안면 마스크식 전신마취 후 발생한 안면신경마비 1예 = A Case of Facial Nerve Palsy after General Anesthesia with Facial Mask

다국어 초록 (Multilingual Abstract)

A 44-year-old woman underwent operation of removal of external fixator and k-wires under general anesthesia using sevoflurane with jaw thrust maneuver. After the operation, the patient complained of left lower lip weakness and left partial facial palsy developed with drooping of left corner of mouth. Compression of marginal mandibular branch of left facial nerve during the jaw thrust maneuver is estimated to be the cause of facial nerve palsy.
Patient’s symptoms improved with steroid therapy and physical therapy. A month later, the patient is doing well without discomfort.

참고문헌 (Reference)

1 김동옥, "좌위에서 견관절경 수술 후 발생한 일시적 설하신경 마비" 대한마취통증의학회 47 (47): 277-280, 2004

2 박상진, "전신마취 후 발생한 일시적인 안면신경마비" 대한마취통증의학회 56 (56): 443-445, 2009

3 Bae WY, "The state of facial nerve graft after 22 months in iatrogenic facial nerve paralysis" 15 : 323-327, 2004

4 Kroll DA, "Nerve injury associated with anesthesia" 73 (73): 202-207, 1990

5 Azar I, "Lower lip numbness following general anesthesia" 65 (65): 450-451, 1986

6 Yoon YJ, "Facial nerve paralysis after general anesthesia" 34 : 1055-1059, 1998