomical, procedural, and intraoperative variables under investigation. Results: Among 196 patients, 38 (19.4%) developed lingual nerve paresthesia (LNP), significantly more common in females (71.1% vs. 34.8%, p < 0.001). LNP was associated with a two-finger inter-incisor gap (68.4%, p = 0.004), large tongue size (68.4%, p < 0.001), and higher Mallampati scores (Class III–IV in 63.2%, p < 0.001). Difficult airway management was more frequent in the LNP group during preoperative (57.9% vs. 7.0%, p < 0.001) and intraoperative phases (28.9% vs. 6.3%, p < 0.001). LNP patients had longer surgeries (≥21 minutes in 84.3%, p < 0.001), and more often had the tube on the affected side (76.3%, p < 0.001). Conclusion: Female gender, limited inter-incisor gap, large tongue size, high Mallampati score, procedural difficulties, prolonged operation time, ipsilateral tube placement, and smaller tube size are significant risk factors for lingual nerve paresthesia following suspension laryngoscopy. | ||||
| Keywords | ||||
| Endoscopic Laryngeal Surgery; Lingual Nerve; Lingual Nerve Paresthesia; Suspension Laryngoplasty | ||||
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