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Case report: isolated lower lip lesion following cavernoma resection in prone position
Egyptian Journal of Neurosurgery Pub Date : 2019-10-10 , DOI: 10.1186/s41984-019-0055-6
Mir Ibrahim Sajid , Noor Malik , Rashid Jooma

Surgery in a prone position is necessary when access to posterior anatomical structures is needed. A procedure in this position is associated with complications such as injuries to the eyes, peripheral nerves, and pressure points and swelling of the tongue. We report a rare complication of isolated lower lip swelling following neck dissection in the prone position. A 25-year-old male patient presented to the clinic with complaint of neck pain for the past 2 months. A cervical spine MRI was done which showed the presence of a cavernoma. C2 laminectomy was performed for resection of the tumor in prone position with the head fixed on a three-point Mayfield clamp. Postoperatively, isolated swelling of the lower lip was observed. The patient was managed conservatively. Cervical spine surgeries done in prone positions carry an increased risk of postoperative vision loss and swellings including those of the oropharynx and in the periorbital region. Possible risk factors for such conditions include anemia, hypotension, long duration of surgery, and significant intraoperative hydration.

中文翻译:

病例报告:海绵状瘤切除后俯卧位孤立的下唇病变

当需要进入后部解剖结构时,必须在俯卧位进行手术。处于该位置的手术会带来并发症,例如眼睛受伤,周围神经受伤,压迫点和舌头肿胀。我们报告俯卧位颈部解剖后孤立的下唇肿胀的罕见并发症。一名25岁的男性患者在过去2个月内因颈部疼痛而就诊。进行了颈椎MRI,显示存在海绵状瘤。C2椎板切除术用于在俯卧位置切除肿瘤,头部固定在三点Mayfield钳上。术后观察到下唇肿胀。保守治疗。在俯卧位进行颈椎手术会增加术后视力丧失和肿胀的风险,包括口咽部和眶周区域的肿胀。这种情况的可能危险因素包括贫血,低血压,手术时间长和术中明显水化。
更新日期:2019-10-10
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