Peripheral facial palsy after adenotonsillectomy in children.

Int. J. Pediatr. Otorhinolaryngol. · Sep 2012

Case Reports

Peripheral facial palsy after adenotonsillectomy in children.

Transient facial palsy is a rare complication after adenotonsillectomy. In this study, we report two cases who developed unilateral peripheral facial palsy immediately after adenotonsillectomy. ⋯ We assumed the possible mechanism was deep infiltration of the local anesthetics into parapharyngeal space and then the direct action on the facial nerve. Therefore, we suggest three policies to avoid this complication: (1) inject the local anesthetics exactly into peritonsillar space, (2) avoid repeated injections or overdose, (3) slowly and gently inject the local anesthetics.

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- Kuo-Sheng Lee, Kuan-Ling Lin, and Yu-Chun Chen.
- Department of Otolaryngology, Mackay Memorial Hospital, Taipei, Taiwan. kelee147@ms31.hinet.net
- Int. J. Pediatr. Otorhinolaryngol. 2012 Sep 1; 76 (9): 1379-81.
AbstractTransient facial palsy is a rare complication after adenotonsillectomy. In this study, we report two cases who developed unilateral peripheral facial palsy immediately after adenotonsillectomy. The facial palsy in both cases completely recovered in 6 and 3h respectively without any treatment. We assumed the possible mechanism was deep infiltration of the local anesthetics into parapharyngeal space and then the direct action on the facial nerve. Therefore, we suggest three policies to avoid this complication: (1) inject the local anesthetics exactly into peritonsillar space, (2) avoid repeated injections or overdose, (3) slowly and gently inject the local anesthetics.Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

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Peripheral facial palsy after adenotonsillectomy in children.

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